Perinatal use of anticonvulsants: differences in attitudes and recommendations among neurologists and psychiatrists

被引:0
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作者
Adele C. Viguera
Lee S. Cohen
Theodore Whitfield
Alison M. Reminick
Edward Bromfield
Ross J. Baldessarini
机构
[1] Harvard Medical School,Department of Psychiatry
[2] Massachusetts General Hospital,Perinatal Psychiatry Program
[3] Biostatistics Solutions!,Neuropsychiatric Institute
[4] UCLA,Department of Neurology
[5] Harvard Medical School and Brigham and Women’s Hospital,International Consortium for Bipolar Disorders Research
[6] McLean Hospital,Cleveland Clinic Neurological Institute, Department of Psychiatry and Psychology
[7] Cleveland Clinic,undefined
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关键词
Anticonvulsants; Neurologists; Psychiatrists; Pregnancy; Breastfeeding; Neurobehavioral risk; Neonatal toxicity;
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摘要
We surveyed opinions and recommendations about perinatal anticonvulsant (AC) treatment among 166 neurologists (n = 88) and psychiatrists (n = 78) practicing in Massachusetts. They were similar in the recommendation of routinely informing patients of potential teratogenic risks of ACs and avoiding valproate during pregnancy. Neurologists were more likely to encourage pregnancy and nursing during AC-use than psychiatrists, and psychiatrist were more cautious regarding perinatal safety, citing potential neurobehavioral risks and complications of breastfeeding. These observations indicate substantial differences in opinions between psychiatrists and neurologists regarding AC use during pregnancy.
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页码:175 / 178
页数:3
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