Print Print
CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.

Bipolar disorder - Management
How should I manage depressive episodes in a pregnant woman?

  • All pregnant women who have bipolar disorder and experience a depressive episode require referral or possibly admission.
    • Admit urgently those women who are considered to be a danger to themselves or others.
    • Refer urgently for specialist mental health assessment those women:
      • For whom the degree of risk is increasing such that they are likely to become a danger to themselves or others.
      • With severe depression.
      • In a mixed episode.
      • With rapid cycling.
    • For all other women, arrange an appointment with a psychiatrist as soon as possible to discuss treatment options.
  • Whilst awaiting specialist assessment, do not start or change treatment without specialist advice.

In depth

© NHS Institute for Innovation and Improvement