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Pregnancy

Anti-depressants and pregnancy

11/05/2008

Question:

I am on 25mg of sertralineand I think I may be pregnant. Will this medication harm my unborn child?

Answer:

A similar question has been answered previously, which I am reproducing below:

Taking antidepressants in pregnancy is a complicated issue. Some women experience depression and anxiety to the point that, without medication, they are unable to properly care for themselves or their children. Severe depression in pregnancy may be associated with poor nutrition, poor fetal growth and postpartum problems like increased depression and poor infant bonding. Suicidal thoughts are also an important reason for medical therapy.

On the other hand, if depressive symptoms can be improved with counseling alone (interpersonal or cognitive/behavioral therapy), it may be preferable to taking medication. Although medications in the class containing sertraline are generally safe in pregnancy, there may be a small but increased risk of a rare heart condition in babies born to women who took them throughout pregnancy, and babies may show symptoms after birth of a temporary withdrawal syndrome.

You will need to speak with your doctor to determine whether the benefits of the sertraline outweigh the risks in your particular case.

For more information:

Go to the Pregnancy health topic, where you can:

Response by:

The Ohio State University Jonathan A Schaffir, MD
Assistant Professor
Division of General Obstetrics and Gynecology
Department of Obstetrics and Gynecology
College of Medicine
The Ohio State University
Jonathan  A Schaffir, MD