Which of the following is recommended to reduce the risk of postpartum psychosis in women with bipolar disorder?

The recommendation to provide immediate treatment for women with a history of postpartum psychosis (PPP) who have bipolar disorder is rooted in the understanding of the risk factors and symptoms associated with this condition. Prompt intervention is critical for these individuals given their heightened vulnerability during the perinatal period.

Women with a history of PPP are at an increased risk of experiencing manic or psychotic episodes after childbirth. Initiating treatment—whether it involves medication, therapy, or a combination of both—can help manage mood stability and mitigate the risk of a full-blown episode following childbirth. This proactive approach is essential in promoting the health and well-being of both the mother and her newborn.

In contrast, discontinuing medication during pregnancy can significantly exacerbate symptoms of bipolar disorder, increasing the likelihood of postpartum complications. Avoiding support systems is counterproductive, as social and emotional support is vital for mental health recovery during the perinatal period. Increased caffeine intake is also not a recommended strategy, as excessive consumption can lead to negative health effects for both the mother and the baby.

Thus, immediate treatment is the most effective and recommended strategy to mitigate the risk of postpartum psychosis for women with bipolar disorder.