Posts Tagged ‘antidepressants’

Depression during pregnancy: what you need to know

Friday, October 6th, 2017

Depression is more than just feeling sad. It’s a medical condition that affects your thoughts, feelings, and even causes changes to your body. You may have depression if you have any of these signs that last for more than 2 weeks:

Changes in your feelings 

  • Feeling sad, hopeless or overwhelmed
  • Feeling restless or moody
  • Crying a lot
  • Feeling worthless or guilty

Changes in your everyday life 

  • Eating more or less than you usually do
  • Having trouble remembering things, concentrating or making decisions
  • Not being able to sleep or sleeping too much
  • Withdrawing from friends and family
  • Losing interest in things you usually like to do

Changes in your body 

  • Having no energy and feeling tired all the time
  • Having headaches, stomach problems or other aches and pains that don’t go away

If you have any of these symptoms, talk to your health care provider.

Depression during pregnancy

If you’ve had depression before, you’re more likely than other women to experience depression during pregnancy. Being pregnant can make depression worse or make it come back if you’ve been treated in the past and were feeling better.

If you have depression during pregnancy and don’t get treatment, you may not feel well enough to make sure you are eating healthy foods and you may not gain the right amount of weight. You may miss prenatal care appointments or not follow medical instructions. Or you may smoke, drink alcohol, use street drugs or misuse prescription drugs. All of these things can affect your baby before he’s born.

Depression that is not treated during pregnancy can increase the risk of:

Treatment for depression during pregnancy

It’s best if you work with a team of providers to treat your depression during pregnancy. These providers can work together to make sure you and your baby get the best care. They may include your prenatal care provider and a professional who treats your depression (such as a psychiatrist, psychologist, therapist, or counselor).

There are several treatment options available for depression during pregnancy including talk therapy, support groups and medicine, such as antidepressants. Make sure you talk to your health care provider about the best choice for you.

If you think you have depression during pregnancy, talk to your health care provider. You may need treatment to help you feel better.

Have questions? Text or email us at Askus@marchofdimes.org.

Antidepressant use and the risk of ASD

Friday, December 18th, 2015

medication bottlesA new study suggests that the use of antidepressants during pregnancy, specifically in the second and third trimesters, may increase the risk of autism spectrum disorder (ASD) in children.

While these findings help to add to our understanding of autism, it is important to recognize that this study does not prove that antidepressant use causes autism. It is difficult to determine whether the increased risk of ASD is the result of antidepressants or the result of the underlying depression.

Researchers looked at data from more than 145,000 births between 1998-2009. They found that when mothers took antidepressants during the second and third trimesters, the chance that the child would develop ASD was higher when compared to children whose mothers did not take antidepressants. Keep in mind that the overall risk of having a child with autism is 1%. This study suggests that the risk increases to 1.87% if a woman is taking certain antidepressants.

The increase was seen with a specific type of antidepressants called selective serotonin reuptake inhibitors (SSRIs). SSRIs are the most commonly prescribed antidepressant medicines and include medications like citalopram (Celexa®), escitalopram (Lexapro®), fluoxetine (Prozac®), paroxetine (Paxil®) and sertraline (Zoloft®).

There are a number of causes of ASD but we don’t know all of them. More research is needed. However, there are some factors that we know increase the chance of ASD:

  • Having pregnancy complications. Some research shows that there may be a link between ASD and pregnancy complications that lead to low birthweight, premature birth or cesarean birth.
  • Taking certain prescription medicines, like valproic acid or thalidomide, during pregnancy. Taking these medicines during pregnancy has been linked with a higher risk of having a child with ASD.
  • Having an older parent. Babies born to older parents are more likely to have ASD.
  • Having genes linked to ASD. Researchers are studying a number of genes that may be linked to ASD. Children who have a brother or sister with ASD are more likely to have ASD themselves.
  • Having a genetic or chromosomal condition. ASD happens more often in children who also have certain genetic or chromosomal conditions, like fragile X syndrome or tuberous sclerosis.

Important:  If you are pregnant or thinking about getting pregnant and are taking antidepressants, you should not stop taking them until you talk to your health care provider. Together you can look at the possible risks of these drugs on your baby as well as the risk of having your depression come back if you stop taking your medicine. Learn as much as you can about the medicines so you can make the best choice for you and your baby.

Have questions? Email us at AskUs@marchofdimes.org.

Postpartum depression

Friday, October 30th, 2015

contemplative woman facePostpartum depression (PPD) is the most common health problem for new mothers. For most women, having a baby brings joy and happiness but about 1 out of every 8 women experience postpartum depression. It is the most common complication for new moms. Recently actresses Hayden Panettierre and Drew Barrymore publicly discussed their struggles with PPD.

Postpartum depression is different than the baby blues. The baby blues are caused by the sudden change in hormones after childbirth. This leaves many women feeling sad or moody and is very common. The baby blues usually peak about 3-5 days after delivery. Postpartum depression is more severe and long-lasting. PPD is strong feelings of sadness that last for a long time. These feelings can sometimes make it difficult for you to care for your baby. PPD can happen any time after childbirth, although it usually starts during the first three months. PPD is not your fault. It is a medical condition and it requires medical treatment.

Causes of postpartum depression

We’re not sure what exactly causes PPD but it can happen to any woman after having a baby. We do know that certain risk factors increase your chances to have PPD:

  • You’re younger than 20.
  • You’ve had PPD, major depression or other mood disorders in the past.
  • You have a family history of depression.
  • You’ve recently had stressful events in your life.

Warning signs

You may have PPD if you have five or more of the signs below and they last longer than 2 weeks.

Changes in your feelings

  • Feeling depressed most of the day every day
  • Feeling shame, guilt or like a failure
  • Feeling panicky or scared a lot of the time
  • Having severe mood swings

Changes in your everyday life

  • Having little interest in things you normally like to do
  • Feeling tired all the time
  • Eating a lot more or a lot less than is normal for you

Gaining or losing weight

  • Having trouble sleeping or sleeping too much
  • Having trouble concentrating or making decisions
  • Changes in how you think about yourself or your baby
  • Having trouble bonding with your baby
  • Thinking about hurting yourself or your baby
  • Thinking about killing yourself

If you’re worried about hurting yourself or your baby, call emergency services at 911 right away.

Treatment

If you think you may have PPD, call your health care provider. Your provider may suggest certain treatments such as counseling, support groups, and medicines. Medicines to treat PPD include antidepressants and estrogen (estrogen is a hormone. Hormones are chemicals in your body).  If you’re taking medicine for PPD don’t stop without your provider’s OK. It’s important that you take all your medicine for as long as your provider prescribes it.

PPD is not your fault. It is a medical condition that can get better with treatment so it is very important to tell your doctor or another health care provider if you have any signs. The earlier you get treatment, the sooner you can feel better and start to enjoy being a mom.

Have questions? Text or email us at AskUs@marchofdimes.org.

Depression: symptoms and treatment options

Friday, October 9th, 2015

contemplative woman faceDepression is more than just feeling sad. It is a medical condition that affects your thoughts, feelings, and even causes changes to your body. You may have depression if you have any of these signs that last for more than 2 weeks:

Changes in your feelings 

  • Feeling sad, hopeless or overwhelmed
  • Feeling restless or moody
  • Crying a lot
  • Feeling worthless or guilty

Changes in your everyday life 

  • Eating more or less than you usually do
  • Having trouble remembering things, concentrating or making decisions
  • Not being able to sleep or sleeping too much
  • Withdrawing from friends and family
  • Losing interest in things you usually like to do

Changes in your body 

  • Having no energy and feeling tired all the time
  • Having headaches, stomach problems or other aches and pains that don’t go away

If you have any of these symptoms, talk to your health care provider.

Depression during pregnancy

If you’ve had depression before, you’re more likely than other women to experience depression during pregnancy. If left untreated, depression during pregnancy can affect your baby. If you’re pregnant and have depression that’s not treated, you’re more likely to have:

  • Premature birth (before 37 weeks of pregnancy).
  • A low-birthweight baby (a baby weighing less than 5 pounds, 8 ounces).
  • A baby who is more irritable, less active, less attentive and has fewer facial expressions than babies born to moms who don’t have depression during pregnancy.

It’s best if a team of providers treats your depression during pregnancy. These providers can work together to make sure you and your baby get the best care. They may include your prenatal care provider and a professional who treats your depression (such as a psychiatrist, psychologist, therapist, or counselor).

There are several treatment options available for depression during pregnancy including talk therapy, support groups and medicine, such as antidepressants.

Some research shows that taking an antidepressant during pregnancy may put your baby at risk for certain health conditions. But if you’ve been taking an antidepressant, it may be harmful to you to stop taking it. So talk with your provider about the benefits and risks of taking an antidepressant while you’re pregnant. Together you can then decide what you want your treatment to be. If you’re taking an antidepressant and find out you’re pregnant, don’t stop taking the medicine without talking to your provider first. Not taking your medicine may be harmful to your baby, and it may make your depression come back.

If you’re pregnant and you have any signs of depression, talk to your health care provider. There are things you and your provider can do to help you feel better.

Have questions? Text or email us at Askus@marchofdimes.org.

New study looks at link between antidepressants and birth defects

Friday, July 10th, 2015

pregnant woman with MDThe use of certain antidepressants during pregnancy is associated with a higher risk of birth defects, according to a new study. But other antidepressants do not carry the same risk.

The study looked at a specific group of antidepressants called selective serotonin reuptake inhibitors (SSRIs). SSRIs are medications used to treat depression and other mental health conditions. Previous studies gave conflicting evidence about potential links between the use of SSRIs during pregnancy and certain birth defects.

In this study, researchers from the CDC analyzed data from 17,952 mothers of infants with birth defects and 9,857 mothers of infants without birth defects, born between 1997 and 2009.

The researchers found that some birth defects occur about two or three times more frequently among babies born to women who took certain SSRI medications, like Prozac (fluoxetine) and Paxil (paroxetine) early in pregnancy. It is important to note that the actual risk for a birth defect among babies born to women taking Prozac or Paxil is still very low. For example, the risks for a specific heart defect could increase from 10 per 10,000 births to about 24 per 10,000 births among babies of women who are treated with Paxil early in pregnancy. Since these specific types of birth defects are rare, even doubling the risk still results in a low overall chance.

Researchers did not find a link between birth defects and other SSRIs such as Zoloft (sertraline).

“A pregnant woman should be reassured that she can choose a safe drug to treat her depression and not have to go off her medication because she is afraid her baby may develop a birth defect,” Dr. Edward McCabe, Chief Medical Officer of the March of Dimes said. “Not treating depression can be unhealthy for both the mom and her baby. It can cause stress, and stress during pregnancy is associated with early births and low-birthweight babies.”

If you are currently taking an antidepressant and are concerned, do not stop taking the medication until you talk to your health care provider. And if you are planning to become pregnant and are taking an antidepressant, schedule a preconception checkup and discuss what medications may be best for you.