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. Key topics covered include: Issues for children and families; Screening for and prevention of mental disorders in relation to childbirth; Prescribing in pregnancy and lactation; and, Transcultural issues. An essential text for trainees in perinatal psychiatry, this book is also aimed at general adult psychiatrists with an interest in the field. It is also a useful resource for nurses, psychologists, obstetricians, midwives and health visitors.
Foreword - Margaret Oates. Chapter 1: Historical perspectives and classification issues. Chapter 2: Perinatal depression, anxiety, stress and adjustment. Chapter 3: Puerperal psychosis. Chapter 4: Childbearing in women with existing mental disorders. Chapter 5: Substance misuse. Chapter 6: Perinatal mental illness, children and the family. Chapter 7: Screening and prevention. Chapter 8: Physical treatments during pregnancy. Chapter 9: Physical treatments and breastfeeding. Chapter 10: Service provision. Chapter 11: Perinatal psychiatry in multi-ethnic societies. Appendix I: Randomised controlled trials of interventions for postnatal depression. Appendix II: Organisations offering support and information. Appendix III: Edinburgh Postnatal Depression Scale. Appendix IV: Resources.