Consenso de la Asociación Brasileña de Psiquiatría para el manejo de emergencias psiquiátricas en el embarazo y puerperio
DOI:
https://doi.org/10.25118/2763-9037.2022.v12.389Palabras clave:
después del parto, emergencia psiquiátrica, trastorno mental, embarazoResumen
Introducción: Las urgencias en el embarazo y puerperio son menos frecuentes que en otros grupos, pero no infrecuentes. Sin embargo, la literatura sobre el tema es escasa y controvertida. Objetivo: El objetivo de este artículo es presentar algunas recomendaciones para el manejo de las emergencias psiquiátricas más comunes que pueden presentarse en el embarazo o puerperio. Método: estos procedimientos se centraron en la discusión y la integración de los hallazgos de investigaciones publicadas revisadas por pares sobre el tema. Se realizaron búsquedas en base de datos electrónica PubMed. Los resúmenes pertinentes se identificaron mediante los siguientes términos de búsqueda: Psychotropics medications at pregnancy and breastfeeding: (((psychotropic medications) AND (pregnancy)) OR (psychotropic medications)) AND (breastfeeding) - Psychiatric emergencies: (((((((psychiatric emergencies) AND (pregnancy)) OR (psychiatric emergencies)) AND (postpartum)) OR (psychiatric emergencies)) AND (peripartum)) OR (psychiatric emergencies)) AND (breastfeeding). Los criterios de inclusión incluyeron artículos publicados (o en prensa) sobre el embarazo o la lactancia o el puerperio desde diciembre de 2000 hasta enero de 2021 que se centraron en la agitación en emergencias psiquiátricas. Principales resultados: Presentamos recomendación de tratamiento farmacológico, agitación psicomotora, conducta suicida, trastornos psicóticos y manía, depresión severa y trastornos por uso de sustancias. Conclusión: Aunque muchas de las recomendaciones son empíricas, ya es posible contar con información que brinda mejores resultados y seguridad para la paciente y su lactante.
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Wisner KL, Sit DK, McShea MC, Rizzo DM, Zoretich RA, Hughes CL, Eng HF, Luther JF, Wisniewski SR, Costantino ML, Confer AL, Moses-Kolko EL, Famy CF, Hanusa BH. Onset timing, thoughts of self-harm, and diagnoses in postpartum women with screen-positive depression findings. JAMA Psychiatry 2013;70:490-8. https://doi.org/10.1001/jamapsychiatry.2013.87 - PMid:23487258 PMCid:PMC4440326
Rodriguez-Cabezas L, Clark C. Psychiatric Emergencies in Pregnancy and Postpartum. Clin Obstet Gynecol 2018;61:615-27. https://doi.org/10.1097/GRF.0000000000000377 - PMid:29794819 PMCid:PMC6143388
Brockington I. Postpartum psychiatric disorders. Lancet 2004;363:303-10. https://doi.org/10.1016/S0140-6736(03)15390-1
Maternal mental health. 2019. https://www.who.int/mental_health/maternal-child/maternal_mental_health/en /
Viguera AC, Tondo L, Koukopoulos AE, Reginaldi D, Lepri B, Baldessarini RJ. Episodes of mood disorders in 2,252 pregnancies and postpartum periods. Am J Psychiatry 2011;168:1179-85. https://doi.org/10.1176/appi.ajp.2011.11010148 - PMid:21799064
Dennis CL, Falah-Hassani K, Shiri R. Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. Br J Psychiatry 2017;210:315-23. https://doi.org/10.1192/bjp.bp.116.187179 - PMid:28302701
Palladino CL, Singh V, Campbell J, Flynn H, Gold KJ. Homicide and suicide during the perinatal period: findings from the National Violent Death Reporting System. Obstet Gynecol 2011;118:1056-63. https://doi.org/10.1097/AOG.0b013e31823294da PMid:22015873 - PMCid:PMC3428236
Payne JL. Psychopharmacology in Pregnancy and Breastfeeding. Med Clin North Am 2019;103:629-50. https://doi.org/10.1016/j.mcna.2019.02.009 - PMid:31078197
Newport DJ, Calamaras MR, DeVane CL, Donovan J, Beach AJ, Winn S, Knight BT, Gibson BB, Viguera AC, Owens MJ, Nemeroff CB, Stowe ZN. Atypical antipsychotic administration during late pregnancy: placental passage and obstetrical outcomes. Am J Psychiatry 2007;164:1214-20. https://doi.org/10.1176/appi.ajp.2007.06111886 - PMid:17671284
Zeller SL, Citrome L. Managing Agitation Associated with Schizophrenia and Bipolar Disorder in the Emergency Setting. West J Emerg Med 2016;17:165-72. https://doi.org/10.5811/westjem.2015.12.28763 - PMid:26973742 PMCid:PMC4786236
Ennis ZN, Damkier P. Pregnancy exposure to olanzapine, quetiapine, risperidone, aripiprazole and risk of congenital malformations. A systematic review. Basic Clin Pharmacol Toxicol 2015;116:315-20. https://doi.org/10.1111/bcpt.12372 PMid:25536446
Zhou X, Ravindran AV, Qin B, Del Giovane C, Qi Li, Bauer M, Yiyun Liu, Fang Y, Silva T, Zhang Y, Liang Fang, Xiao Wang, Peng Xie. Comparative efficacy, acceptability, and tolerability of augmentation agents in treatment-resistant depression: systematic review and network meta-analysis. J Clin Psychiatry 2015;76:e487-98. https://doi.org/10.4088/JCP.14r09204 - PMid:25919841
Galbally M, Snellen M, Power J. Antipsychotic drugs in pregnancy: a review of their maternal and fetal effects. Ther Adv Drug Saf 2014;5:100-9. https://doi.org/10.1177/2042098614522682 - PMid:25083265 PMCid:PMC4110873
Pacchiarotti I, Leon-Caballero J, Murru A, Verdolinia N, Furio MA, Pancheri C, Valentí M, Samalin L, Roigé ES, González-Pinto A, Montes JM, Benabarre A, Crespo JM, Dios Perrino C, Goikolea JM, Gutiérrez-Rojas L, Carvalho AF, Vieta E. Mood stabilizers and antipsychotics during breastfeeding: Focus on bipolar disorder. Eur Neuropsychopharmacol 2016;26:1562-78. https://doi.org/10.1016/j.euroneuro.2016.08.008 - PMid:27568278
Yatham LN, Kennedy SH, Parikh SV, Schaffer A, Bond DJ, Frey BN, Sharma V, Goldstein BI, Rej S, Beaulieu S, Alda M, MacQueen G, Milev RV, Ravindran A, O'Donovan C, McIntosh D, Lam RW, Vazquez G, Kapczinski F, McIntyre RS, Kozicky J, Kanba S, Lafer B, Suppes T, Calabrese JR, Vieta E, Malhi G, Post RM, Berk M. Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder. Bipolar Disord 2018;20:97-170. https://doi.org/10.1111/bdi.12609 - PMid:29536616 - PMCid:PMC5947163
Veroniki AA, Cogo E, Rios P, Straus SR, Finkelstein Y, Kealey R, Reynen E, Soobiah C, Thavorn K, Hutton B, Hemmelgarn BR, Yazdi F, D’Souza J, MacDonald H, Tricco AC.Comparative safety of anti-epileptic drugs during pregnancy: a systematic review and network meta-analysis of congenital malformations and prenatal outcomes. BMC Med 2017;15:95. https://doi.org/10.1186/s12916-017-0845-1 PMid:28472982 - PMCid:PMC5418725
Pariente G, Leibson T, Shulman T, Adams-Webber T, Barzilay E, Nulman I. Pregnancy Outcomes Following In Utero Exposure to Lamotrigine: A Systematic Review and Meta-Analysis. CNS Drugs 2017;31:439-50. https://doi.org/10.1007/s40263-017-0433-0 PMid:28434134
Eberhard-Gran M, Eskild A, Opjordsmoen S. Use of psychotropic medications in treating mood disorders during lactation: practical recommendations. CNS Drugs 2006;20:187-98. https://doi.org/10.2165/00023210-200620030-00002 - PMid:16529525
Mavrogiorgou P, Brune M, Juckel G. The management of psychiatric emergencies. Dtsch Arztebl Int 2011;108:222-30. https://doi.org/10.3238/arztebl.2011.0222 - PMid:21505610 - PMCid:PMC3078550
Bellantuono C, Tofani S, Di Sciascio G, Santone G. Benzodiazepine exposure in pregnancy and risk of major malformations: a critical overview. Gen Hosp Psychiatry 2013;35:3-8. https://doi.org/10.1016/j.genhosppsych.2012.09.003 PMid:23044244
Grigoriadis S, Wilton AS, Kurdyak PA, et al. Perinatal suicide in Ontario, Canada: a 15-year population-based study. CMAJ 2017;189:E1085-E92. https://doi.org/10.1503/cmaj.170088 PMid:28847780 - PMCid:PMC5573543
Davanzo R, Dal Bo S, Bua J, Copertino M, Zanelli E, Matarazzo L. Antiepileptic drugs and breastfeeding. Ital J Pediatr 2013;39:50. https://doi.org/10.1186/1824-7288-39-50 - PMid:23985170 PMCid:PMC3844381
Gao SY, Wu QJ, Sun C, Zhang TN, Shen ZQ, Liu CX, Gong TT, Xu X, Ji C, Huang DH, Chang Q, Zhao YH. Selective serotonin reuptake inhibitor use during early pregnancy and congenital malformations: a systematic review and meta-analysis of cohort studies of more than 9 million births. BMC Med 2018;16:205. https://doi.org/10.1186/s12916-018-1193-5 - PMid:30415641 PMCid:PMC6231277
Biffi A, Cantarutti A, Rea F, Locatelli A, Zanini R, Corrao G. Use of antidepressants during pregnancy and neonatal outcomes: An umbrella review of meta-analyses of observational studies. J Psychiatr Res 2020;124:99-108. https://doi.org/10.1016/j.jpsychires.2020.02.023 - PMid:32135392
Kallen BA, Otterblad Olausson P. Maternal use of selective serotonin re-uptake inhibitors in early pregnancy and infant congenital malformations. Birth Defects Res A Clin Mol Teratol 2007;79:301-8. https://doi.org/10.1002/bdra.20327 PMid:17216624
McAllister-Williams RH, Baldwin DS, Cantwell R, Easter A, Gilvarry E, Glover V, Green L, Gregoire A, Howard LM, Jones I, Khalifeh H, Lingford-Hughes A, McDonald E, Micali N, Carmine M Pariante, Peters l, Roberts A, Smith NC, Taylor D, Wieck A, Yates LM, Young AH. British Association for Psychopharmacology consensus guidance on the use of psychotropic medication preconception, in pregnancy and postpartum 2017. J Psychopharmacol 2017;31(5):519-52. https://doi.org/10.1177/0269881117699361 - PMid:28440103
Huybrechts KF, Hernandez-Diaz S, Patorno E, Desai RJ, Mogun H, Dejene SZ, Cohen JM, Panchaud A, Cohen L, Bateman BT. Antipsychotic Use in Pregnancy and the Risk for Congenital Malformations. JAMA Psychiatry 2016;73:938-46. https://doi.org/10.1001/jamapsychiatry.2016.1520 PMid:27540849 PMCid:PMC5321163
Berle JO, Spigset O. Antidepressant Use During Breastfeeding. Curr Womens Health Rev 2011;7:28-34.
https://doi.org/10.2174/157340411794474784 - PMid:22299006 PMCid:PMC3267169
Davanzo R, Copertino M, De Cunto A, Minen F, Amaddeo A. Antidepressant drugs and breastfeeding: a review of the literature. Breastfeed Med 2011;6:89-98. https://doi.org/10.1089/bfm.2010.0019 - PMid:20958101
Molyneaux E, Howard LM, McGeown HR, Karia AM, Trevillion K. Antidepressant treatment for postnatal depression. Cochrane Database Syst Rev 2014:CD002018. https://doi.org/10.1002/14651858.CD002018.pub2 PMid:25211400
Cantilino A, Rennó J, Ribeiro HL, Ribeiro JAM, Valadares G, Rocha R, Silva AG. Quais antidepresssivos podemos prescrever na lactação? Debates em Psiquiatria 2015;1:18-22. https://doi.org/10.25118/2763-9037.2015.v5.178
MacQueen GM, Frey BN, Ismail Z, Jaworska N, Steiner M, Van Lieshout RJ, Kennedy SH, Lam RW, Milev RV, Parikh SV, Ravindran AV, CANMAT Depression Work Group. Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder: Section 6. Special Populations: Youth, Women, and the Elderly. Can J Psychiatry 2016;61(9):588-603. https://doi.org/10.1177/0706743716659276 - PMid:27486149 PMCid:PMC4994788
Brown JVE, Wilson CA, Ayre K, Robertson L, South E, Molyneaux E, Trevillion K, Howard LM, Khalifeh H. Antidepressant treatment for postnatal depression. Cochrane Database Syst Rev 2021;2:CD013560. https://doi.org/10.1002/14651858.CD013560.pub2 - PMid:33580709 - PMCid:PMC8094614
Fokina VM, West H, Oncken C, Clark SM, Ahmed MS, Hankins GDV, Nanovskaya TN. Bupropion therapy during pregnancy: the drug and its major metabolites in umbilical cord plasma and amniotic fluid. Am J Obstet Gynecol 2016;215(4):497.e1-7. https://doi.org/10.1016/j.ajog.2016.05.016 - PMid:27180885 PMCid:PMC5321070
Stewart DE, Vigod SN. Postpartum Depression: Pathophysiology, Treatment, and Emerging Therapeutics. Annu Rev Med 2019;70:183-96. https://doi.org/10.1146/annurev-med-041217-011106 PMid:30691372
Cohen LS, Wang B, Nonacs R, Viguera AC, Lemon EL, Freeman MP. Treatment of mood disorders during pregnancy and postpartum. Psychiatr Clin North Am 2010;33:273-93. https://doi.org/10.1016/j.psc.2010.02.001 PMid:20385337
Goldberg JF, McElroy SL. Bipolar mixed episodes: characteristics and comorbidities. J Clin Psychiatry 2007;68:e25. https://doi.org/10.4088/JCP.1007e25 - PMid:17960958
Jones I, Chandra PS, Dazzan P, Howard LM. Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period. Lancet 2014;384:1789-99. https://doi.org/10.1016/S0140-6736(14)61278-2
Mantovani C, Migon MN, Alheira FV, Del-Ben CM. Manejo de paciente agitado ou agressivo. Rev Bras Psiquiatr 2010;32:S96-S103. https://doi.org/10.1590/S1516-44462010000600006 PMid:21140077
Garriga M, Pacchiarotti I, Kasper S, Zeller SL, Allen MH, Vázquez G, Baldaçara LR, San L, McAllister-Williams RH, Fountoulakis KN, Courtet P, Naber D, Chan EW, Fagiolini A, Möller HJ, Grunze H, Llorca PM, Jaffe RL, Yatham LN, Hidalgo-Mazzei D, Passamar M, Messer T, Bernardo M, Vieta E Assessment and management of agitation in psychiatry: Expert consensus. World J Biol Psychiatry 2016;17:86-128. https://doi.org/10.3109/15622975.2015.1132007 PMid:26912127
Baldacara L, Diaz AP, Leite V, Pereira LA, Santos RM, Gomes Júnior VP, Calfat ELB, Ismael F, Périco CAM, Porto DM, Zacharias CEK, Cordeiro Q, Silva AG, Tung TC. Brazilian guidelines for the management of psychomotor agitation. Part 2. Pharmacological approach. Braz J Psychiatry 2019;41(4):324-35. https://doi.org/10.1590/1516-4446-2018-0177 PMid:30843960 PMCid:PMC6804299
Sit D, Rothschild AJ, Wisner KL. A review of postpartum psychosis. J Womens Health (Larchmt) 2006;15:352-68. https://doi.org/10.1089/jwh.2006.15.352 - PMid:16724884 PMCid:PMC3109493
Baldaçara L, Grudtner RR, Leite VS, Porto DM, Robis KP, Fidalgo TM, Rocha GA, Diaz AP, Meleiro A, Correa H, Tung TC, Malloy-Diniz LF, Quevedo J, Silva AG. Brazilian guidelines for the management of suicide behavior. Part 2. Screening, intervention, and prevention. Braz J Psychiatry. 2021;43(5):538-549. https://doi.org/10.1590/1516-4446-2020-1108 - PMid:33331533 PMCid:PMC8555636
Richmond JS, Berlin JS, Fishkind AB, Holloman GH, Zeller SL, Wilson MP, Rifai MA, Ng AT. Verbal De-escalation of the Agitated Patient: Consensus Statement of the American Association for Emergency Psychiatry Project BETA De-escalation Workgroup. West J Emerg Med 2012;13:17-25. https://doi.org/10.5811/westjem.2011.9.6864 PMid:22461917 - PMCid:PMC3298202
Baldacara L, Ismael F, Leite V, Pereira LA, Santos RM, Gomes Júnior VP, Calfat ELB, Diaz AP, Périco CAM, Porto DM, Zacharias CE, Cordeiro Q, Silva AG, Tung TC. Brazilian guidelines for the management of psychomotor agitation. Part 1. Non-pharmacological approach. Braz J Psychiatry 2019;41:153-67. https://doi.org/10.1590/1516-4446-2018-0163 - PMid:30540028 PMCid:PMC6781680
Ward RK, Zamorski MA. Benefits and risks of psychiatric medications during pregnancy. Am Fam Physician 2002;66(4):629-36. https://www.aafp.org/pubs/afp/issues/2002/0815/p629.html
Allen MH, Currier GW, Carpenter D, Ross RW, Docherty JP, Expert Consensus Panel for Behavioral E. The expert consensus guideline series. Treatment of behavioral emergencies 2005. J Psychiatr Pract 2005;11 Suppl 1:5-108; quiz 10-2. https://www.researchgate.net/publication/7448610_The_expert_consensus_guideline_series_Treatment_of_behavioral_emergencies_2005
Miller WH, Resnick MP. Restraining the violent pregnant patient. Am J Psychiatry 1991;148:269. https://doi.org/10.1176/ajp.148.12.1760-a - PMid:1957953
Zhong QY, Gelaye B, Miller M, Fricchione GL, Cai T, Johnson PA, Henderson DC, Williams MA. Suicidal behavior-related hospitalizations among pregnant women in the USA, 2006-2012. Arch Womens Ment Health 2016;19:463-72.
https://doi.org/10.1007/s00737-015-0597-x - PMid:26680447 PMCid:PMC4871736
Ladavac AS, Dubin WR, Ning A, Stuckeman PA. Emergency management of agitation in pregnancy. Gen Hosp Psychiatry 2007;29:39-41. https://doi.org/10.1016/j.genhosppsych.2006.09.003 - PMid:17189743
Wilson MP, Nordstrom K, Shah AA, Vilke GM. Psychiatric Emergencies in Pregnant Women. Emerg Med Clin North Am. 2015;33:841-51. https://doi.org/10.1016/j.emc.2015.07.010 PMid:26493527
Gelaye B, Kajeepeta S, Williams MA. Suicidal ideation in pregnancy: an epidemiologic review. Arch Womens Ment Health 2016;19:741-51. https://doi.org/10.1007/s00737-016-0646-0 PMid:27324912 PMCid:PMC5023474
Oates M, Cantwell R. Deaths from psychiatric causes. Saving Mothers' Lives: reviewing maternal deaths to make motherhood safer: 2006-08. The Eighth Report on Confidential Enquiries into Maternal Deaths in the United Kingdom. BJOG 2011;S1:1-203. https://doi.org/10.1111/j.1471-0528.2010.02847.x PMid:21356004
Baldacara LR, Rocha GA, Leite VDS, Porto DM, Grudtner RR, Diaz AP, Meleiro A, Correa H, Tung TC, Quevedo J, Silva AG. Brazilian Psychiatric Association guidelines for the management of suicidal behavior. Part 1. Risk factors, protective factors, and assessment. Braz J Psychiatry 2020;43(5):525-537. https://doi.org/10.1590/1516-4446-2020-0994 - PMid:33111773 PMCid:PMC8555650
Fazel S, Runeson B. Suicide. N Engl J Med 2020;382:266-74. https://doi.org/10.1056/NEJMra1902944 - PMid:31940700 PMCid:PMC7116087
Appleby L. Suicide during pregnancy and in the first postnatal year. BMJ 1991;302:137-40. https://doi.org/10.1136/bmj.302.6769.137 - PMid:1995132 PMCid:PMC1668816
Gentile S. Suicidal mothers. J Inj Violence Res 2011;3:90-7. https://doi.org/10.5249/jivr.v3i2.98 - PMid:21498972 PMCid:PMC3134924
Nock MK, Borges G, Bromet EJ, Alonso J, Angermeyer M, Beautrais A, Bruffaerts R, Wai TC, Girolamo G, Gluzman S, Graaf R, Gureje O, Haro JM, Huang Y, Karam E, Kessler RC, Lepine JP, Levinson D. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. Br J Psychiatry 2008;192:98-105. https://doi.org/10.1192/bjp.bp.107.040113 - PMid:18245022 PMCid:PMC2259024
Gavin AR, Tabb KM, Melville JL, Guo Y, Katon W. Prevalence and correlates of suicidal ideation during pregnancy. Arch Womens Ment Health 2011;14:239-46. https://doi.org/10.1007/s00737-011-0207-5 - PMid:21327844 PMCid:PMC3724526
Baldacara LR, Grudtner RR, Leite VS, Porto DM, Robis KP, Fidalgo TM, Rocha GA, Diaz AP, Meleiro A, Correa H, Tung TC, Malloy-Dinis LF, Quevedo J, Silva AG. Brazilian Psychiatric Association guidelines for the management of suicidal
behavior. Part 2. Screening, intervention, and prevention. Braz J Psychiatry 2020. https://doi.org/10.1590/1516-4446-2020-1108 - PMid:33331533 PMCid:PMC8555636
Esscher A, Essen B, Innala E, Papadopoulos FC, Skalkidou A, Sundström-Poromaa I, Högberg U. Suicides during pregnancy and 1 year postpartum in Sweden, 1980-2007. Br J Psychiatry 2016;208:462-9. https://doi.org/10.1192/bjp.bp.114.161711 PMid:26494874
Comtois KA, Schiff MA, Grossman DC. Psychiatric risk factors associated with postpartum suicide attempt in Washington State, 1992-2001. Am J Obstet Gynecol 2008;199:120 e1-5. https://doi.org/10.1016/j.ajog.2008.02.011 - PMid:18355781
Anglemyer A, Horvath T, Rutherford G. The accessibility of firearms and risk for suicide and homicide victimization among household members: a systematic review and meta-analysis. Ann Intern Med 2014;160:101-10. https://doi.org/10.7326/M13-1301 PMid:24592495
Kim JJ, Silver RK. Perinatal suicide associated with depression diagnosis and absence of active treatment in 15-year UK national inquiry. Evid Based Ment Health 2016;19:122. https://doi.org/10.1136/eb-2016-102373 PMid:27431655
US Preventive Services Task Force. Interventions to Prevent Perinatal Depression: US Preventive Services Task Force Recommendation Statement. JAMA. 2019;321(6):580–587. https://doi.org/10.1001/jama.2019.0007 PMid:30747971
Connellan K, Bartholomaeus C, Due C, Riggs DW. A systematic review of research on psychiatric mother-baby units. Arch Womens Ment Health 2017;20:373-88. https://doi.org/10.1007/s00737-017-0718-9 PMid:28332002
Ray-Griffith SL, Coker JL, Rabie N, Eads LA, Golden KJ, Stowe ZN. Pregnancy and Electroconvulsive Therapy: A Multidisciplinary Approach. J ECT 2016;32:104-12. https://doi.org/10.1097/YCT.0000000000000297 PMid:26796501 - PMCid:PMC4877273
Leiknes KA, Cooke MJ, Jarosch-von Schweder L, Harboe I, Hoie B. Electroconvulsive therapy during pregnancy: a systematic review of case studies. Arch Womens Ment Health 2015;18:1-39. https://doi.org/10.1007/s00737-013-0389-0 - PMid:24271084 PMCid:PMC4305619
Viguera AC, Whitfield T, Baldessarini RJ, Newport J, Stowe Z, Reminick A, Zurick A, Cohen LS. Risk of recurrence in women with bipolar disorder during pregnancy: prospective study of mood stabilizer discontinuation. Am J Psychiatry. 2007;164:1817-24; quiz 923. https://doi.org/10.1176/appi.ajp.2007.06101639 PMid:18056236
Wesseloo R, Kamperman AM, Munk-Olsen T, Pop VJ, Kushner SA, Bergink V. Risk of Postpartum Relapse in Bipolar Disorder and Postpartum Psychosis: A Systematic Review and Meta-Analysis. Am J Psychiatry 2016;173:117-27. https://doi.org/10.1176/appi.ajp.2015.15010124 - PMid:26514657
Bergink V, Rasgon N, Wisner KL. Postpartum Psychosis: Madness, Mania, and Melancholia in Motherhood. Am J Psychiatry 2016;173:1179-88. https://doi.org/10.1176/appi.ajp.2016.16040454 - PMid:27609245
Osborne LM. Recognizing and Managing Postpartum Psychosis: A Clinical Guide for Obstetric Providers. Obstet Gynecol Clin North Am 2018;45:455-68. https://doi.org/10.1016/j.ogc.2018.04.005 PMid:30092921 PMCid:PMC6174883
Rundgren S, Brus O, Bave U, Mikael Landén M, Lundberg H, Nordanskog P, Nordenskjöld A. Improvement of postpartum depression and psychosis after electroconvulsive therapy: A population-based study with a matched comparison group. J Affect Disord 2018;235:258-64. https://doi.org/10.1016/j.jad.2018.04.043 - PMid:29660641
Uguz F. Second-Generation Antipsychotics During the Lactation Period: A Comparative Systematic Review on Infant Safety. J Clin Psychopharmacol 2016;36:244-52. https://doi.org/10.1097/JCP.0000000000000491 PMid:27028982
Frey BN, Simpson W, Wright L, Steiner M. Sensitivity and specificity of the Mood Disorder Questionnaire as a screening tool for bipolar disorder during pregnancy and the postpartum period. J Clin Psychiatry 2012;73:1456-61. https://doi.org/10.4088/JCP.12m07856 - PMid:23146292
Menon SJ. Psychotropic medication during pregnancy and lactation. Arch Gynecol Obstet 2008;277:1-13. https://doi.org/10.1007/s00404-007-0433-2 PMid:17710428
Sidhu GS, Sidhu TK, Kaur P, Lal D, Sangha NK. Evaluation of Peripartum Depression in Females. Int J Appl Basic Med Res 2019;9:201-5. https://doi.org/10.4103/ijabmr.IJABMR_23_19 PMid:31681543 PMCid:PMC6822329
Pearlstein T, Howard M, Salisbury A, Zlotnick C. Postpartum depression. Am J Obstet Gynecol 2009;200:357-64.https://doi.org/10.1016/j.ajog.2008.11.033 PMid:19318144 - PMCid:PMC3918890
Langan R, Goodbred AJ. Identification and Management of Peripartum Depression. Am Fam Physician 2016;93(10):852-8. https://www.aafp.org/pubs/afp/issues/2016/0515/p852.html
Moraes GP, Lorenzo L, Pontes GA, Montenegro MC, Cantilino A. Screening and diagnosing postpartum depression: when and how? Trends Psychiatry Psychother 2017;39:54-61. https://doi.org/10.1590/2237-6089-2016-0034 PMid:28403324
Cepeda MS, Kern DM, Nicholson S. Treatment resistant depression in women with peripartum depression. BMC Pregnancy Childbirth 2019;19:323. https://doi.org/10.1186/s12884-019-2462-9 - PMid:31477032 PMCid:PMC6721276
Rennó Jr J, Valadares G, Cantilino A, Mendes-Ribeiro J, Rocha R, Silva AG. Women's Mental Health. A Clinical and Evidence-Based Guide. Springer International Publishing; 2020. https://doi.org/10.1007/978-3-030-29081-8
Milgrom J, Gemmill AW, Ericksen J, Burrows G, Buist A, Reece J. Treatment of postnatal depression with cognitive behavioural therapy, sertraline and combination therapy: a randomised controlled trial. Aust N Z J Psychiatry 2015;49:236-45. https://doi.org/10.1177/0004867414565474 PMid:25586754
Louw KA. Substance use in pregnancy: The medical challenge. Obstet Med 2018;11:54-66. https://doi.org/10.1177/1753495X17750299 - PMid:29997687 PMCid:PMC6038015
Center for Behavioral Health Statistics and Quality. 2016 National Survey on Drug Use and Health: Detailed Tables. Substance Abuse and Mental Health Services Administration, Rockville, MD, 2017. https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs-2016/NSDUH-DetTabs-2016.pdf
Wendell AD. Overview and epidemiology of substance abuse in pregnancy. Clin Obstet Gynecol 2013;56:91-6. https://doi.org/10.1097/GRF.0b013e31827feeb9 - PMid:23314721
Moyer CL, Johnson S, Klug MG, Burd L. Substance Use in Pregnant Women Using the Emergency Department: Undertested And Overlooked? West J Emerg Med 2018;19:579-84. https://doi.org/10.5811/westjem.2018.1.35630 PMid:29760859 - PMCid:PMC5942028
Kuczkowski KM. The effects of drug abuse on pregnancy. Curr Opin Obstet Gynecol 2007;19:578-85. https://doi.org/10.1097/GCO.0b013e3282f1bf17 PMid:18007137
Smid MC, Metz TD, Gordon AJ. Stimulant Use in Pregnancy: An Under-recognized Epidemic Among Pregnant Women. Clin Obstet Gynecol 2019;62:168-84. https://doi.org/10.1097/GRF.0000000000000418 PMid:30601144 - PMCid:PMC6438363
Brown QL, Sarvet AL, Shmulewitz D, Martins SS, Wall MM, Hasin DS. Trends in Marijuana Use Among Pregnant and Nonpregnant Reproductive-Aged Women, 2002-2014. JAMA 2017;317:207-9. https://doi.org/10.1001/jama.2016.17383 - PMid:27992619 PMCid:PMC5595220
El Marroun H, Brown QL, Lund IO, Coleman-Cowger VH, Loree AM, Chawla D, Washio Y. An epidemiological, developmental and clinical overview of cannabis use during pregnancy. Prev Med 2018;116:1-5. https://doi.org/10.1016/j.ypmed.2018.08.036 - PMid:30171964
Metz TD, Borgelt LM. Marijuana Use in Pregnancy and While Breastfeeding. Obstet Gynecol 2018;132:1198-210. https://doi.org/10.1097/AOG.0000000000002878 - PMid:30234728 PMCid:PMC6370295
Martin GI. Marijuana: the effects on pregnancy, the fetus, and the newborn. J Perinatol 2020;40:1470-6. https://doi.org/10.1038/s41372-020-0708-z PMid:32507859
Navarrete F, Garcia-Gutierrez MS, Gasparyan A, Austrich-Olivares A, Femenia T, Manzanares J. Cannabis Use in Pregnant and Breastfeeding Women: Behavioral and Neurobiological Consequences. Front Psychiatry 2020;11:586447. https://doi.org/10.3389/fpsyt.2020.586447 - PMid:33240134 PMCid:PMC7667667
Denny CH, Acero CS, Naimi TS, Kim SY. Consumption of Alcohol Beverages and Binge Drinking Among Pregnant Women Aged 18-44 Years - United States, 2015-2017. MMWR Morb Mortal Wkly Rep 2019;68:365-8. https://doi.org/10.15585/mmwr.mm6816a1 PMid:31022164 PMCid:PMC6483284
Massaro LTS, Abdalla RR, Laranjeira R, Caetano R, Pinsky I, Madruga CS. Alcohol misuse among women in Brazil: recent trends and associations with unprotected sex, early pregnancy, and abortion. Braz J Psychiatry 2019;41:131-7. https://doi.org/10.1590/1516-4446-2017-0024 PMid:30365669 PMCid:PMC6781687
Di Florio A, Forty L, Gordon-Smith K, Heron J, Jones L, Craddock N, Jones I. Perinatal episodes across the mood disorder spectrum. JAMA Psychiatry. 2013;70:168-75. https://doi.org/10.1001/jamapsychiatry.2013.279 PMid:23247604
Khan SJ, Fersh ME, Ernst C, Klipstein K, Albertini ES, Lusskin SI. Bipolar Disorder in Pregnancy and Postpartum: Principles of Management. Curr Psychiatry Rep. 2016;18:13. https://doi.org/10.1007/s11920-015-0658-x PMid:26781551
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Derechos de autor 2022 Leonardo Rodrigo Baldaçara, Gislene Alves Rocha, Flávia Ismael Pinto, Igor Emanuel Vasconcelos e Martins Gomes, Christiane Carvalho Ribeiro, Elie Leal de Barros Calfat, Carlos Eduardo Rosa, Verônica da Silveira Leite, Maria Elisa Lima Barros, Luis Souza Motta, Neusa Aita Agne, Priscila Gabrielli Ribeiro, Ana Luiza Silva Teles, Leila Rute Oliveira Gurgel do Amaral, Jerônimo de Almeida Mendes Ribeiro, Maila de Castro Lourenço das Neves, Hewdy Lobo Ribeiro, Ivaldo Silva, Vanessa J. Lentz, Benicio N. Frey, Renan Boeira Rocha, Amaury Cantilino, Joel Rennó Júnior, Antônio Geraldo Silva
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