Kimberly Ragan MSW Zachary N Stowe MD D Jeffrey Newport Md Ms Mdiv

Since the mid-1980s, breast-feeding has garnered global recognition by virtually all professional organizations as the ideal form of nutrition for infants (Newton 2004). As a result, the proportion of women choosing to breast-feed continues to rise (Ryan et al. 2002), and the duration of breast-feeding has increased (Nichols-Johnson 2004). Despite this universal acceptance of breastfeeding, decisions regarding lactation are complicated by the common occurrence of postnatal maternal illness....

Risk and Course of Bipolar Disorder During the Postpartum Period

In contrast to the course of BD during pregnancy, for which the data are sparse, the course of this disorder in the postpartum period has received more systematic study. This period has been recognized consistently for more than a century as a time of heightened vulnerability to relapse of mood disorders, although quantitative specification of that risk remains inconsistent. Among women with BD, recurrence rates in the postpartum (i.e., 3-6 months after delivery) have ranged from 20 to 80...

Psychotherapeutic and Pharmacotherapeutic Interventions

Because postpartum blues are characteristically mild in severity and resolve spontaneously, no specific treatment, other than support and reassurance, is indicated. Although the symptoms may be distressing, they typically do not affect the mother's ability to function and to care for herself or her infant. Psychiatric consultation is generally not required however, if the symptoms are severe or persist longer than 2 weeks, the patient should be evaluated to rule out the presence of a more...

Risk and Course of Bipolar Disorder During Pregnancy

There is wide agreement that the early postpartum is a period of unusually high risk of illness recurrence in patients with BD and other psychiatric illness Kendell et al. 1987 Lier et al. 1989 . In his classic early descriptions of the manic-depressive syndrome, Kraepelin 1921 observed that attacks of mania and melancholia were common in pregnancy but were even more common following childbirth. This general impression was sustained over the past century. In contrast, risks associated with...

Anxiety Disorders

Although modest to moderate levels of anxiety during pregnancy are common, pathologic anxiety may occur in certain women. Anxiety disorders are common among women, but little is known about the prevalence of anxiety disorders during pregnancy and the postpartum period. In a recent prospective longitudinal study of a community sample of 8,323 pregnant women in England, it was observed that 21.9 of the women had clinically significant symptoms of anxiety Heron et al. 2004 . Among the women who...

Contents

Introduction to the Review of Psychiatry Series xi John M. Oldham, M.D., M.S., and Michelle B. Riba, M.D., M.S. Lee S. Cohen, M.D., and Ruta M. Nonacs, M.D., Ph.D. Course of Psychiatric Illness During Laura Fagioli Petrillo, M.D., Ruta M. Nonacs, M.D., Ph.D., Adele C. Viguera, M.D., and Lee S. Cohen, M.D. Risks of Untreated Illness in the Mother 9 Diagnosis and Treatment of Mood and Anxiety Disorders in Pregnancy Ruta M. Nonacs, M.D., Ph.D., Lee S. Cohen, M.D., Adele C. Viguera, M.D., and...

And Postpartum

NONACS, M.D., PH.D. SERIES EDITORS JOHN M. OLDHAM. M.D., M.S. MICHELLE B RIBA. M.D M.S. Mood and Anxiety Disorders During Pregnancy and Postpartum Review of Psychiatry Series John M. Oldham, M.D., M.S. Michelle B. Riba, M.D., M.S. Mood and Anxiety Disorders During Pregnancy and Postpartum Lee S. Cohen, M.D. Ruta M. Nonacs, M.D., Ph.D. Note The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent...