Beasley, Allen, Crow, Methvin, Portis & Miles, P.C.

Women who are depressed and women who take antidepressants during pregnancy may face a greater risk of delivering their baby prematurely, according to a recent study in the American Journal of Psychiatry and cited in Health magazine.

For the study, researchers observed a group of 300 pregnant women, most of whom did not suffer from depression but some either had a history of depression or reported becoming depressed during pregnancy. Of those observed, some took medication to treat their depression either for part of their pregnancy or for the entire pregnancy; some did not take medication and remained depressed; and some did not take medication and reported being depressed for only part of their pregnancy.

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Years ago, it was thought that pregnancy protected women from depression, but researchers have since learned that being pregnant and recent childbirth may actually contribute to a woman’s depression, filling her with a range of emotions that make dealing with the symptoms of the condition even more difficult. According to the Mayo Clinic, an estimated 10 percent of women experience depression during pregnancy.

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Christine K’s newborn baby spent her first four days of life hooked up to tubes in an incubator at a hospital’s neonatal intensive care unit, a helpless victim of her mother’s longtime use of antidepressants prior to and for the first six months of her pregnancy.

Christine K had been prescribed a combination of Paxil, Risperdal and Depakote five years prior to becoming pregnant. While pregnant she read that Paxil could be harmful to her unborn baby. She asked her doctor take her off the meds, but he insisted she stay on them.

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Decisions about how to treat depression in pregnant women are increasingly complex. Patients and physicians must carefully consider and discuss together the potential benefits and risks of treatment with antidepressants during pregnancy. Two new studies provide important information to be considered in making such decisions. The studies included women who had been treated with antidepressant drugs that act as selective serotonin reuptake inhibitors (SSRIs) or, in a few cases, other antidepressants. SSRI medications are the most commonly used drugs to treat depression in the U.S.

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