Psychopharmacology in Pregnancy and Breastfeeding

Med Clin North Am. 2019 Jul;103(4):629-650. doi: 10.1016/j.mcna.2019.02.009.

Abstract

The use of psychotropic drugs during pregnancy and breastfeeding remains a controversial topic. There are several reasons for the controversy, ranging from the misperception that pregnancy is protective against mental illness, to the notion that women should be "pure" during pregnancy and avoid all extraneous substance use, and finally, to the stigma and misunderstanding of psychiatric illness and underestimation of how serious it can be. Fortunately, the currently available data are reassuring for most psychiatric medications-properly controlled studies indicate little to no risk for most (but not all) psychiatric medications.

Keywords: Antidepressants; Breastfeeding; Mood stabilizers; Postpartum depression; Pregnancy.

Publication types

  • Review

MeSH terms

  • Breast Feeding*
  • Female
  • Humans
  • Infant Behavior / drug effects
  • Infant, Newborn
  • Mental Disorders / drug therapy*
  • Pregnancy
  • Pregnancy Complications / drug therapy*
  • Psychopharmacology / standards*
  • Psychotropic Drugs / adverse effects
  • Psychotropic Drugs / therapeutic use*
  • Puerperal Disorders / drug therapy
  • United States

Substances

  • Psychotropic Drugs