Pregnancy is supposed to be one of the most enjoyable times of life. However it can have a toll on you and leave you depressed. Women who are depressed may be given antidepressant medications.One of the hardest decisions you have to make is whether to stop taking antidepressants during pregnancy.  However these medications may increase your risk of fetal problems  during pregnancy. On the other hand , depression  can also be harmful to both the mother and the unborn child.

You should never make any decision without consulting your doctor. When making  a decision, it is important to take your health, the health of your unborn child and you family’s well-being into consideration. You and your doctor can weigh the cons and pro of stopping and continuing the antidepressants and make the right decision for you.

Pregnancy and antidepressants

 
Both psychiatric and OB-GYN experts agree that if your depression  is mild and symptom free for at least 6 months, you may be able to stop using antidepressants under the doctor’s supervision before and during pregnancy. You may be able to got through pregnancy without medications if you :

• exercise more
• reduce stress
• spend some time outside
• practice yoga and meditation
• talk to a therapist on a regular basis

 
However most experts believe it is better to stay on antidepressants if

• you have a history of severe or recurrent depression
• you have a history of mental illness such as bipolar disorder
• you have ever  been suicidal

What are the risks of antidepressants during pregnancy ?

 
A few if any medications are consider completely safe during pregnancy. Research  about the effect of antidepressants on pregnancy is inconclusive.  The risk may depend on the type of antidepressants and when it is taken during pregnancy.

Risk the baby might face include the following :

• heart defects
• miscarriage
• persistent pulmonary hypertension in the newborn
• birth defects such as anencephaly
• low birth weight
• premature delivery

 
Babies exposed to antidepressants may experience withdrawal symptoms such as :

• trouble feeding
• irritability
• low blood sugar
• poor tone
• breathing problems

 
Some of these babies may be required to stay in the neonatal intensive care unit for a while.

You should note that  medications cross the placenta and reach the baby. If you have major depression, the benefits and risks may be considered closely.  Doctors will consider the medication that offers the most help with the least risk to the baby.

If medication is the best treatment for you, ask your health care team what is the best medication for you and your baby.
 
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