Wednesday, June 8, 2016

Antidepressant Use in Pregnancy Increases Risk of Preterm Birth, Latest Review Finds – Mad In America

Antidepressant usage throughout pregnancy has actually been associated along with a variety of fetal and developmental complications. The current meta-analysis of the effect of SSRI antidepressants throughout pregnancy includes to this growing physique of research. The review located an increased risk for preterm births that remained considerable also once compared to women that were likewise diagnosed along with depression however did not take antidepressants.

Selective serotonin reuptake inhibitors may be associated with preterm birth.

Selective serotonin reuptake inhibitors might be associated along with preterm birth.

It is estimated that 10 percent of women of childbearing age are currently being treated for depression in the United States. Exposure to SSRI antidepressants throughout pregnancy has actually been linked in previous study to some major side-effects. For example, a recent study revealed that youngsters exposed to SSRIs in pregnancy were four times much more most likely to be diagnosed along with depression by age fourteen.

Untreated depression symptoms have actually themselves been associated along with unsatisfactory outcomes including preterm birth. As it’s challenging to differentiate the effects of depression symptoms from the effects of antidepressant drugs regard the fetus, there remains some debate in the study literature regard the connection in between SSRI exposure and preterm birth.

To treat this debate, researchers led by Dr. A Eke from Johns Hopkins University, completed a meta-analysis of eight prior studies, including data regard over one million women, evaluating the effect of SSRI exposure regard pregnancy outcomes. The review showed that women that received SSRIs throughout pregnancy had a greatly better risk of preterm birth. Babies born preterm carry a variety of others risks, including minimized lung development, reduced APGAR scores, and increased time in intensive care.

Importantly, the heightened risk for preterm birth remained considerable (17% increase) once comparing women exposed to SSRIs along with those that had been diagnosed along with depression however were not taking antidepressant drugs. Babies that were exposed to SSRIs in utero were likewise at an increased risk for respiratory distress syndrome (RDS) and reduced birth weights once compared along with regulate groups.

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Mad In America has actually frequently offered as a forum for discussing study regard the effects of antidepressants in pregnancy. As portion of our newly launched Sunshine Project, we lately released a comprehensive review of the study literature regard antidepressant usage in pregnancy, and Mad In America Continuing Education (MIACE) supplies a road regard the pitfalls and feasible harm to regular fetal progression and the newborn child.

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Eke, A., Saccone, G. and Berghella, V., 2016. Selective serotonin reuptake inhibitor (SSRI) usage throughout pregnancy and risk of preterm birth: a systematic review and meta‐analysis. BJOG: An Global Diary of Obstetrics & Gynaecology.(Complete Text)