When pregnancy and patient’s bipolarity becomes true

Authors

  • Jerônimo de A. Mendes Ribeiro Médico Psiquiatra. Especialista em Psiquiatria pela Associação Brasileira de Psiquiatria. Pesquisador do Grupo de Psiquiatria - Transtornos Relacionados ao Puerpério, pela Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA). Professor Associado do Centro de Estudos José de Barros Falcão (CEJBF).
  • Joel Rennó Jr. Médico Psiquiatra. Diretor do Programa de Saúde Mental da Mulher (Pró-Mulher) do Instituto de Psiquiatria do Hospital das Clínicas da Universidade de São Paulo (USP). Doutor em Psiquiatria pela FMUSP. Membro fundador da International Association for Women’s Mental Health. Médico do Corpo Clínico do Hospital Israelita Albert Einstein-SP. https://orcid.org/0000-0003-1954-5898
  • Hewdy Lobo Ribeiro Psiquiatra Forense, Psicogeriatra e Psicoterapeuta pela Associação Brasileira de Psiquiatria. Psiquiatra no PróMulher do Instituto de Psiquiatria da USP.
  • Amaury Cantilino Diretor do Programa de Saúde Mental da Mulher da Universidade Federal de Pernambuco (UFPE). Professor Adjunto do Departamento de Neuropsiquiatria da UFPE.
  • Gislene Valadares Médica Psiquiatra pela Associação Brasileira de Psiquiatria. Mestre em Farmacologia e Bioquímica Molecular. Membro fundador do Serviço de Saúde Mental da Mulher do HC-UFMG, do Ambulatório de Acolhimento e Tratamento de Famílias Incestuosas (AMEFI, HC-UFMG), da Seção de Saúde Mental da Mulher da WPA e da International Association of Women’s Mental Health.
  • Renan Rocha Médico Psiquiatra. Coordenador do Serviço de Saúde Mental da Mulher das Clínicas Integradas da Universidade do Extremo Sul Catarinense (UNESC).
  • Renata Demarque Médica Psiquiatra. Colaboradora do Programa de Saúde Mental da Mulher (Pró-Mulher) do Instituto de Psiquiatria do Hospital das Clínicas da Universidade de São Paulo (USP).
  • Juliana P. Cavalsan Médica Psiquiatra. Colaboradora do Programa de Saúde Mental da Mulher (Pró-Mulher) do Instituto de Psiquiatria do Hospital das Clínicas da Universidade de São Paulo (USP). https://orcid.org/0000-0001-6854-6198
  • Antônio Geraldo da Silva Psiquiatra. Especialista em Psiquiatria e Psiquiatria Forense pela ABP-AMB-CFM. Doutoramento em Bioética pela Universidade do Porto - CFM. Psiquiatra da Secretaria de Saúde do Distrito Federal - SES-DF. Diretor Científico do PROPSIQ. Presidente da ABP - 2010/2013. https://orcid.org/0000-0003-3423-7076

DOI:

https://doi.org/10.25118/2763-9037.2013.v3.369

Keywords:

bipolar disorders, woman, pregnancy

Abstract

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 rate
is 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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References

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Published

2013-04-30

How to Cite

1.
Ribeiro J de AM, Rennó Jr. J, Ribeiro HL, Cantilino A, Valadares G, Rocha R, et al. When pregnancy and patient’s bipolarity becomes true. Debates em Psiquiatria [Internet]. 2013 Apr. 30 [cited 2025 Nov. 6];3(2):6-11. Available from: https://revistardp.org.br/revista/article/view/369

Issue

Vol. 3 No. 2 (2013)

Section

Update Articles

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