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Women with schizophrenia are very vulnerable to psychiatric complications during pregnancy.
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Screen women by asking about family history of psychotic and affective disorders.
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High risk of fetal malformations and fetal demise.
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High risk of relapse if not taking medications.
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Psychosis during pregnancy can lead to fetal abuse, infanticide or inability to recognize signs or symptoms of labor.
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Schizophrenics have higher rates of substance abuse, nicotine dependence, and high risk sexual behaviors, and are at increased risk of sexual assault.
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Pregnancy complications include unplanned pregnancy and decreased prenatal care.
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Collaborative clinical management with Mental Health team and Gynecology.
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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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