Management of Bipolar Disorder in Pregnancy

Treatment Considerations

• When treating bipolar disorder in pregnancy, the risks and benefits of medication must be carefully weighed, with consideration of both maternal and fetal outcomes, as recommended by the American Academy of Family Physicians 1
• For women with bipolar disorder planning pregnancy, a comprehensive evaluation of risks and benefits should be conducted prior to conception, according to the American College of Obstetricians and Gynecologists 2
• The decision to change medication should be made with careful consideration of the patient's history of response to different medications and severity of bipolar disorder, as suggested by the American Academy of Family Physicians 1
• Untreated bipolar disorder during pregnancy also carries risks, including potential for relapse, poor prenatal care, and substance use, as noted by the American Academy of Family Physicians 1
• Monitor closely if medication changes are made, as the transition period may be associated with mood instability, as recommended by the American Academy of Family Physicians 1