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Antidepressants and Pregnancy

Depression is a common affliction among women in general, and pregnant women are no exception. According to the Women’s Mental Health Program at Loyola University Health System, between 12 to 20 percent of pregnant women suffer from depression, and many cases may go undiagnosed.

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Many women are concerned about taking antidepressants while pregnant, for fear of harming their unborn child. Studies show, however, that there is no evidence that antidepressants cause any serious problems, and suggest that leaving depression or anxiety untreated during pregnancy may actually have negative effects.

Many studies in the last few years have shown no increase in the incidence of birth defects, behavioral problems, learning disabilities, mental retardation, pre-term labor, or low birth weight with women who take selective serotonin reuptake inhibitors (SSRIs) such as Prozac, Paxil, and Zoloft during their pregnancy.

However, if depression or anxiety is left untreated during pregnancy, there is an increased likelihood of preterm labor, premature delivery, low-birth weight, and small head circumference. Untreated depression can also inhibit a woman’s ability to care for herself; impair her nutrition; lead to an increase in her use of tobacco, alcohol, and drugs; and interfere with her ability to bond with the child.

Depression during pregnancy is also a strong risk factor for postpartum depression. Women in the United States have a higher incidence of postpartum depression than any other country in the world. This is believed to be caused by shorter maternity leave in this country, women feeling pressured to return to work quickly to help with the family income, fragile support systems, and parents and other family members living far away. Other risk factors for postpartum depression include being a single mother, an unwanted pregnancy, a history of depression and anxiety, and having a child with special needs.

Depression is a serious condition that affects many women. If you are suffering from depression, talk to your doctor about getting treatment. Group therapy and one-on-one counseling with a psychotherapist are also great medication-free ways to deal with depression. Getting proper treatment is important for your health, and the health of your baby.

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Lynnette on 1/12/2010 10:51:52 AM
I miscarried in March 09 since then I have becaome very depressed and have anxiety attacks and have not been able to sleep properly. Christmas day I found out I am pregnant. I quit all medication in fear it would harm the child. When I saw my OB he informed me it is better to take the antidepressa and there is litlle or no chance of hurting the baby. But he said DO not take the Xanex. It can be harmful. I still have trouble sleeping but at this point its normal. I am 9 weeks. Some Anxiety but I am learning to be patient with myself to get through the rough moments.
shannon ross on 12/28/2009 7:14:34 PM
i have a similar disorder im also bipolar and manic depressive and i have anxiety attacks i have been on xanex's since 2003 and have tried different med;s for my bipolar this is my 3rd pregnancie but my first in a decade the day i found out i was pregnant called my dr office the next day but had to consult with the nurse because i was concern about my med's im also on naucotics to treat my solois which i endure allfull back pain im only 5 weeks . every time i talk to a different nurse or dr. i get different anwers and i get aggravated i have not got a chance to talk to my obgyn due to his schule i really want to consult with him about my meds because i just can't quit the anxiety med cold turkey just dont kno what to do at this point
Ginger on 12/11/2009 8:12:55 PM
I am bipolar and take several medications to keep my depression and anxiety under control. Two years ago, I became pregnant. The ob/gyn took me off all medications at once. Within two weeks, the baby's heartbeat had stopped and I experienced a miscarraige. I am now pregnant again, but with a doctor who understands my condition. She has continued medications that are safe for pregnancy, and so far everything is wonderful. Be careful and get a second opinion before stopping depression meds! My doctor researched and consulted others, and has come to the conclusion that my withdrawals two years ago contributed to the miscarraige. If the mother is physically and mentally healthy, it is always better for the child!
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