臨床婦人科産科75巻12号

2021年12月発行

今月の臨床 プレコンセプションケアにどう取り組むか―いつ，誰に，何をする？ プレコンセプションケアの実際 : 基礎疾患のある患者への家族計画・妊娠前指導

精神・神経疾患―てんかん，統合失調症，不安症

著者： 清野仁美¹ 松永寿人¹

所属機関： ¹兵庫医科大学精神科神経科学講座

ページ範囲：P.1178 - P.1182

●精神科医・脳神経内科医は妊娠前に患者とパートナーに対して，妊娠・授乳中の薬剤服用のリスクとベネフィット，再発リスクを説明し，双方向性に話し合い，治療方針を決める．

●産科医や助産師は計画的妊娠のための避妊方法，妊娠に向けた生活習慣の改善（食事，禁煙，禁酒）についての指導，妊娠・出産・育児について情報提供を行う．

●妊娠・出産に向けてソーシャルサポート（パートナー，家族，福祉資源利用）の準備を提案する．

参考文献

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12）Edinoff AN, et al : Hyperprolactinemia, clinical considerations, and infertility in women on antipsychotic medications. Psychopharmacol Bull 51 : 131-148, 2021

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18）National Institute for Health and Care Excellence : NICE Clinical guideline［CG192］ : Antenatal and postnatal mental health clinical management and service guidance updated edition. NICE Clinical Guidelines No. 192, 2014