在分娩期间管理剂量:一项观察性研究
Nina M Molenaar1, Eline M P Poels1, Thalia Robakis1
1Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York City, New York, USA (Molenaar, Robakis, Bergink); Department of Psychiatry, Erasmus Medical Center, Rotterdam, The Netherlands (Molenaar, Poels, Wesseloo, Bergink); Department of Psychiatry, GGZ Delftland, Delft, The Netherlands (Wesseloo); Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York City, New York, USA (Bergink).
在怀孕和产后期间的剂量不需要调整. 建议持续稳定剂量以防止低水平和产后复发风险在母亲. 新生儿结局与水平没有关联.
科学领域:
- 围产阶段精神病学 围产阶段精神病学
- 药理学 药理学是指药理学的学科.
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 目前关于在分娩前服用的指导方针不一致,有些人建议停止服用.
- 这种做法可能会导致母亲的水平低于治疗水平,并增加产后复发风险.
研究的目的:
- 为了评估产后母亲的血水平的变化.
- 确定新生儿水平与新生儿结局之间的关联.
主要方法:
- 在怀孕晚期和产后期间对妇女进行监测的回顾性观察队列研究.
- 分析包括母亲的水平和新生儿水平的子队列 (带或产后24小时内).
主要成果:
- 产后母亲的血水平保持稳定,与时间或剂量比没有相关性.
- 孕产妇和新生儿的水平有很强的相关性.
- 新生儿水平与新生儿不良结果之间没有发现任何关联.
结论:
- 不建议在分娩前停止或减少的剂量.
- 保持稳定的剂量对于预防产后复发至关重要.
- 持续的疗法在关键的分娩后期支持母亲的心理健康.
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