WHAT
ARE THE RISKS AND BENEFITS FOR MOM AND BABY?
Experts
Discuss Long-Term Use of Prescriptions for Mental Health and
Their Implications During Pregnancy
NEW YORK, NY, JUNE 6, 2013 – No woman should stop taking her mental health
medication if she gets pregnant without first talking to her doctor, experts said
today at a luncheon for reporters hosted by March of Dimes National
Communications Advisory Council.
Some young women have been on antidepressants,
anti-anxiety drugs, or medication for attention deficit disorders since they
were teenagers. Now as women of childbearing age or mothers-to-be, they should
seek support and guidance from health care providers to determine if they
should continue, stop or switch to a different drug.
More than half of pregnant women take at least
one prescription medication at some time during pregnancy, the experts said.
Christina Chambers, PhD, MPH, the director of
Clinical Research at Rady Children’s Hospital and the Department of Pediatrics
at the University of California San Diego, and Kimberly A. Yonkers, MD,
director of the PMS and Perinatal Psychiatric Research Program at Yale
University School of Medicine, New Haven, Connecticut, discussed how widespread
the use of these medications are and their relative risks.
“Pregnant women should talk to their doctor
about which medications they are taking, and what are the best options for them
while pregnant. It is important to balance the possible risks and benefits of
all medications to the mother and the baby,” said Dr. Yonkers.
Women should not just quit taking their
medications, Dr. Yonkers said. If a woman prefers to stop her medications and
her physicians agree that it is a reasonable option, she can do so and be
monitored.
"Women agonize over whether or not to
continue their mental health medications while pregnant," said Dr.
Chambers, who helps direct California's MotherToBaby pregnancy exposure
counseling phone line that advises thousands of women every year. She pointed
out that one out of every 33 babies has some type of birth defect regardless of
medication use, so it can be difficult to tell what role the drug may have
played in causing a birth defect.
When possible, women and their doctors should
discuss the options before pregnancy so they can weigh the potential risk to
the baby with the clear risks of stopping treatment, said Dr. Chambers.