Schizophrenia Spectrum Disorders

Le résumé fourni par la source

Pregnancies among individuals with schizophrenia spectrum disorders have increased in recent years. In the perinatal period, individuals with schizophrenia spectrum disorders are faced with managing the unique effects of their symptoms on pregnancy and parenting, which fluctuate through the perinatal period with the early postpartum being a high-risk time for relapse. Their pregnancies are also associated with a range of adverse pregnancy, neonatal and long-term child outcomes, the risk for which may be related in part to modifiable factors. Prejudice, discrimination and subsequent isolation of perinatal individuals with schizophrenia spectrum disorders may limit health care and social support opportunities in this group, further exacerbating the risk for negative outcomes. These issues underscore the need for comprehensive management approaches including attention to pre-conception health, medication management during pregnancy and postpartum, and multifaceted support for the parent and family. This chapter is an overview of schizophrenia spectrum disorders in the perinatal period, including a summary of the epidemiology, clinical presentation, course, outcomes and management.

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