Ruta Nonacs

About Ruta Nonacs, MD PhD

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So far Ruta Nonacs, MD PhD has created 315 blog entries.

Antidepressant Treatment During Pregnancy May Carry Less Risk than Untreated Illness in the Mother

Some, but not all, studies have shown an association between in utero exposure to selective serotonin reuptake inhibitor (SSRI) antidepressants and adverse pregnancy outcomes, including preterm delivery, low birth weight, and lower Apgar scores.   [...]

By |2024-03-24T11:55:03-04:00September 10th, 2015|Antidepressants, Outcomes, Pregnancy & Medications|Comments Off on Antidepressant Treatment During Pregnancy May Carry Less Risk than Untreated Illness in the Mother

Screening for Perinatal Anxiety Using PASS – the Perinatal Anxiety Screening Scale

There is a growing body of literature which indicates that anxiety symptoms are common during pregnancy and the postpartum period.  Anxiety during pregnancy places the woman at greater risk for postpartum depression and may also [...]

By |2025-12-11T09:48:22-04:00July 16th, 2015|Anxiety Disorders, Diagnosis & Screening, Psychiatric Disorders During Pregnancy|Comments Off on Screening for Perinatal Anxiety Using PASS – the Perinatal Anxiety Screening Scale

Managing Sleep Problems in Menopausal Women: What Are the Options?

Peri- and post-menopausal women frequently complain of insomnia or poor sleep quality. Sleep disturbance is often attributed to nocturnal hot flashes; however, a recent study from researchers at Wayne State University School of Medicine suggests [...]

By |2025-12-11T09:41:03-04:00June 29th, 2015|Menopausal Symptoms, Sleep Disorders, Treatment|Comments Off on Managing Sleep Problems in Menopausal Women: What Are the Options?

Women with Recurrent Pregnancy Loss at Risk for Depression and Anxiety

In a recent cross-sectional study from Denmark, researchers compared the prevalence of stress and depressive symptoms among 301 women with recurrent pregnancy loss (or RPL) and 1813 women attempting to conceive naturally. RPL was defined [...]

By |2025-12-11T09:57:02-04:00June 17th, 2015|Infertility and Mental Health, Postpartum Psychiatric Disorders, Pregnancy Loss, Psychiatric Disorders During Pregnancy|Comments Off on Women with Recurrent Pregnancy Loss at Risk for Depression and Anxiety

Screening for Depression During Pregnancy May Lead to Misdiagnosis for Women with Bipolar Disorder

The American College of Obstetrics and Gynecology now recommends that women be screened for depression during pregnancy.  Because depressive symptoms during pregnancy have been associated with worse outcomes and are a robust predictor of postpartum [...]

By |2024-04-14T16:09:32-04:00June 15th, 2015|Bipolar Disorder, Depressive Disorders, Diagnosis & Screening, Psychiatric Disorders During Pregnancy|Comments Off on Screening for Depression During Pregnancy May Lead to Misdiagnosis for Women with Bipolar Disorder

ACOG Opinion: Depression Screening for All Pregnant and Postpartum Women

It is estimated that about 15% of women suffer from depression either during pregnancy or the postpartum period. Prior to the 1980s, most new mothers had never heard of postpartum depression.  Over the last few [...]

By |2026-05-24T19:10:50-04:00June 11th, 2015|Diagnosis & Screening, Postpartum Psychiatric Disorders, Psychiatric Disorders During Pregnancy|Comments Off on ACOG Opinion: Depression Screening for All Pregnant and Postpartum Women

Women Who Discontinue Mood Stabilizers During Pregnancy: High Risk for Postpartum Relapse

Multiple studies have demonstrated that the postpartum period is a time of increased vulnerability in women with bipolar disorder.  However, because many of the commonly used mood stabilizers carry some teratogenic risk, many women elect [...]

By |2025-06-26T09:08:02-04:00June 8th, 2015|Mood Stabilizers, Outcomes, Postpartum Psychiatric Disorders, Psychiatric Disorders During Pregnancy|Comments Off on Women Who Discontinue Mood Stabilizers During Pregnancy: High Risk for Postpartum Relapse

You Asked: Gabapentin (Neurontin) and Pregnancy

While gabapentin (Neurontin) is now used in a wide variety of clinical settings — for epilepsy, pain management, restless leg syndrome, anxiety, and sleep disturbance – there is relatively little information regarding its reproductive safety.  [...]

By |2025-06-26T09:08:03-04:00May 13th, 2015|Anti-Anxiety Medications, Anti-Epileptic Drugs, Outcomes, Pregnancy & Medications, Risk of Malformations|Comments Off on You Asked: Gabapentin (Neurontin) and Pregnancy

Childhood Sexual Abuse and Risk for Perinatal Depression

Various studies have observed an association between history of abuse and increased risk for perinatal depression.  The data regarding childhood sexual abuse (CSA) in particular have been less consistent.  A recent review of the literature [...]

By |2026-01-11T11:58:11-04:00May 11th, 2015|Postpartum Psychiatric Disorders, Prevalence & Risk Factors, Psychiatric Disorders During Pregnancy|Comments Off on Childhood Sexual Abuse and Risk for Perinatal Depression

You Asked: Should Lamotrigine (Lamictal) Dose Be Adjusted During Pregnancy?

For many women with bipolar disorder, lamotrigine (Lamictal) is an effective mood stabilizer.  Given its relatively favorable reproductive safety profile, lamotrigine is a reasonable option for women who require treatment with a mood stabilizer during pregnancy.

By |2025-06-26T09:07:08-04:00March 25th, 2015|Anti-Epileptic Drugs, Pregnancy & Medications, Treatment, You Asked|Comments Off on You Asked: Should Lamotrigine (Lamictal) Dose Be Adjusted During Pregnancy?
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