Psychotropic Treatments of Psychotic Disorders during Pregnancy

C. Tudose, S. Paveliu, F. Tudose

Abstract: In Romania there was no concern for the development of a therapeutic protocol or guide for pregnant women under psychiatric treatment and, therefore, initiation of such a discussion is beneficial. Diversification of psychotropic treatments has made an increasing number of pregnant women to be sent to psychiatrists to assess the appropriateness of continuing or changing psychiatric treatment, to prevent possible undesirable consequences for the fetus or even abortion. Most psychiatric medicines used by pregnant women are not subject of study due ethical reasons, the only usable resource in defining an adequate decision being review articles and expert opinion. On the other hand, preexisting or development of serious diseases such as antepartum depression and reactive depression, bipolar disorder, schizophrenia, etc., require an evaluation of maternal capacity. We did a summary of some of the most recent views expressed in the literature to provide the family doctor and obstetrician information designed to induce them to seek interdisciplinary advice whenever appropriate.
Keywords: pregnant, pregnancy, depression, bipolar disorder, schizophrenia, maternal ability