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date: 25 November 2020

Abstract and Keywords

Pregnancy and childbirth can represent a challenging time for women with severe mental illness. Psychotic episodes in the perinatal period can lead to multiple adverse maternal and infant outcomes. This chapter addresses a number of key questions in relation to episodes of schizophrenia and bipolar disorder during the perinatal period. The identification and management of postpartum or puerperal psychosis is detailed, along with prognosis and risk to further pregnancies. The authors present data on epidemiology, nosology, and etiology for severe perinatal episodes. In addition, the authors discuss clinical management, and in particular, ways to identify and manage women at risk.

Keywords: schizophrenia, bipolar disorder, pregnancy, postpartum psychosis, puerperal psychosis, risk factors, treatment

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