Essential Reads: Postpartum Depression, Is it Unipolar or Bipolar?
Vigilance is required in screening women who present with postpartum depression; a subset of women who screen positive for depression may actually have bipolar disorder.
Long-term behavioral follow-up of children exposed to mood stabilizers and antidepressants: A look forward – ObGynNews
Dr. Lee S. Cohen, Director of the Ammon-Pinizzotto Center for Women's Mental Health at Massachusetts General Hospital, recently shared his insights on the long-term behavioral follow-up of children exposed to mood stabilizers and antidepressants with Ob.Gyn News on August 16,
Relapse of Bipolar Disorder During Pregnancy Increases Risk of Postpartum Illness
More that half of women with bipolar disorder relapsed during pregnancy.
Essential Reads: Atypical Antipsychotics and Breastfeeding
Despite the increasing use of the newer “atypical” or second-generation antipsychotic agents to treat a spectrum of psychiatric disorders, including schizophrenia, bipolar disorder, major depression, PTSD and other anxiety disorders, we have relatively little data [...]
Clinical Update (2019): Is Oxcarbazepine (Trileptal) Safe to Use During Pregnancy?
We don’t hear this clinical question so often but it does come up from time to time. While the anticonvulsant oxcarbazepine (Trileptal) was initially promoted as a mood stabilizer for patients with bipolar disorder, it [...]
Options for treatment of bipolar disorder during pregnancy – ObGynNews
August 23, 2018 from ObGynNews The management of bipolar disorder during pregnancy is a critical clinical situation demanding great attention to issues such as reproductive safety of psychiatric medications used by women with bipolar disorder [...]
Maternal Bipolar Disorder Not a Predictor of Infant Developmental Deficits at One Year of Age
While some women with bipolar disorder elect to discontinue their psychotropic medications during pregnancy to mitigate fetal exposure, Viguera and colleagues (2000, 2007) found that women stabilized on lithium face a significant risk for [...]
Clinical Guidelines for Lithium Dosing During Pregnancy
We have an abundance of articles which address the impact of psychotropic medications on pregnancy. Much less research, however, has focused on how pregnancy may affect how these medications work. Physiologic changes take place during [...]
New Research from the CWMH: Lithium During Pregnancy and Risk of Cardiovascular Malformations
While we use lithium less commonly now than we have in the past, lithium is still one of the very best mood stabilizers we have. And with regard to its reproductive safety, we have [...]
Oxcarbazepine (Trileptal) and Pregnancy: Do We Have Enough Information?
Last week in clinical rounds we discussed a case of a woman with bipolar disorder who was planning a pregnancy. She had a long history of illness, experiencing primarily depressive episodes since her early [...]