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Suicide Unintentional self-harm Infanticide/child abuse Poor prenatal care, decreased ability to care for self Increased use of illicit substances Increased risk of negative outcomes from mental illness, such as low birthweight and prematurity Effects on bonding with baby Maternal risks Fetal loss Prematurity Malformations Neonatal syndromes (toxicity or withdrawal) Neurobehavioral sequelae Start with standard forensic approach for forced treatment Know the law in your jurisdiction (Rennie or Rogers model)37,38 Diagnosis Rationale for need for treatment Reason capacity is lacking Determining less restrictive alternatives Knowledge of literature on fetal and pregnancy complications Clearly identify harms of no treatment in report; others may focus only on medication harms or may be ignorant of the risks of not treating Communication with other medical staff (e.g. obstetrics and pediatrics), since risk is outside usual area of forensic expertise Clearly understand trimesters (for example, the point at which the fetus becomes viable, the medications that may pose a risk during different trimesters/weeks, and the length of time bed-rest needed)
