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Chapter 24 - Psychiatric Disorders in Pregnancy

Published online by Cambridge University Press:  26 January 2024

By
Allana Munro  and
Ronald B. George
Edited by
David R. Gambling ,
M. Joanne Douglas  and
Grace Lim
David R. Gambling
Affiliation:
University of California, San Diego
M. Joanne Douglas
Affiliation:
University of British Columbia, Vancouver
Grace Lim
Affiliation:
University of Pittsburgh
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Summary

Peripartum psychiatric disorders are common, and it is likely that an obstetric anaesthesiologist will be involved with the care of a patient with one of these disorders. The most common psychiatric disorders encountered in the peripartum period include depression, anxiety, bipolar disorder, post-traumatic stress disorder, and schizophrenia. These conditions are commonly underdiagnosed and undertreated but may have grave maternal and neonatal consequences. Additionally, postpartum psychiatric disorders, specifically anxiety and depression, are common complications of childbirth. The rising prevalence of these disorders in the peripartum period necessitates an understanding of the epidemiology, management, and treatment options. Evidence on how psychiatric disorders and their treatment can affect the mother, baby, and the delivery of anesthesia care is presented. This chapter reviews important anesthesia considerations for pregnant patients with psychiatric disorders and interactions that may occur between anesthesia and the medical management of these disorders. Additionally, interventions and prevention techniques to improve patient care and manage postpartum psychiatric sequelae are explored.

Keywords

Postpartum psychiatric disordersPeripartum psychiatric disordersPostpartum depressionPregnancyLabor analgesiaObstetric AnesthesiaSchizophreniaDepressionAnxietyPTSD
Type
Chapter
Information
Obstetric Anesthesia and Uncommon Disorders , pp. 402 - 412
Publisher: Cambridge University Press
Print publication year: 2024

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