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Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
Managing psychosis in pregnancy
Kay McCauley-Elsom1, Jayashri Kulkarni
1School of Nursing and Midwifery, Monash University, McMahon's Road, Frankston, Vic. 3199, Australia. Kay.McCauley@med.monash.edu.au
The Australian and New Zealand Journal of Psychiatry
|April 28, 2007
Summary
Managing pregnant women with a history of psychosis requires careful coordination. This case highlights the challenges in balancing maternal mental health with infant safety, emphasizing the need for improved care strategies.
Area of Science:
- Reproductive psychiatry
- Perinatal mental health
- Psychotic disorders in pregnancy
Background:
- Pregnancy in women with a history of psychosis presents unique management challenges.
- Balancing maternal mental wellbeing with fetal safety is complex for expectant mothers and healthcare providers.
- This article explores these complexities through a case report.
Observation:
- A case report details the management of a pregnant woman with a history of psychotic disorders.
- The patient was case managed by a Victorian Mental Health Service and enrolled in the National Register of Antipsychotic Medications in Pregnancy Register (NRAMP).
- Women with prior mental illness and pregnancy often have challenging psychosocial histories and child protection involvement.
Findings:
- Poorly coordinated decisions by healthcare professionals can lead to suboptimal outcomes for both mother and infant.
- Effective management requires a comprehensive approach addressing psychosocial factors and medication safety.
- The case illustrates the intricate needs of this vulnerable population.
Implications:
- There is a critical need to explore and improve the management strategies for pregnant women with a history of psychosis.
- Enhanced interdisciplinary collaboration is essential for optimal outcomes.
- This case underscores the importance of specialized registers and coordinated care for perinatal mental health.
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