British Association for Psychopharmacology consensus guidance on the use of psychotropic medication preconception, in pregnancy and postpartum 2017

Консенсусные рекомендации Британской ассоциации психофармакологии по применению психотропных препаратов в период до зачатия, во время беременности и в послеродовом периоде, 2017 год
Allan H. Young, Louise M. Howard, Carmine M. Pariante, David S. Baldwin, Lesley Peters, Laura Yates, David Taylor, Nadia Micali, Ian Jones, R. Hamish McAllister‐Williams, Anne Lingford‐Hughes, Angelika Wieck, Vivette Glover, Alain Grégoire, Roch Cantwell, Hind Khalifeh, Abby Easter, Éilish Gilvarry, Lucian Green, Elizabeth McDonald, Ann Roberts, Natalie C Smith
2017-04-25

breastfeedingin utero exposureperinatal mental healthpregnancypsychotropic medication
Decisions about the use of psychotropic medication in pregnancy are an ongoing challenge for clinicians and women with mental health problems, owing to the uncertainties around risks of the illness itself to mother and fetus/infant, effectiveness of medications in pregnancy and risks to the fetus/infant from in utero exposure or via breast milk. These consensus guidelines aim to provide pragmatic advice regarding these issues. They are divided into sections on risks of untreated illness in pregnancy; general principles of using drugs in the perinatal period; benefits and harms associated with individual drugs; and recommendations for the management of specific disorders.
1
It emphasizes balancing risks of untreated maternal mental illness against medication effectiveness and potential fetal or infant exposure risks.
2
It evaluates benefits and harms associated with individual psychotropic medications.
3
Specific management recommendations are provided for different psychiatric disorders during the perinatal period.
4
The consensus guidance addresses clinical decisions about psychotropic medication use before conception, during pregnancy, and postpartum.
5
The guidance provides pragmatic principles for psychotropic drug use during the perinatal period, including exposure through breast milk.

Psychotropic medication use in women with mental health problems during preconception, pregnancy, and postpartum

The risks, benefits, effectiveness, and management principles of psychotropic medication and untreated mental illness, including fetal/infant exposure during pregnancy and breastfeeding

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2017-04-25
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Authors
Allan H. Young
Louise M. Howard
Carmine M. Pariante
David S. Baldwin
Lesley Peters
Laura Yates
David Taylor
Nadia Micali
Ian Jones
R. Hamish McAllister‐Williams
Anne Lingford‐Hughes
Angelika Wieck
Vivette Glover
Alain Grégoire
Roch Cantwell
Hind Khalifeh
Abby Easter
Éilish Gilvarry
Lucian Green
Elizabeth McDonald
Ann Roberts
Natalie C Smith
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