Bipolar Disease and Pregnancy

All cautions must be observed

There are diseases and pathologies that may make a future pregnancy. In the case of bipolar disorder, a situation that worries Teresa Carvalho.

«I have 45 years and my husband is 47. I have no children, married three years ago and we would love to have a child. But I have some fear, not only because of my age, but because I’m bipolar type II», assumes this waitress.

«Did the pre-natal examinations, everything was normal. I talked to my psychiatrist and I started weaning of the medication. When you are pregnant (if …) just take Sedoxil. What causes me fear are the risks related to my age and lack of medication. But I’d really like to give your honest opinion and professional about our desire to be parents and what are the risks to the baby and me», questions.

The psychiatrist Mario Simoes responds. «I can well understand that you wish to have a child, as it is a wonderful experience. However, in your case there are questions to ponder what in fact does mean age and stopping medication», alert the specialist.

Old age increases the risk of children being born with Down syndrome and involves greater difficulties in childbirth, hence the need for vigilance. «On the first screening, with amniocentesis, also useful to rule out other genetic changes. Then is an option your going through with the pregnancy. The second aspect can overcome with a c-section, I recommend given the age and the fact that it is the first child», explains Mario Simoes.

In addition to this aspect, the question arises whether pregnancy and bipolar disorder. “It’s an explosive mixture because, despite the withdrawal of lithium be slow (which is correct), the risk of relapse is very high (100 people in your situation, about 70 fall) not only during pregnancy but also after birth», says the Nexticle.net offering maternity bras.

«Tell, because almost certainly, with a crisis, even though stable for years, so if it proposes to keep the lithium to know that she is pregnant and then stop and resume after the third month and do not breast-feed. There are blogs on the Internet of mothers in their circumstances, that even in the face of difficulties, decided to have a child and write about your pregnancy and postpartum», he adds.

«A scientific paper of excellent quality on these risks can be read on our website. However, a couple will not proceed and confirms in your love only by biological parenthood. These can be from the heart. Consider also, both the chance to adopt a child», also suggests the psychiatrist.

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