Descriptions of functional disorders ...

Descriptions of functional impairment using pregnant ? ? older antipsychotics also scarce: identified isolated cases of withdrawal syndrome in newborns whose mothers had for a long time received neuroleptic therapy, and respiratory failure when used in late pregnancy of high doses of chlorpromazine. Kakihlibo intellectual disorders in preschool children exposed to prenatal exposure to neuroleptics was not detected [8]. Reports of use during pregnancy, atypical antipsychotics are scarce. States, inter alia, the possible increased risk of miscarriage and stillbirth [7]. The conclusion is thus clear that the use of psychotropic drugs during pregnancy should be limited, and women of childbearing age receiving psychotropic medications should avoid pregnancy. In the case of urgent need to use these drugs a potential teratogenic risk should be correlated with the severity of mental disorder. Moreover, since the impact of new drugs (neuroleptics, antidepressants) on the fetus are currently not sufficiently investigated, preferably appoint ? old ?, more predictable with respect to the teratogenic effects of drugs [2]. Given the above information, a number of recommendations on the use of psychotropic drugs during pregnancy [6,14]: to avoid the use of psychotropic drugs in the first trimester of pregnancy during the development of a pregnant woman's level of psychotic mental disorders shows hospitalization for a decision on the appointment of therapy is recommended obtain consent to treatment, not only from the patient, but also from her husband in urgent need of psychotropic treatment of the "old", well-studied drugs should be preferred, since the teratogenic risk of new has not been studied, appropriate use of minimally effective doses of drugs, although it shall not aim at any price is fully arrest the symptoms, as this may require higher doses of drugs that increase the risk of complications for the fetus, is not desirable to use a combination of psychotropic drugs; reduction and removal of drugs should be conducted as quickly as possible, except pharmacological remission, when the cancellation of treatment can lead to an exacerbation of the disease, should exercise careful clinical and instrumental control over the fruit, especially in the early period, for early detection of pathology during pregnancy should be close collaboration between psychiatrists and obstetricians, patients need to be watched and the postpartum period, because at this time increases the risk of (acute) psychiatric disorders an important step in working with pregnant, especially mental disorders, is to create a favorable psychological environment and preparation for childbirth.