Pearls

Managing bipolar disorder in women who are pregnant

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Collaborate with other clinicians, such as the patient’s OB/GYN and family medicine physician when possible. This will ensure that all clinicians are on the same page.

Plan for future pregnancies. Psychiatric medications can be long-term. Even patients who say they do not wish to become pregnant may someday become pregnant. Having discussions about medication choices, and their reproductive implications, prior to pregnancy allows patients to take an active role in their health.1,2

Consult a reproductive psychiatrist when indicated, and as early in the pregnancy as possible.

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