Audio By Carbonatix
It's a heated question: should women take antidepressants during pregnancy? Some experts argue for it and some against, but a new study may ease the minds of women facing the decision.
Researchers say taking a common type of antidepressant does not increase the risk of having a stillborn child or losing an infant early in life. The study was published in this week's Journal of the American Medical Association (JAMA).
"It does strengthen the view that these meds are safer than we once thought," explains Dr. Jennifer Payne, director of the Women's Mood Disorders Center at Johns Hopkins School of Medicine in Baltimore.
Although there is much discussion about the risks of using antidepressants, experts emphasize that failing to treat depression can also lead to health problems for mom and baby.
The study
Researchers looked at the medical records of more than 1.5 million newborns and their mothers from Norway, Denmark, Sweden and other Nordic countries. About 29,000 of the mothers-to-be had filled a prescription for SSRIs, or selective serotonin reuptake inhibitors - the most common type of antidepressant prescribed for depression during pregnancy.
The results
At first it appeared that those taking these meds were more likely to deliver a stillborn or lose their baby before its first birthday, compared to women not taking SSRIs, according to the study. But when the researchers factored in the severity of a woman's depression, as well as her smoking habits and age, then the outcomes between the two groups were virtually the same.
Depression 101
Depression is common in pregnancy, affecting between 14% and 23% of pregnant women, according to the American Psychiatric Association. When left untreated or undertreated, women with depression often don't eat or sleep properly, tend to miss prenatal medical visits, and may turn to alcohol or take up smoking. As a result these moms may deliver their babies early, give birth to low-birth weight infants, or find their newborns have other health issues.
It's important for patients and doctors to get the condition under control, experts say. If the depression is mild or moderate, talk therapy or other types of counseling may help, but when severe, antidepressants may be prescribed as well.
Added perspective
A study released last October in JAMA raised red flags about the health risks from SSRIs for expectant moms, and discouraged their use.
Experts know there are risks tied to using these drugs, such as increased risk for miscarriage, early delivery, low infant birth weight and others. But this new study suggests that when it comes to infant mortality, experts need to explore more than just the effects of medication on the health of mom and baby - an unhealthy maternal lifestyle and the severity of the depression are key factors as well.
Tips for pregnant women
What should a woman do if she is planning a family or gets pregnant while taking an antidepressant?
- First and foremost, don't panic and talk to your doctor before you do anything. Women "should not stop their medication suddenly, period, because this can lead to a 70% chance of relapse," explains Payne. This is particularly true for those with recurrent depression, she adds.
- Pregnant women with severe depression who have attempted suicide are advised to stay on their medicine. But, again, check with your doctor.
- If you are not experiencing symptoms and want to discontinue the medication, talk to your psychiatrist or physician about whether or not tapering off would work for you. Psychotherapy might replace or augment your medications.
- And finally, "Any woman with a psychiatric illness or any woman, period, who is or wants to be pregnant should be doing everything else from a healthy perspective: they should exercise, they should take their prenatal vitamins, drink lots of water, get good sunshine, and try not to get stressed," explains Payne.
DISCLAIMER: The Views, Comments, Opinions, Contributions and Statements made by Readers and Contributors on this platform do not necessarily represent the views or policy of Multimedia Group Limited.
Tags:
DISCLAIMER: The Views, Comments, Opinions, Contributions and Statements made by Readers and Contributors on this platform do not necessarily represent the views or policy of Multimedia Group Limited.
Latest Stories
-
Deputy Health Minister charges military nurses, midwives to remain dedicated to service
4 minutes -
Three suspected robbers killed as police dismantle gang in Upper East
8 minutes -
EU Ambassador pays courtesy call on IGP to strengthen security cooperation
11 minutes -
Africa’s dependence on foreign powers betrays Nkrumah’s unfinished vision – P.L.O. Lumumba
20 minutes -
3 suspects shot dead, 2 officers injured in Tilly Forest robbery follow-up operation
22 minutes -
Nkrumah’s unfinished Pan-African project must be completed – P.L.O. Lumumba
24 minutes -
Mysterious illness leaves children struggling to walk, hear as Mafi Kope community appeals for urgent medical helpÂ
1 hour -
Ghana begins free rabies vaccination for 25,000 petsÂ
1 hour -
Ghana Navy strengthens operational readiness with specialist seaman gunners trainingÂ
1 hour -
Nkrumah’s legacy must be measured by action, not ceremonies – Armah-Kofi Buah
1 hour -
Kwesi Pratt Jnr questions Ghana-US defence cooperation agreement over sovereignty concerns
1 hour -
Nkrumah’s legacy must drive African unity, self-reliance and environmental protection – Armah-Kofi Buah
1 hour -
Nkrumah’s inspiration should unite Africans despite political differences – Dr Opoku Prempeh
2 hours -
Some dissolved NSA board members could be reappointed – Kofi Adams
2 hours -
Mahama leaves for New York to attend 81st UN General Assembly
2 hours