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Schizophrenia

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  • Women with schizophrenia are very vulnerable to psychiatric complications during pregnancy.
  • Screen women by asking about family history of psychotic and affective disorders.
  • High risk of fetal malformations and fetal demise.
  • High risk of relapse if not taking medications.
  • Psychosis during pregnancy can lead to fetal abuse, infanticide or inability to recognize signs or symptoms of labor.
  • Schizophrenics have higher rates of substance abuse, nicotine dependence, and high risk sexual behaviors, and are at increased risk of sexual assault.
  • Pregnancy complications include unplanned pregnancy and decreased prenatal care.
  • Collaborative clinical management with Mental Health team and Gynecology.
  • The majority of antipsychotic medications used to treat schizophrenia appear to be relatively safe for use during pregnancy and breastfeeding. There are limited reproductive safety data on atypical antipsychotic drugs.
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