Lithium and Anticonvulsant Mood Stabilizers: No Higher Risk for Adverse Pregnancy Outcomes
For women with bipolar disorder, choosing whether to maintain or discontinue treatment with a mood stabilizer during pregnancy is challenging. This is a process which requires careful and thoughtful consideration, weighing the risk of adverse outcomes associated with exposure to a particular drug against the risk of recurrent illness in the setting of medication discontinuation. While we have considerable information regarding the teratogenicity of various mood stabilizers, we have much less [...]
Perinatal Anxiety: Common But Not Frequently Recognized or Treated
According to a recent meta-analysis published in the Journal of Clinical Psychiatry, one in five pregnant women experience at least one type of anxiety disorder. While this may be surprising to some, anybody who works with pregnant and postpartum women is well aware that anxiety is very common in this population. Because anxiety is so common and is often a very normal response to any sort of life transition, one of [...]
Bioidentical, Compounded Hormones Commonly Used by Perimenopausal Women, But No Consistency
Increasing numbers of peri- and post-menopausal women request “bioidentical” rather than synthetic hormones. Although there is a tendency to think of bioidentical hormones as “all-natural”, they, like synthetic hormones, are manufactured in the laboratory. In contrast to synthetic hormones, they are chemically identical to the hormones produced by the human body; synthetic hormones are structurally different yet are designed to have similar biological effects as naturally produced hormones. Rather than using [...]
Weekly Roundup for JULY 26, 2019: Recent Publications in Women’s Mental Health
We have recently seen an increased interest in the subject of perinatal anxiety. While we have focused more on depressive symptoms, anxiety symptoms are actually very common during pregnancy and the postpartum period. According to a recent meta-analysis from Fawcett and colleagues (see below), about one out of every five women has at least one type of anxiety disorder during pregnancy or the postpartum period. Thus, several professional organizations are now [...]
Opioid Exposure During Pregnancy, Long-Term Effects on Children’s Development
According to a recent analysis of national data by the Centers for Disease Control, the number of pregnant women with opioid use disorder (as documented at the time of delivery) more than quadrupled from 1999 through 2014. Studies of opioid exposure in pregnancy suggest increased risk for adverse pregnancy outcomes including stillbirth, low birth weight, preterm delivery, higher rates of maternal mortality, neonatal abstinence syndrome, and birth defects (including neural tube [...]
Weekly Roundup for JULY 19, 2019: Recent Publications in Women’s Mental Health
This Week in Women's Mental Health Another busy week. There are several interesting articles which look at non-pharmacological treatment of perinatal mood and anxiety disorders. Yoga and other complementary treatments show promise but the studies are too small to reach firm conclusions. Ruta Nonacs, MD PhD PMS AND PMDD No articles this week. INFERTILITY AND MENTAL HEALTH No articles this week. PSYCHIATRIC [...]