Mental health drugs and pregnancy: A doctor's take

Mental health drugs and pregnancy: A doctor's take

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Globally, a lot of focus has been placed on assessing mental health as part of antenatal maternal health assessments. With this focus has come increased identification and diagnoses of psychiatric illnesses among pregnant and postpartum women. However, despite the widespread and increasing use of antipsychotics during pregnancy, most doctors continue to remain ill-informed about the potential dangers these drugs pose on the developing foetus. Here is one doctor's take on this.
29 Nov 2016 - General
Mahmoud AbdelAziz Thank you for sharing this article. This is one of the topics rarely talked about in general medicine but is of significance in clinical practice. Prescribing antipsychotics for pregnant women has been traditionally disregarded because of the possible teratogenic effects , especially congenital limb deficiency or malformation. The study still shows an eye-popping 38 and 44% of congenital malform...
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Mahmoud AbdelAziz
The observational study, published in the journal PLOS ONE, reveals that whilst most women gave birth to healthy babies, the use of mood stabilisers or higher doses of antipsychotics during pregnancy increased the need for special care after birth with 43 per cent of babies placed in a Special Care Nursery (SCN) or a Neonatal Intensive Care Unit (NICU), almost three times the national rate ...
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Personally, I do not prescribe anti-psychotics. In our institution, these cases are usually managed my mental health specialists. In the presence of conflicting data, or studies with a limited sample size, then careful consideration should be made before prescribing these medications to women. Also, it is good practice to inform the patient and all stakeholders of the possible side effects of these medications, and to put them into documentation in the event that a congenital anomaly results fro...
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The safety level of multiple medications is different in pregnancy, therefore, it is strictly recommended to take medication with doctor’s consultation during pregnancy. Various research studies have shown that there is increasing identification and diagnosis of psychiatric illness among pregnant and postpartum women, therefore, there is an increased use of antipsychotic drugs to overcome the condition. This post is basically highlighting the risks or congenital malformations associated with the...
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Mental health disorders are prevalent all over the population and pregnant women are not an exception. Many of these disorders require critical and continuous supply of medications daily. Usually, it is recommended that psychiatric medication use during and after pregnancy should be decided before conception. The use of a single medication at a higher dosage is preferred over multiple medications, and those with fewer metabolites, higher protein binding, and fewer interactions with other medicat...
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