Obstetric complications in bipolar disorder: The role of mental health disorders in the risk of caesarean section

Solé, Eva; Torres, Anna; Roca, A.; Hernández, Ana Sandra; Roda, E.; Sureda, B; Martín‐Santos, Rocío; Vieta, Eduard; García-Esteve, Lluïsa

doi:10.1016/j.jad.2019.04.017

Cited by 8 publications

(2 citation statements)

References 27 publications

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“…Providers can prepare women for what to expect during delivery to mitigate the potential trauma that could trigger mental health symptoms 118,119 . For example, women with bipolar disorder have been shown to have an increased risk of cesarean delivery compared with age-, gestational age–, and parity-matched control subjects without bipolar disorder 120 ; women's health providers can educate women with bipolar disorder about this risk and prepare them for this possibility. Education can also include information about the importance of sleep hygiene, the benefits of social support, and potential adverse effects of pharmacotherapy or its discontinuation, or the ideal timeline for titrating down of medication if discontinuation is possible.…”

Section: The Potential Role Of Women's Health Care Providersmentioning

confidence: 99%

Postpartum Psychosis: The Role of Women’s Health Care Providers and the Health Care System

Stacy

Schulkin

2022

Obstetrical &Amp; Gynecological Survey

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Importance: The postpartum period is a time of high risk for serious psychiatric symptoms and hospitalization. Postpartum psychosis (PPP) is the most severe disorder that emerges during this time, with significant and wide-ranging consequences that can include suicide and infanticide.Evidence Acquisition: A PubMed, MEDLINE, and PsycINFO search was completed for English-language publications about PPP, including subtopics (eg, infanticide, maternal suicide). Citations in these articles were also reviewed for relevant references.Results: Although it is clear that the triggering event for PPP is childbirth, the processes by which this occurs are not fully understood, which is a critical need for being able to predict, prevent, and manage PPP. There are risk factors that contribute to PPP, and specific groups of women may be at increased risk (eg, women with bipolar disorder). Many questions and challenges remain related to the phenomenology, nosology, prevention, and treatment of PPP. However, there are changes that women's health care providers and systems can take to improve the care of women at risk of and experiencing PPP.Conclusions and Relevance: Postpartum psychosis is a rare but serious condition. However, recovery is possible. Women's health care providers and systems can improve the care by better understanding the needs of women and families, offering patient-centered discussions and options for care, particularly those that promote recovery, minimize risk, and limit the interruption of the maternal-infant bond. Improving the prevention and treatment of PPP can have a broad impact for women, children, and families.Target Audience: Obstetricians and gynecologists, family physicians Learning Objectives: After participating in this activity, readers should be better able to describe risk factors that contribute to the onset of PPP; discuss best practices for preventing and treating PPP; and identify at least one way in which health care providers or health care systems can improve the care offered to women and families who experience PPP.

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Section: The Potential Role Of Women's Health Care Providersmentioning

confidence: 99%

Postpartum Psychosis: The Role of Women’s Health Care Providers and the Health Care System

Stacy

Schulkin

2022

Obstetrical &Amp; Gynecological Survey

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“…In this research, women with BD run a twofold increased risk for cesarean delivery compared to women without BD, of similar age and parity. An explanation for this phenomenon could be a personal history of BD and the comorbidity of these patients [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

Postpartum Psychosis after Traumatic Cesarean Delivery

et al. 2021

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An emergency cesarean delivery can be a traumatic childbirth experience for a woman and a risk factor for postpartum psychosis, especially in a patient with a history of bipolar disorder. This article describes the case of a pregnant woman with an unknown history of bipolar disorder who developed an acute psychotic reaction during the procedure of an emergency caesarian section and switched to mania. The purpose of this case study is for perinatal health care professionals to identify suspicious symptoms and promptly refer to psychiatric services so as to ensure the mother’s and the newborn’s safety. This case study highlights the importance of assessing women with bipolar disorder or a previous psychotic episode for the risk of psychiatric complications in pregnancy and after childbirth. Midwifery education on perinatal mental health is crucial for the detection of suspicious symptoms and early referral to a specialist.

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Obstetric outcomes regarding the use of lithium in pregnant women with bipolar disorders: a prospective cohort study

Sagué-Vilavella

Solé

Pinzón‐Espinosa

et al. 2022

Arch Womens Ment Health

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Obstetric complications in bipolar disorder: The role of mental health disorders in the risk of caesarean section

Cited by 8 publications

References 27 publications

Postpartum Psychosis: The Role of Women’s Health Care Providers and the Health Care System

Postpartum Psychosis: The Role of Women’s Health Care Providers and the Health Care System

Postpartum Psychosis after Traumatic Cesarean Delivery

Obstetric outcomes regarding the use of lithium in pregnant women with bipolar disorders: a prospective cohort study

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