Document Detail

Suicide in pregnancy.
MedLine Citation:
PMID:  14662219     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Pregnant women with bipolar disorder often elicit conflicts between maternal and fetal considerations. CASE: A 26-year-old primigravida at 12 weeks' gestation presented for emergency psychiatric evaluation after discontinuing psychotropic medications when starting prenatal care. She developed worsening depression and was suicidal. She was admitted to an inpatient psychiatric unit, medication was reinitiated, and she appeared to stabilize well enough to be followed as an outpatient. Two days after discharge, she shot herself in the left chest, resulting in her death and that of her fetus. CONCLUSION: When choosing to maintain or discontinue mood stabilizers during pregnancy, decisions are best made by the use of a risk-benefit model that takes into account the health and well-being of both mother and fetus.
Diana L Dell; Benjamin W O'Brien
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  102     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-12-09     Completed Date:  2004-01-06     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1306-9     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina 27710, USA.
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MeSH Terms
Antidepressive Agents, Second-Generation / therapeutic use
Bipolar Disorder / complications*,  drug therapy
Bupropion / therapeutic use
Pregnancy Complications* / drug therapy
Reg. No./Substance:
0/Antidepressive Agents, Second-Generation; 34841-39-9/Bupropion

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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