Dergi Ara >>
Yıl:2004; Cilt: 12; Sayı: Ek 4>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 2004;12(Ek 4):0-0
Gebelik postpartum dönem ve ruhsal bozukluklar
C Kısa, SG Yıldırım
Psikiyatrik tanı sistemlerinde (DSM IV ve ICD 10) postpartum ve gebelik döneminde görülen psikiyatrik bozukluklar ayrı bir klinik tanı olarak tanımlanmamıştır. Gebelik döneminin ruhsal bozukluklara karşı koruyucu bir özelliği olduğu ve postpartum dönemin ise ruhsal bozuklukların gelişimi için riskli bir dönem olduğu kabul edilir. Gebelik döneminde, postpartum dönem ve gebe olmayan kadındaki depresyon ve diğer ruhsal bozuklukların prevelansının benzer olduğu bilinmektedir. Postpartum dönemde görülen spesifik klinik tabloların yanısıra postpartum dönem ve gebelik döneminde obsesif kompulsif bozukluk ve panik bozukluk gibi anksiyete bozuklukları, majör depresif bozukluk ve bipolar bozukluk gibi duygudurum bozuklukları, şizofreni, posttravmatik stres bozukluğu, preoküpasyonlar ve dismorfofobi gibi farklı klinik durumlar görülmektedir. Gebelik ve puerperal dönemde hızlı hormonal değişiklikler ve yoğun psikososyal stres faktörlerin olması, bu ruhsal bozuklukların gelişiminde rol oynayabilir. Anne-fetus, anne-bebek-emzirme ilişkisinin olması gebelikte ve postpartum dönemde görülen ruhsal bozukluklara yaklaşımı farklı kılmaktadır.
Pregnancy, postpartum period and mental disorders
Psychiatric disorders encountered during postpartum period and pregnancy are not described as separate clinical entities in psychiatric diagnostic systems (DSM IV and ICD 10). It is accepted that pregnancy is protective against psychiatric disorders whereas postpartum period carries risks for the development of psychiatric disorders. It is known that the prevalance of depression in postpartum period and a nonpregnant woman and other psychiatric disorders are similar. As well as specific clinical case observed during postpartum period, different clinical situations like anxiety disorders like obsessive compulsive and panic disorders, mood disorders like major depression and bipolar mood disorders, schziophrenia, posttraumatic stress disorder, preoccupations and dysmorphophobia are also seen during postpartum period and pregnancy. Rapid hormonal changes and intense psychosocial stress can play role in the development of these psychiatric disorders. An approach to psychiatric disorders seen during pregnancy and postpartum period may be different in the presence of mother-fetus, mother-baby-breastfeeding relationships.

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