RESUMO
Research into psychiatric illnesses during pregnancy and the postpartum period has focused primarily on mood disorders and psychosis. However, recent reports suggest that during pregnancy and the postpartum period psychiatric patients run an increased risk of developing the symptoms of obsessive compulsive disorder (OCD) or if they already have these symptoms, the severity is likely to increase. We report two cases of OCD in pregnancy and in the postpartum period. In addition, we present a brief review of the literature that is currently available on this topic.
Assuntos
Transtorno Obsessivo-Compulsivo/diagnóstico , Transtorno Obsessivo-Compulsivo/epidemiologia , Período Pós-Parto/psicologia , Gravidez/psicologia , Adulto , Feminino , Humanos , Transtorno Obsessivo-Compulsivo/psicologia , Escalas de Graduação Psiquiátrica , Índice de Gravidade de DoençaAssuntos
Sintomas Afetivos/psicologia , Contratransferência , Mecanismos de Defesa , Emoções , Transtornos Mentais/psicologia , Relações Médico-Paciente , Preconceito , Adaptação Psicológica , Transtornos de Adaptação/diagnóstico , Transtornos de Adaptação/psicologia , Transtornos de Adaptação/terapia , Adulto , Sintomas Afetivos/diagnóstico , Sintomas Afetivos/terapia , Transtornos de Ansiedade/diagnóstico , Transtornos de Ansiedade/psicologia , Transtornos de Ansiedade/terapia , Estudos Transversais , Feminino , Humanos , Masculino , Transtornos Mentais/diagnóstico , Transtornos Mentais/terapia , Pessoa de Meia-Idade , Transtornos do Humor/diagnóstico , Transtornos do Humor/psicologia , Transtornos do Humor/terapia , Inventário de Personalidade , Transtornos Somatoformes/diagnóstico , Transtornos Somatoformes/psicologia , Transtornos Somatoformes/terapiaRESUMO
Three drug-addicted prostitutes, who were 37, 27 and 25 weeks pregnant respectively, were admitted to a psychiatric department under court order. After the birth, the children were placed in foster families. The mothers withdrew from further treatment. In Rotterdam, The Netherlands, there is a city network made up of doctors and social workers; in the case of addicted pregnant prostitutes they advise the Child Protection Agency of the Ministry of Justice about the care of the child after its birth. The combination of heavy addiction and prostitution in a pregnancy without any prenatal care can be considered a psychiatric disorder. Consequently, an addicted woman can be compulsorily admitted because of the threat she forms to her unborn child. In these cases the mother's right to self-determination must be limited in the interest of the child.