Ruta Nonacs

About Ruta Nonacs, MD PhD

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So far Ruta Nonacs, MD PhD has created 320 blog entries.

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?

PTSD in Veterans Increases Risk of Preterm Birth

Posttraumatic stress disorder (PTSD) is relatively common among pregnant and postpartum women. The lifetime prevalence of PTSD for women is about 10%.  PTSD is most prevalent among women of childbearing age and PTSD symptoms are common during pregnancy.  Earlier this year, we reported on a study which observed that women with a diagnosis of PTSD had an increased risk of preterm birth.  The risk was particularly high in those women with diagnoses of both PTSD and a major depressive episode; these women had a 4-fold increased risk of preterm birth.

By |2026-01-11T11:58:15-04:00November 11th, 2014|Outcomes, Pregnancy Outcomes, Psychiatric Disorders During Pregnancy, PTSD and Stress Related Disorders|Comments Off on PTSD in Veterans Increases Risk of Preterm Birth

Anti-Epileptic Drugs and Risk of Miscarriage

Do anti-epileptic drugs increase the risk for miscarriage and/or stillbirth? Many reports have demonstrated an association between the use of antiepileptic drugs during pregnancy and increased risk of congenital malformations and pregnancy complications, including pre-eclampsia, [...]

By |2025-06-26T09:08:07-04:00October 22nd, 2014|Anti-Epileptic Drugs, Outcomes, Pregnancy & Medications, Pregnancy Outcomes|Comments Off on Anti-Epileptic Drugs and Risk of Miscarriage
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