There are nearly 50 patients today, many of which are young women.Although their careers, family conditions, diagnosis, and diseases are different, they are facing common challenges: what to do if you are pregnant?Can the drug stop?What impact does it affect the child?
Most of the psychiatric obstacles are chronic diseases, which means that treatment requires a long course of treatment. The time is often 2 years or more. If multiple recurrences, the treatment time may be longer.Drug treatment is the cornerstone of most mental illness. After the first patient is healed, the importance of drug treatment is usually not learned, and the drug is used to stop the medicine and reduce the medicine. For old patients, they have seen the wind and waves after the drug stop, and insist on insistingThe determination to take medicine is more determined than anyone.At this time, even if the family or doctor suggested that the patient’s drug stop, it is often rejected.As we all know, the additional medication of pregnant women during pregnancy will affect the fetus.Female patients are facing dilemma before and after pregnancy. The danger of repeated illnesses in stopping the drug has increased. Continue taking medicine is worried that children are dangerous.How to choose?
Unfortunately, doctors cannot give a clear answer because there is a lack of research on the health of patients with children during pregnancy and children who do not take medicines.However, a large -scale study can answer this question to a certain extent.In October 2022, Jama Psychiatry published a very important article: Association of AntidePressant Use During Pregnancy with Risk of Neurodevelopmental Disorders in Children The relationship with children’s neurological disorder).
The study included female patients who took antidepressants during pregnancy and 3032,745 pregnant women who did not take antidepressants.After controlling various mixed factors, if the former child’s disease incidence is high, it is prompted that taking antidepressant drugs during pregnancy is harmful to the child.
The results of the study found that the risk ratio of neurological diseases in the two groups of children was 0.97 (95% CI, 0.88-1.06).CI refers to a trusted interval. If this interval spans 1, there is no statistical difference between the incidence of diseases in the two groups of children.The CI 0.88-1.06 crossed 1, proving that the possibility of the two groups of children’s nervous system is equal.
The risks of specific diseases are as follows:
The risk ratio of autism spectrum disorder is 0.86 (95% CI, 0.60-1.23);;
Pay attention to the risk ratio of defect/multi-dysfunction to 0.94 (95% CI, 0.81-1.08);;
The risk ratio of specific learning disabilities is 0.77 (95% CI, 0.42-1.39);
The risk ratio of developmental speech/language disorders is 1.01 (95% CI, 0.88-1.16);
The risk ratio of developmental coordination disorder is 0.79 (95% CI, 0.54-1.17);
The risk ratio of developmental coordination disorder is 1.00 (95% CI, 0.88-1.06);
The behavior disorder is 0.95 (95% CI, 0.80-1.12).
In short, the results of this queue study show that the use of antidepressant drugs in pregnancy will not increase the risk of children’s neurological disorder.However, even so, the exposure of antidepressants during pregnancy may be an important sign that requires early screening and intervention.In other words, if you take antidepressants during pregnancy, you must pay special attention to the production inspection.In addition, it is necessary to pay attention to this study. This research is carried out among the white people, which can only explain the risks of antidepressant drugs and children’s physical diseases.It cannot explain the degree of risk of other drugs, such as anti -psychiatric drugs, mental stabilizers, and sleeping pills.
