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Archive | Breastfeeding and Psychiatric Medications

Psychiatric Clinics of North America: June Issue on Women’s Mental Health

In the field of reproductive psychiatry, we don’t really have any textbooks to rely on.  However, the June issue of the Psychiatric Clinics of North America is devoted to Women’s Mental Health, and it’s pretty much the most comprehensive guide on this topic. With articles from leaders in the field, it covers PMDD, medication use […]

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Credit: Pregnant Woman from Wikimedia Commons

The 50-year Quest for Better Pregnancy Data

The following post was first published in OB/GYN News. Please see our OB/GYN News archives here. Publish date: November 1, 2016 By: Gerald G. Briggs, BPharm, FCCP, Christina Chambers, PhD, MPH, Lee S. Cohen, MD, & Gideon Koren, MD Editor’s note: As Ob.Gyn. News celebrates its 50th anniversary, we wanted to know how far the medical community has come in identifying and […]

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New Legislation to Support Maternal Mental Health

Some good news for women with perinatal mood and anxiety disorders… Today, the U.S. House of Representatives passed the Bringing Postpartum Depression Out of the Shadows Act  to provide federal grants to develop and maintain programs for screening and treatment of postpartum depression. This bill, introduced by Congresswoman Katherine Clark (D-Mass) and Congressman Ryan Costello […]

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Clinical Case: Breastfeeding in a Woman with Bipolar Disorder

Ms. C is a woman with a long history of bipolar disorder, dating back to her teen years.  Because she experienced recurrent hypomania and mania every time she attempted to discontinue her treatment, she and her psychiatrist decided that she would remain on her regular regimen of medications during pregnancy and the postpartum period, which […]

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Atypical Antipsychotics and Breastfeeding

Women with bipolar disorder are at a higher risk for relapse during pregnancy and that the risk is even higher during the postpartum period.  In addition, women with bipolar disorder are more vulnerable to postpartum psychosis.  It is for these reasons that we typically recommend that women with bipolar disorder maintenance treatment with a mood […]

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Taking a Look at the New FDA Pregnancy Labeling and Lactation Rule

  The U.S. Food and Drug Administration (FDA) has proposed major revisions to prescription drug labeling in order to provide more accurate and helpful information on the effects of medications used during pregnancy and breastfeeding. The system used by the FDA for the last 30 years classifies the reproductive safety of medications using five risk […]

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Breastfeeding Status Does Not  Affect Risk for Postpartum Depression

For decades, researchers have postulated a connection between breastfeeding and postpartum depression (PPD). Many have suggested that breastfeeding may protect against postpartum depression and have suggested that the cessation of breastfeeding may be a trigger for postpartum depression and/or anxiety. However, the research examining the association between postpartum depression and breastfeeding has been mixed and […]

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New Research from the CWMH: Evaluating the Risk of Major Malformations in Children Prenatally Exposed to Atypical Antipsychotics

Despite the increasing use of the newer “atypical” or second-generation antipsychotic agents to treat a spectrum of psychiatric disorders, including schizophrenia, bipolar disorder, major depression, PTSD and other anxiety disorders, we have relatively little data on the reproductive safety of these newer atypical agents. In response to this deficit, the National Pregnancy Registry for Atypical […]

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April 2016 Roundup: Recent Publications in Reproductive Psychiatry

This will be the last monthly roundup for now.  Because there are so many publications to cover, we will try moving to a weekly roundup.  This will allow us to better highlight the most important articles and will make the list more manageable. Thanks for reading! Ruta Nonacs, MD PhD   Pregnancy-associated homicide and suicide in 37 US states with enhanced pregnancy surveillance. Wallace ME, […]

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February 2016 Roundup: Recent Publications in Reproductive Psychiatry

This roundup is a bit late — lots of publications on the list.  Stay tuned for the March Roundup.   Antenatal depression: Prevalence and risk factor patterns across the gestational period. Castro E Couto T, Cardoso MN, Brancaglion MY, Faria GC, Garcia FD, Nicolato R, Marques de Miranda D, Corrêa H. J Affect Disord. 2016 Mar 1;192:70-5.   Associations of Parental Depression With Child School Performance atAge 16 Years in Sweden. Shen H, Magnusson […]

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