Perinatal depression: treatment options and dilemmas.
The treatment of depression during pregnancy and the postpartum period raises unique concerns about safety for the developing fetus and the infant. An increasing number of studies suggest adverse effects from untreated stress, anxiety and depression as well as adverse effects from antidepressant and other psychotropic medications. Even when studies suggest a lack of short-term adverse effects with some medications, the paucity of systematic longitudinal follow-up studies investigating the development of children exposed to medications during pregnancy and breastfeeding causes apprehension. This review's objective is to highlight what is currently known about the negative effects of untreated disease and exposure to psychotropic medication, the treatment dilemmas confronting women with perinatal depression and issues that future studies should address so that a woman with perinatal depression can make an optimally informed decision.
Pearlstein
Teri
T
Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University and the Women's Behavioral Health Program, Women and Infants Hospital, Providence, RI 02905, USA. Teri_Pearlstein@brown.edu
D000927:Anticonvulsants / Q000009:adverse effects; D018692:Antimanic Agents / Q000009:adverse effects; D001714:Bipolar Disorder / Q000188:drug therapy / Q000523:psychology; D002220:Carbamazepine / Q000009:adverse effects; D016022:Case-Control Studies; D003511:Cyclohexanols / Q000009:adverse effects; D019052:Depression, Postpartum / Q000188:drug therapy / Q000523:psychology; D003866:Depressive Disorder / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology*; D005260:Female; D005315:Fetal Diseases / Q000139:chemically induced / Q000453:epidemiology; D006801:Humans; D007231:Infant, Newborn; D016651:Lithium Carbonate / Q000009:adverse effects; D010500:Perinatology; D011247:Pregnancy; D017367:Selective Serotonin Reuptake Inhibitors / Q000009:adverse effects; D014635:Valproic Acid / Q000009:adverse effects; D000069470:Venlafaxine Hydrochloride
D000927:Anticonvulsants; D018692:Antimanic Agents; D002220:Carbamazepine; D003511:Cyclohexanols; D016651:Lithium Carbonate; D017367:Selective Serotonin Reuptake Inhibitors; D014635:Valproic Acid; D000069470:Venlafaxine Hydrochloride