09. Treating Depression in Pregnancy: Conclusions
Key Points
- Pregnant women are at substantial risk for recurrence of mental illness if they discontinue the medications that have kept them well.
- Recommendations regarding psychiatric medications in pregnancy (and the postpartum period, whether breastfeeding or not) should be based not only on a patient’s current presentation but also on her history and psychosocial situation.
- Clinicians should help patients understand the risks of their psychiatric illness on their health, obstetric health, and the health of their babies.
- Clinicians should help their patients understand that the literature on risks of medications in pregnancy is limited, compromised by confounders, and constantly changing due to new information (which is often also limited and confounded).
- It is important to educate expectant mothers and their partners that perinatal depression is treatable, and successful treatment means positive outcomes for mothers, their babies, and their families.
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