title: Ruminative worrying during pregnancy: a case series.
abstract: BACKGROUND
  Most women worry to some extent during pregnancy about exposure to agents that might harm their babies.
  
  
  METHODS
  We describe three women who worried excessively throughout pregnancy about harming their babies because of exposure to agents including, but not limited to, psychotropic drugs. These women were extremely resistant to reassurances that their babies would not be adversely affected, and it is likely there are more women in the community who fit this profile. We have described a number of management strategies that we found effective in caring for these women during pregnancy.
  
  
  CONCLUSIONS
  A collaborative effort between caregivers in psychiatry and obstetrics, as well as other health professionals, is required to provide management for these women during pregnancy.
authors.affiliation: The Motherisk Program, The Hospital for Sick Children, Toronto ON.
authors.forename: Adrienne
authors.initials: A
authors.lastname: Einarson
authors.affiliation: The Women's Life Center of The Semel Institute for Neuroscience and Human Behaviour, Geffen School of Medicine at UCLA, Los Angeles CA.
authors.forename: Vivien K
authors.initials: VK
authors.lastname: Burt
authors.affiliation: Alexian Brothers Behavioral Health Hospital, Hoffman Estates IL.
authors.forename: Delia
authors.initials: D
authors.lastname: Patroi
authors.affiliation: Clinical Director, Perinatal Mental Health, Department of Psychiatry, Mount Sinai Hospital Toronto ON.
authors.forename: Bev
authors.initials: B
authors.lastname: Young
mesh_terms: D000014:Abnormalities, Drug-Induced / Q000523:psychology*; D000328:Adult; D014150:Antipsychotic Agents / Q000009:adverse effects* / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009035:Mothers / Q000523:psychology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000139:chemically induced / Q000523:psychology*; D011256:Pregnancy Outcome; D011295:Prenatal Care / Q000379:methods; D011297:Prenatal Exposure Delayed Effects / Q000523:psychology*
chemical_list: D014150:Antipsychotic Agents