El manejo y el tratamiento de los trastornos mentales graves en la embarazada

Abstract

The pharmacologycal treatment of serious mental disorders in the pregnancy, supposes a clinical dare by the possible repercussions on the fetus and the pregnancy: theratogenesis, perinatal syndrome or postnative sequels in the development. The electroconvulsive therapy (ECT) as much takes implicit a minimum risk for the mother as for the fetus and therefore, it must be located in the highest positions of the therapeutic decision trees. In the present article, are reviewed the consequences of the pharmacologycal treatment and the ECT in the serious mental disorders during the pregnancy. Is referenced to all of the pharmacologycal groups and with respect to the ECT: their indications, counterindications, complications and technical procedures advisables.

Finally is reviewed the guide line for each syndromical group of psychiatric diseases.