There are no completely risk free pregnancies and not all risk factors are

equally serious. It is rare that only one risk factor usualy co-exist and their
combined action aggrevates and risk.

PSYCHOTIC CONDITION
Introduction:
Pregnant women diagnosed with psychotic disorders are classified as a high
risk pregnancy group. Psychosis connected with any mental disorder arising
for the first time in pregnancy is uncommon and is generally more likely to
occur in the immediate postpartum period i.e. immediately after child birth.
Some factors which are responsible for psychotic disorder are

·0 Past history of mood disorder.

·1 Marital discord.

·2 Lower socio-economic status.

·3 Unwanted pregnancy.

Causes:
·4 Affect the neurodevelopment of the foetus.

·5 Higher risk for still birth.

·6 Infant mortality.

·7 Behavioural problems.

·8 Exhibit disruptions in cognitive and emotional development.

·9 Respiratory depression.

·10 Neonatal behavioural abnormalities.

 ·11 Difficulty with oral feeding.

Prevention:
·12 Doctors should prescribe safest drug therapies during pregnancy and
for the breastfeeding mother.

·13 Avoid drug use as much as possible during the first trimester. If not
possible use the lowest effective dosage.

·14 Monitoring drug plasma level is important as blood volume changes

with pregnancy.

·15 Screening and evaluation of the foetus must be conducted on a regular

basis.

·16 The psychiatric conditions of newborns must be monitored.

ISOLATED LIVING
Introduction:
The quality and quantity of social relationships affect health behaviours,
physical and mental health and risk of mortality. Children born to the parents
who are voluntarily or involuntarily in the isolated living are at increased
risk of health problems in adulthood.

The factors which can be barriers to forming and maintaining social

networks that can lead to loneliness and isolation.

·17 Physical and mental health.

·18 Lack of education.

·19 Employment status.

·20 Economic conditions.

 ·21 Women from ethnic minority groups and from deprived areas.

Causes:
·22 Lack of social relationships negatively impact the development of the
brains structure.

·23 Damages not only the physiological functions of the body but also the
development of the nervous system's support cells, which in turn
affect the development of cognitive functioning.

·24 Socio-emotional behaviour.

·25 Developmental delays.

·26 Intellectual disabilities.

·27 Neurological disorders.

·28 Mental illness.

Prevention:
·29 Providing individuals with a sense of belonging and identity.

·30 Support to women and couples during pregnancy can help to

strengthen and build supportive networks.

·31 Enable parents to support their child's social and emotional

development and reduce behavioural problems.

·32 Providing material support.

·33 Increasing knowledge about how to access material needs and

services.