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Perinatal Use of Antidepressants

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Encyclopedia of Psychopharmacology

Synonyms

Perinatal psychopharmacology

Definition

Depressive disorders are common in pregnancy (Yonkers et al. 2009). Treatment of pregnant women with depression requires careful consideration of the benefits of antidepressant agents and the obstetrical and perinatal risks to both mothers and their infants.

Current Concepts and State of Knowledge

Mood disorders frequently affect women of reproductive age and, therefore, commonly occur during pregnancy (Yonkers et al. 2009). While psychotherapy is effective for mild-to-moderate depression, women with severe depression or an incomplete response may require pharmacotherapy (Yonkers et al. 2009). Antidepressants cross the placenta, so maternal use results in some degree of fetal exposure. Consequently, the decision to initiate or modify antidepressant treatment requires a careful assessment of risks of untreated depression and those related to antidepressant medications.

Depression poses risks to both mother and infant. Compared to women...

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References

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Correspondence to Kimberly A. Yonkers .

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© 2013 Springer-Verlag Berlin Heidelberg

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Blackwell, K.A., Forray, A., Yonkers, K.A. (2013). Perinatal Use of Antidepressants. In: Stolerman, I., Price, L. (eds) Encyclopedia of Psychopharmacology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27772-6_7029-1

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  • DOI: https://doi.org/10.1007/978-3-642-27772-6_7029-1

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  • Online ISBN: 978-3-642-27772-6

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