Health to you and many years of life ...

You health and many years of life. And faith, great faith in the recovery. Source: Online edition of "Planet Health" № 13 February 2004 on the site LTD "MediaRoom" www.ph.ru

Help the mentally ill during pregnancy

MD AB Shmukler Institute of Psychiatry, Ministry of Health, Moscow Representation of the relationship of mental disorders with reproduction dates back to ancient times. Meanwhile, the bulk of research devoted to postpartum psychosis and mental disorders during pregnancy have been studied considerably less. This is probably due to their much lower prevalence. Thus, the risk of developing psychosis the generation period (GP) in the general population is 0,1-0,25% [18]. In this case, to postpartum psychosis accounted for 45% -86% of all psychoses GP for lactation (ie, during feeding) - 10% -42%, and psychosis gestation period - 3% -15%. It is believed that the level of severe mental disorders during pregnancy is the same or even lower compared with the level of pain out of childbirth, but it increases sharply after birth, exceeding even the incidence of disease in nulliparous women. Postpartum psychosis occur with a frequency of 1-2 per 1000 births [12, 19]. Psychosis during pregnancy should include team nosological group. In this case, the pregnancy itself does not cause psychosis (except eklampticheskih), and can only provoke the onset or exacerbation of existing mental health problems. Psychotic disorders can contribute to various somatic pathology developing in this period. Are essential psychological difficulties (family discord, loneliness, death of loved ones) [5, 11]. In general, however, pregnancy encompasses health, the deterrent factor. A quickening of psychotic disorders was observed only in the last trimester of pregnancy and reaches a maximum at 615 days after birth. The most common disorder of pregnancy is a depression of various etiologies. Moreover, if the shallow level of disorder observed in early pregnancy, the major depressive disorders often develop in later stages [5]. Sufficiently characteristic is anxious depression. Sometimes the expressed ideas of self-accusation. After birth, often marked deterioration with a tendency to prolonged duration. Schizophrenia is one of the most common during pregnancy, mental illness, second in frequency only psychogenic illness. Bouts of schizophrenia, developing itself in pregnancy, are often transient, and affective disorder levels observed shortly before birth, characterized by blurred, unexpressed violations. However, you can select ? ? critical periods in the second (at 1,822 weeks) and last trimester (weeks in 3439) are most vulnerable to bouts of schizophrenia. Affective disorder at the initial stage of developing in the later stages of pregnancy episode schizophrenia tend to be atypical in nature, necessitating a differential diagnosis with mental activity in severe forms of late toxicosis of pregnancy.