05. Considering Risks of Medication in Pregnancy
Key Points
- Data on various treatment approaches should be reviewed and discussed with the patient, emphasizing that no one study is perfect.
- Remind the patient that background risks for congenital anomalies are 2% to 4%.
- Carefully review what is known about each of the risks associated with depression and anxiety during pregnancy and antenatal treatment of these conditions with psychiatric medications. This includes what is known about risks for teratogenicity, miscarriage, neonatal difficulties at delivery, fetal growth impairment, preterm delivery, and longer-term difficulties.
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