Perinatal mood and anxiety disorders are the most common complication of pregnancy. Midwives have a key role to play in assisting clients with decision making around use of psychiatric medications in pregnancy and lactation. This presentation will explore client considerations around mental health in pregnancy and postpartum, including the risks of untreated mental illness in these life phases. How midwives may counsel their clients as well as when to refer them for mental health care, will be an additional element of this presentation.
Common Post-partum Mood and Anxiety Disorders will be described in detail as well as a summary of evidence-based treatment options. Following this part of the presentation, the main classes of psychiatric medications commonly used in pregnancy and lactation will be described. Considerations for the use of SSRIs, atypical antipsychotics, mood stabilizers and benzodiazepines will be discussed.
Learning Objectives:
Objective 1: Describe considerations for starting or maintaining psychiatric medications for perinatal clients when indicated.
Objective 2: Describe the most important considerations for counseling clients in decision making around mental well being in pregnancy and lactation.
Objective 3: Describe risk and benefits of the main classes of medications that are commonly used in pregnancy and postpartum.
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