When pregnancy and patient’s bipolarity becomes true
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Debates em Psiquiatria (Online) |
Texto Completo: | https://revistardp.org.br/revista/article/view/369 |
Resumo: | There’s even a little more than 10 years, physicians advised women with bipolar disorder not to have children. Although this thinking is now outdated, they often still face difficult decisions about how to handle their treatment during pregnancy. Most drugs prescribed for bipolar disorder are associated with some risk of congenital malformations, but patients who discontinue the medication have a high risk of recurrence of a depressive, manic or mixed episode. During the postpartum period, the relapse rateis even higher, reaching 50% to 70% by some estimates. And even more alarming: bipolar women are 100 times more likely than other women to develop postpartum psychosis, a severe condition that can result in maternal suicide and infanticide. |
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When pregnancy and patient’s bipolarity becomes trueQuando a gestação e a bipolaridade da paciente se tornam realidadetranstorno bipolarmulhergestaçãobipolar disorderswomanpregnancyThere’s even a little more than 10 years, physicians advised women with bipolar disorder not to have children. Although this thinking is now outdated, they often still face difficult decisions about how to handle their treatment during pregnancy. Most drugs prescribed for bipolar disorder are associated with some risk of congenital malformations, but patients who discontinue the medication have a high risk of recurrence of a depressive, manic or mixed episode. During the postpartum period, the relapse rateis even higher, reaching 50% to 70% by some estimates. And even more alarming: bipolar women are 100 times more likely than other women to develop postpartum psychosis, a severe condition that can result in maternal suicide and infanticide.Há até pouco mais de 10 anos, médicos aconselhavam mulheres com transtorno bipolar a não terem filhos. Apesar desse pensamento ser agora ultrapassado, elas ainda enfrentam decisões, muitas vezes difíceis, sobre como lidar com seu tratamento durante a gravidez. A maioria das drogas prescritas para o transtorno bipolar estão associadas a algum risco de malformações congênitas, mas as pacientes que interrompem a medicação têm um alto risco de recaída de um episódio depressivo, maníaco ou misto. Durante o período puerperal, a taxa de recaída é ainda maior, chegando a 50% a 70%, segundo algumas estimativas. E mais alarmante ainda: mulheres com transtorno bipolar têm um risco 100 vezes maior do que outras mulheres de desenvolverem psicose pós-parto, uma condição grave que pode resultar em suicídio materno e infanticídio.Associação Brasileira de Psiquiatria2013-04-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-ReviewedRevisado por ParesAvaliado Pelos Paresapplication/pdfhttps://revistardp.org.br/revista/article/view/36910.25118/2763-9037.2013.v3.369Debates in Psychiatry; Vol. 3 No. 2 (2013); 6-11Debates em Psiquiatria; Vol. 3 Núm. 2 (2013); 6-11Debates em Psiquiatria; v. 3 n. 2 (2013); 6-112763-90372236-918Xreponame:Debates em Psiquiatria (Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABPporhttps://revistardp.org.br/revista/article/view/369/322https://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessRibeiro, Jerônimo de A. MendesRennó Jr., JoelRibeiro, Hewdy LoboCantilino, AmauryValadares, GisleneRocha, RenanDemarque, RenataCavalsan, Juliana P.Silva, Antônio Geraldo da2023-07-28T12:02:10Zoai:ojs.emnuvens.com.br:article/369Revistahttps://revistardp.org.br/revista/oaiPUBhttps://revistardp.org.br/revista/oairdp@abp.org.br2763-90372236-918Xopendoar:2023-07-28T12:02:10Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)false |
dc.title.none.fl_str_mv |
When pregnancy and patient’s bipolarity becomes true Quando a gestação e a bipolaridade da paciente se tornam realidade |
title |
When pregnancy and patient’s bipolarity becomes true |
spellingShingle |
When pregnancy and patient’s bipolarity becomes true Ribeiro, Jerônimo de A. Mendes transtorno bipolar mulher gestação bipolar disorders woman pregnancy |
title_short |
When pregnancy and patient’s bipolarity becomes true |
title_full |
When pregnancy and patient’s bipolarity becomes true |
title_fullStr |
When pregnancy and patient’s bipolarity becomes true |
title_full_unstemmed |
When pregnancy and patient’s bipolarity becomes true |
title_sort |
When pregnancy and patient’s bipolarity becomes true |
author |
Ribeiro, Jerônimo de A. Mendes |
author_facet |
Ribeiro, Jerônimo de A. Mendes Rennó Jr., Joel Ribeiro, Hewdy Lobo Cantilino, Amaury Valadares, Gislene Rocha, Renan Demarque, Renata Cavalsan, Juliana P. Silva, Antônio Geraldo da |
author_role |
author |
author2 |
Rennó Jr., Joel Ribeiro, Hewdy Lobo Cantilino, Amaury Valadares, Gislene Rocha, Renan Demarque, Renata Cavalsan, Juliana P. Silva, Antônio Geraldo da |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Ribeiro, Jerônimo de A. Mendes Rennó Jr., Joel Ribeiro, Hewdy Lobo Cantilino, Amaury Valadares, Gislene Rocha, Renan Demarque, Renata Cavalsan, Juliana P. Silva, Antônio Geraldo da |
dc.subject.por.fl_str_mv |
transtorno bipolar mulher gestação bipolar disorders woman pregnancy |
topic |
transtorno bipolar mulher gestação bipolar disorders woman pregnancy |
description |
There’s even a little more than 10 years, physicians advised women with bipolar disorder not to have children. Although this thinking is now outdated, they often still face difficult decisions about how to handle their treatment during pregnancy. Most drugs prescribed for bipolar disorder are associated with some risk of congenital malformations, but patients who discontinue the medication have a high risk of recurrence of a depressive, manic or mixed episode. During the postpartum period, the relapse rateis even higher, reaching 50% to 70% by some estimates. And even more alarming: bipolar women are 100 times more likely than other women to develop postpartum psychosis, a severe condition that can result in maternal suicide and infanticide. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-04-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-Reviewed Revisado por Pares Avaliado Pelos Pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistardp.org.br/revista/article/view/369 10.25118/2763-9037.2013.v3.369 |
url |
https://revistardp.org.br/revista/article/view/369 |
identifier_str_mv |
10.25118/2763-9037.2013.v3.369 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistardp.org.br/revista/article/view/369/322 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Psiquiatria |
publisher.none.fl_str_mv |
Associação Brasileira de Psiquiatria |
dc.source.none.fl_str_mv |
Debates in Psychiatry; Vol. 3 No. 2 (2013); 6-11 Debates em Psiquiatria; Vol. 3 Núm. 2 (2013); 6-11 Debates em Psiquiatria; v. 3 n. 2 (2013); 6-11 2763-9037 2236-918X reponame:Debates em Psiquiatria (Online) instname:Associação Brasileira de Psiquiatria (ABP) instacron:ABP |
instname_str |
Associação Brasileira de Psiquiatria (ABP) |
instacron_str |
ABP |
institution |
ABP |
reponame_str |
Debates em Psiquiatria (Online) |
collection |
Debates em Psiquiatria (Online) |
repository.name.fl_str_mv |
Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP) |
repository.mail.fl_str_mv |
rdp@abp.org.br |
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