Risk analysis of suicidal ideations and postpartum depression with antenatal alpha methyldopa use

Asian J Psychiatr. 2018 Dec:38:42-44. doi: 10.1016/j.ajp.2018.10.024. Epub 2018 Oct 29.

Abstract

Out of the various risk factors for postpartum depression, use of pharmacotherapy during pregnancy is the most poorly understood. The present study aimed to establish risk of postpartum depression and suicidal ideations with antenatal use of alpha methyldopa. Out of the 100 postpartum women assessed, 77.78% of the women who were prescribed alpha methyldopa had significant postpartum depression. There was statistically significant risk of postpartum depression associated with alpha methyldopa (p = 0.026, OR = 6.45). There was no increased suicidal risk with use of alpha methyldopa in these women (p = 1.00).

Keywords: Alpha methyldopa; Postpartum depression; Suicidal ideation.

MeSH terms

  • Adrenergic alpha-2 Receptor Agonists / adverse effects*
  • Adult
  • Antihypertensive Agents / adverse effects*
  • Depression, Postpartum / chemically induced*
  • Depression, Postpartum / epidemiology
  • Depression, Postpartum / physiopathology
  • Female
  • Humans
  • Hypertension, Pregnancy-Induced / drug therapy*
  • Hypertension, Pregnancy-Induced / epidemiology
  • Methyldopa / adverse effects*
  • Pregnancy
  • Risk Assessment*
  • Suicidal Ideation*
  • Young Adult

Substances

  • Adrenergic alpha-2 Receptor Agonists
  • Antihypertensive Agents
  • Methyldopa