NP Medical News about motherhood; mental illness

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Motherhood and mental illness - Part 2 - management and medications
Australian Family Physician, 09/04/09

Frayne J et al. – This article reviews the current evidence and gives practical advice on management and use of psychotropic medication in women with mental health disorders in pregnancy. The general practitioner is often the first point of contact, and is vital in giving timely and accurate information and encouraging appropriate treatment choices in women with mental illness in our community. The risk–benefit analysis of treatment needs to be considered in light of the evidence at hand. Specialist opinion in complex cases must be sought early.

Encourage all women with a mental illness and of childbearing age to discuss pregnancy plans.
Provide and utilise up–to–date information effectively and in a sensitive and individually tailored manner.
Weigh up risk–benefit analysis on an individual basis.
Develop a trusting relationship and where appropriate, involve the partner, family members and carers.
Be sure that adequate systems are in place to ensure continuity of care and effective transfer of information.
Involvement of specialist care in high risk or complex cases as early as possible.

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