The management of mental health problems is a core component of maternity care. Pregnancy and childbirth may be accompanied by recurrence of pre-existing psychiatric problems, and conditions such as postnatal depression and puerperal psychosis may arise following delivery. Correct management of these problems is essential for both the mother and the developing infant.
This book provides a comprehensive overview of mental health problems associated with pregnancy and the year after delivery. The second edition has been updated to reflect current practice, recent evidence and new clinical guidelines. Key topics covered include:
* Issues for children and families.
* Screening for and prevention of mental disorders in relation to childbirth.
* Prescribing and physical treatments in pregnancy and lactation.
* Transcultural issues.
* Diagnosis and management.
An important text for psychiatrists who work with pregnant women or new mothers, this book is essential for trainees in perinatal psychiatry and will also be a useful resource for nurses, psychologists, obstetricians, midwives and health visitors.
Acronyms and Abbreviations
Preface - by the editors
Foreword - Margaret Oates
1. Historical perspectives and classification issues
2. Perinatal depression, anxiety, stress and adjustment
3. Puerperal psychosis
4. Childbearing in women with existing mental disorders
5. Substance misuse
6. Perinatal mental illness, children and the family
7. Screening and prevention
8. Physical treatments during pregnancy
9. Physical treatments and breastfeeding
10. Service provision
11. Perinatal psychiatry in multi-ethnic communities
Appendix 1: Organisations offering support and information
Appendix 2: Edinburgh Postnatal Depression Scale
Appendix 3: Resources