Psychosis in Pregnancy
Childbirth
is a psychological milestone. Mature parents grow emotionally during the
process by adaptive mechanism.
A
psychotic or potentially psychotic individual lacks the resilient psyche needed
to handle either pregnancy or the subsequent presence of a child. Hormonal
changes probably play a role which cannot at presently be defined.
Therapeutic
abortion may be warranted particularly in serious recurrent psychosis.
Hospitalization, temporarily separation of the mother from the infant (if the
patient has delivered), electro shock and psychotherapy are essential.
The
prognosis for the mothers cannot be generalized but must be determined on an
individual patient basis. Although, hereditary tendencies have been suggested,
there is no convinced evidence that the infant is affected by maternal
psychosis.
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