Anksioznost v peripartalnem obdobju
Anxiety in peripartum period

slovenian

2023

volume 92, issue 9/10

anxiety   peripartum period   women

Slovensko zdravniško društvo
(Obvezni izvod spletne publikacije)

Pregnancy is a sensitive period for women, accompanied by significant physiological and psychological changes at the emotional and biological, hormonal levels. Anxiety is, to some extent, a normal and adaptive response to the situation during such a significant change. However, some pregnant women experience high levels of anxiety that reach the level of a clinically significant disorder. The anxiety disorders most common in the peripartum period are generalised anxiety disorder, panic disorder, phobias, obsessive-compulsive disorder, and post-traumatic stress disorder. A history of mood and/or anxiety disorders is among the strongest predictors of the development of peripartum anxiety. Although research interest in peripartum anxiety disorders is growing and we know more about the characteristics and diagnosis, evidence on clinical management - both pharmacological and non-pharmacological - is still limited. The risks and benefits of intro-ducing pharmacological treatment are always weighed individually. Identifying and treating anxiety during pregnancy is essential and represents prophylaxis against postnatal psychiatric disorders. Postnatal maternal anxiety can also signifi-cantly interfere with the mother-child attachment process, thus indirectly affecting the child’s development. However, for pregnant women who are already involved in psychiatric treatment for a psychiatric disorder, follow-up, support and tight interdisciplinary cooperation between the treating psychiatrist and gynaecological service are essential.

05.04.2024