Transfer from the provincial medical mind, the author provincial medical center medical center.
For babies, can this medicine be taken?
Depression disorders and anxiety disorders are quite common among women in the childbearing age. Even after the symptoms are relieved, antidepressants often need to be treated. If you want to get pregnant, consider the adverse effects of drugs on the fetus; even consider the adverse effects of breastfeeding on your baby in the futureEssenceThe most commonly used in these drugs are SSRI and SNRI drugs.Many women during pregnancy will feel worried: drugs may cause harm to the baby, so it is best not to take medicine. If you take medicine, just stop and talk about it.
Yes, about one -third of the pregnancy depression is acceptable to the treatment of anti -depression drug treatment. Others are largely worried that drugs will adversely affect future generations.Whether it is bad or out of reach.In some young female patients who take medicine for a long time, they often ask for discontinuation or drugs to prepare for pregnancy, but many patients have recurred after the drug, so these patients are in a dilemma: take the medicine, worry about when they can stop, I do n’t know when I can stop.When can you want your baby; don’t eat it, but the symptoms are unbearable, and there are even negative risks.
But is it really as some prospective mothers think, prenatal depression does not take medicine, and it is safe to carry the child in the past?
In fact, a large number of evidence proves that depression is not treated, but not only has it to the patient, but also to the fetus:
Studies have shown that compared with normal women, children born with mental illness, including patients with depression, have higher risk (poor adaptation) when they are born after birth.The risk of premature birth and infant low -birth weight of depression increased by 56%and 96%, respectively.In addition, the depression of mothers during pregnancy may bring their own safety risks (such as loss of appetite, lag or excessive activity, negative self -injury and suicide, etc.) to affect the fetus.
That’s the case, then treat it.If you have to take medicine, how do you look at the safety of your baby?
Anti -depression drugs and depression are not treated. Who is more harmful to pregnancy?
Although a large number of studies have shown that the use of antidepressants during pregnancy will increase to a certain extent, spontaneous abortion, premature birth, and low weight of newborns, but on the other hand, if depression is not treated, the above risks also increase.In terms of low weight and poor adaptation, there is not much difference in medication.The average pregnancy brought by antidepressants is slightly shorter, but whether this impact causes premature birth is not determined, and the evidence of spontaneous abortion is not sufficient.
Therefore, experts believe that based on the existing data, the treatment of antidepressant drugs during pregnancy due to worrying about shortening, low birth weight or spontaneous abortion during pregnancy, this move is not necessary at present.The clinical decision -making of whether the antidepressant is used during pregnancy should vary from person to person, and the doctor needs to make an evaluation and judgment.
How does taking medicine affect the baby?
If depression has to be treated as a last resort, it is necessary to consider the advantages and disadvantages of drugs to babies. After all, for some patients with pregnancy, avoiding medication is not realistic.What will the medicine affect the fetus?
First of all, people are most worried about teratogenic.At present, large -scale studies have proved that commonly used antidepressants such as Frein, Shequlin, Fluorus Samming, Xilu Pulan, Essexe Pulan, Venrafa, Mitanine, Amepone, etc. do not increaseThe severe teratogenic rate (2-4%of the normal crowd).Regarding other problems of birth defects, it is currently considered to be very rare, although it is normal and slightly higher. If the incidence of specific heart defects is 1/1,000-16,000, even if the relative risk is doubled, the absolute risk is still very low (the absolute risk is still very low (Mild defects are also included, and normal people are 7-10%).
Secondly, the baby’s future development problems are also very concerned about expectant mothers.Studies in recent years have shown that the impact of anticuries on babies is much lower than our imagination.In a study in Sweden, more than 1.5 million babies were observed, and it was found that even if we took antidepressants in the early pregnancy, the risk of premature (<37 weeks) increased slightly, and it was not found to have autism, polymotidist and fetal development.There are any increases in the risk of slowness.
For the problem of premature birth and abortion, the current research shows that the risk of late premature (<36 weeks), extremely premature birth (32 weeks) and cesarean section of mothers who suffer from depression and use SSRIS antidepressants are significantly lower than that of depression.However, those who do not use drugs indicate that the drug has a protective effect on the baby; but at the same time, the newborn birth score of the newborn produced after using the drug is lower, and the adaptive risk is increased. It is prompted that the drug still has a adverse effect on the baby (the chanceIncrease).
Because the first three months of the fetal development is the period of Guan Jian, it is generally not advisable to take drugs in the early pregnancy.But when you have to use it as a last resort, which drug is safer than?Scientists have also done relevant studies, and found that in the case of antidepressants used in the early pregnancy, Parosine and Fluotine were relatively high than other commonly used antidepressants.Sixi Pulan is the safest.
What should I do if I want a baby?
Female patients who take antidepressants for a long time, once there are fertility requirements, must contact your doctor first.Generally speaking, doctors do not advocate pregnancy, unless they are unless.Therefore, in this case, doctors will evaluate the possibility of discontinuation of patients and the risk of recurrence.If possible, patients will be recommended to stop drugs.
Because antidepressants are not taken during pregnancy, the risk of depression and recurrence/recurrence is three times that of the medication. Therefore, the suspension of drugs must be performed under the guidance of a doctor.If there is a recurrence or repetition, you need to re -evaluate whether to consider whether the medication is needed.
Mild moderate depression can be considered as psychotherapy or physical therapy, if the effect is not good, it is necessary to evaluate whether the medication is still needed.In the absence of medication, the drugs that have a small impact on the baby such as Aisi and Pulan, followed by the drug, follow the Squlin and Xilu Plan.In this process, the use of antidepressants and the choice of specific drugs is recommended by doctors, but patients and family members need to know the risk.
If you are pregnant with your baby, you need to follow up with the obstetrician and the psychiatrist to monitor the development of the fetus.Before the production, in order to avoid the reaction of the withdrawal of the drug after the baby is born, the antidepressant drug should be reduced or short -term under the guidance of the doctor (depending on the situation of the mother at the time).
What should I do if I accidentally conceive my baby?
In the process of taking antidepressants in routine, we need to pay attention to contraception.If the husband and wife decide to prepare for the baby, they should discuss with the doctor in time whether it is suitable for reducing and suspension.But if the contraceptive fails, you will be pregnant with your baby. Both husband and wife intend to ask for this baby. What should I do?
First of all, we must avoid this situation!IntersectionJust do not need to be children during the medication.
Secondly, if you really want this child, you should go to the obstetrics and gynecology, psychiatric specialty and drug consulting department in time to understand the safety of the drugs currently used and the current development of the baby in the palace.
Next, if the drugs used are relatively safe and the relevant production inspections are normal, they should also keep in touch with obstetricians and spiritual experts at any time.Under the guidance of spiritual specialists, unsafe drugs and reduce unnecessary medication; strictly monitor the development of the fetus under the guidance of obstetricians.
Finally, before the production, consider whether to reduce the drug to reduce the baby’s adaptive adaptation.
Regarding the introduction and suggestion of gestational depression- "Guidelines for Prevention and Control of Depression" for pregnancy depression disorders
Depression during pregnancy occurs mostly 3 months and the second three months of pregnancy.Women with up to 70%of pregnancy have symptoms of depression, and 10-16%have diagnostic standards for severe depression disorders.Generally speaking, patients with mild symptoms adopt non -drug intervention and give health education and supportive psychotherapy. If there are previously light ~ moderate seizures, cognitive behavior therapy and interpersonal psychological therapy can be given.Patients with severe suicide tendencies may consider antidepressant drug treatment, recommend SSRI categories, should be as single drugs as much as possible and consider the patient’s past treatment.Except for Pronetin, the use of SSRI anticoin agents during pregnancy does not increase the risk of cardiac diseases and deaths in children, but it may increase premature birth and low -weight risks; SNRI drugs and rice nataline may be related to natural abortion.In addition, some studies have shown that the use of antidepressants in the third trimester may be related to postpartum bleeding.Patients with ineffective or unsuitable drug treatment, patients with psychiatric and high suicide risks can be treated with improved electric shock (MECT).
