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Related Experiment Videos

Pregnancy complicated by obsessive-compulsive disorder

D Chelmow1, V P Halfin

  • 1Department of Obstetrics and Gynecology, Tufts University School of Medicine, Boston, Massachusetts, USA.

The Journal of Maternal-Fetal Medicine
|January 1, 1997
PubMed
Summary

This case study discusses managing obsessive-compulsive disorder (OCD) during pregnancy. Effective management, including behavioral techniques and medication, can help women navigate pregnancy with minimal psychiatric symptoms.

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Area of Science:

  • Psychiatry
  • Reproductive Medicine

Background:

  • Obsessive-compulsive disorder (OCD) is a recognized psychiatric condition often emerging during reproductive years.
  • Pregnancy presents unique challenges for managing OCD due to potential medication risks.

Observation:

  • A 28-year-old pregnant woman with a history of OCD experienced symptom exacerbation during pregnancy and postpartum.
  • Her symptoms included obsessions about infectious disease and compulsive cleaning, impacting her daily life.
  • Management involved frequent psychiatric and obstetric consultations and the behavioral technique 'thought-stopping'.

Findings:

  • While symptoms worsened late in pregnancy and postpartum, the infant was delivered normally.
  • Postpartum, restarting clomipramine led to significant symptom improvement and well-being.

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  • Careful management strategies can enable a pregnancy with manageable psychiatric symptoms.

    • Implications:

    • This case highlights the importance of individualized, multidisciplinary care for pregnant women with OCD.
    • It underscores the potential for successful pregnancy outcomes with appropriate psychiatric management.
    • Further research into safe and effective OCD treatments during pregnancy is warranted.