Psychiatric disease also warrants good quality prepreg-nancy care and counselling. There are often concerns about transmission of mental illness to children, and risks of destabilizing mental illness. The estimate is that there is a 10-15% risk of schizophrenia or manic depressive illness in offspring. Risks of instability and potential plans for withdrawing medication must be discussed thoroughly with the professional most involved in long-term management of such patients, that is, commonly the psychiatrist and general practitioner.
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