Thoughts and Considerations of Women With Bipolar Disorder About Family Planning and Pregnancy: A Qualitative Study

Author:

Stevens Anja Wilhelmina Margaretha Maria1,Daggenvoorde Thea Henrica2,van der Klis Samuel Martinus Dianshah3,Kupka Ralph Werner4,Goossens Peter Jan Joseph5

Affiliation:

1. Anja Wilhelmina Margaretha Maria Stevens, MD, Dimence Group Mental Health Care, Deventer, Netherlands; VU University Medical Center, Amsterdam, Netherlands

2. Thea Henrica Daggenvoorde, MScN, RN, Dimence Group Mental Health Care, Deventer, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands

3. Samuel Martinus Dianshah van der Klis, MScN, RN, University Medical Center Utrecht, Utrecht, Netherlands

4. Ralph Werner Kupka, MD, PhD, VU University Medical Center, Amsterdam, Netherlands

5. Peter Jan Joseph Goossens, PhD, APRN, Dimence Group Mental Health Care, Deventer, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands; Ghent University, Ghent, Belgium

Abstract

BACKGROUND: Women with bipolar disorder have an increased risk of relapse during pregnancy and the postpartum period, and they often express broad concerns about family planning. OBJECTIVE: To explore the thoughts and considerations of women of childbearing age with bipolar disorder, about family planning and pregnancy. DESIGN: A qualitative study was conducted: 15 women with bipolar I disorder were individually interviewed. Content analysis was applied. RESULTS: Women worried about heritability of bipolar disorder, medication issues, and risk of relapse during pregnancy. They mentioned their fear to be incompetent as a mother during future mood episodes. Support of partner, family/friends, and professionals was mentioned as essential. CONCLUSIONS: Family planning is an essential topic in the treatment of every woman with bipolar disorder of childbearing age. These women expect early consultation with professionals for support, and specific information about heritability of the illness and use of medication during and after pregnancy.

Publisher

SAGE Publications

Subject

Pshychiatric Mental Health

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