Psychiatric emergencies during pregnancy and puerperium in low - And middle-income countries

IF 3.9 2区 医学 Q1 OBSTETRICS & GYNECOLOGY Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-02-21 DOI:10.1016/j.bpobgyn.2024.102478
Lindokuhle Thela , Saeeda Paruk , Busisiwe Bhengu , Bonginkosi Chiliza
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Abstract

Pregnancy and puerperium are critical points in women’s health, and various psychiatric emergencies may worsen or manifest (for the first time) during this period. In the presence of a psychiatric emergency, the pregnancy and puerperium outcomes may be compromised. In addition to the mother being at risk, the health of the fetus and the newborn may also be compromised if the psychiatric emergency is not managed appropriately. Early detection and collaborative approaches between mental health practitioners and obstetricians are of utmost importance in women who are at risk and those living with psychiatric illnesses during pregnancy and puerperium. Practitioners should also ensure that women with impaired capacity due to psychiatric disease are treated in a non-judgmental and respectful manner, even if their autonomies have been overridden.

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中低收入国家孕期和产褥期的精神急症
妊娠期和产褥期是妇女健康的关键时期,各种精神急症可能会在这一时期恶化或(首次)显现。如果出现精神急症,妊娠和产褥期的结果可能会受到影响。除了母亲面临风险外,如果精神病紧急情况得不到适当处理,胎儿和新生儿的健康也可能受到损害。对于高危产妇以及孕期和产褥期患有精神疾病的产妇来说,及早发现并与精神科医生和产科医生合作是至关重要的。从业人员还应确保因精神疾病导致行为能力受损的妇女,即使其自主权已被剥夺,也能以不做评判和尊重的方式得到治疗。
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来源期刊
CiteScore
9.40
自引率
1.80%
发文量
113
审稿时长
54 days
期刊介绍: In practical paperback format, each 200 page topic-based issue of Best Practice & Research Clinical Obstetrics & Gynaecology will provide a comprehensive review of current clinical practice and thinking within the specialties of obstetrics and gynaecology. All chapters take the form of practical, evidence-based reviews that seek to address key clinical issues of diagnosis, treatment and patient management. Each issue follows a problem-orientated approach that focuses on the key questions to be addressed, clearly defining what is known and not known. Management will be described in practical terms so that it can be applied to the individual patient.
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