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The Royal College of Psychiatrists Improving the lives of people with mental illness

Modern Management of Perinatal Psychiatric Disorders

Carol Henshaw, John Cox and Joanne Barton

Price: £25.00

College members' price: £22.50

Published: Apr 2009

Format: Paperback

Number of pages: 294

ISBN: 9781904671367

Modern Management of Perinatal Psychiatric Disorders

The management of mental health problems is a core component of maternity care. Pregnancy and childbirth may be accompanied by recurrence of pre-existing psychiatric problems, and conditions such as postnatal depression and puerperal psychosis may arise following delivery. Correct management of these problems is essential for both the mother and the developing infant.

This book provides a comprehensive overview of mental health problems associated with pregnancy and the year after delivery. Key topics covered include:

  • Issues for children and families.
  • Screening for and prevention of mental disorders in relation to childbirth.
  • Prescribing in pregnancy and lactation.
  • Transcultural issues.

Readership: An essential text for trainees in perinatal psychiatry, this book is also aimed at general adult psychiatrists with an interest in the field. It is also a useful resource for nurses, psychologists, obstetricians, midwives and health visitors.

About the authors:
Carol Henshaw has been President of the Marcé Society, a scientific society devoted to mental illness related to childbearing. She currently sits on the Executive Committee of the Royal College of Psychiatrists’ Perinatal Section.
John Cox has held the positions of President of the Marcé Society, Secretary General of the World Psychiatric Association and President of the Royal College of Psychiatrists. A developer of the Edinburgh Postnatal Depression Scale, he has over 30 years of clinical and research experience in perinatal psychiatry.
Joanne Barton provides psychiatric input to a community-based child and adolescent mental health service. Her day-to-day work with children, young people and their families is a constant reminder of the importance of parental mental health to the well-being and development of children.


Preface - Carol Henshaw, John Cox, Joanne Barton

Foreword - Margaret Oates


1. Historical perspectives and classification issues

2. Perinatal depression, anxiety, stress and adjustment

3. Puerperal psychosis

4. Childbearing in women with existing mental disorders

5. Substance misuse

6. Perinatal mental illness, children and the family

7. Screening and prevention

8. Physical treatments during pregnancy

9. Physical treatments and breastfeeding

10. Service provision

11. Perinatal psychiatry in multi-ethnic societies


Appendix I: Randomised controlled trials of interventions for postnatal depression

Appendix II: Organisations offering support and information

Appendix III: Edinburgh Postnatal Depression Scale

Appendix IV: Resources


"The authors successfully bridge science and practice, and ... do not merely highlight problems. Rather they also provide specific means for addressing these issues through clear and feasible recommendations. ...Overall, this book provides an integrative approach that will appeal to researchers and clinicians alike. ...This book is an important and substantial addition to the field of perinatal psychiatry. Perinatal mental health is examined from every angle to help practitioners provide the best and appropriately specialized care for women surrounding childbirth."

Psychology of Women Quarterly


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