Outcomes

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 [...]

By |2019-07-10T13:38:26-04:00July 22nd, 2019|Neurodevelopmental Disorders, Opioids, Outcomes, Perinatal Substance Use|Comments Off on Opioid Exposure During Pregnancy, Long-Term Effects on Children’s Development

Behavior Problems More Common In Children with Prenatal Exposure to Valproic Acid

While we have considerable information regarding the teratogenic risk associated with prenatal exposure to various antiepileptic (AED) drugs, we have less impact on exposure to AEDs on behavior outcomes in children.  Several studies have shown [...]

By |2025-06-26T09:07:41-04:00July 15th, 2019|Anti-Epileptic Drugs, Neurodevelopmental Disorders, Outcomes, Pregnancy & Medications|Comments Off on Behavior Problems More Common In Children with Prenatal Exposure to Valproic Acid

Exposure to Postpartum Depression Leads to Changes in Children’s Brain Development

Neuroimaging studies over the last few years have demonstrated that exposure to maternal depression can lead to changes in the architecture of the child’s brain, changes which may persist into adulthood and are associated with [...]

By |2019-06-26T21:52:03-04:00June 26th, 2019|Child Outcomes, Outcomes, Postpartum Depression, Postpartum Psychiatric Disorders|Comments Off on Exposure to Postpartum Depression Leads to Changes in Children’s Brain Development

Smoking During Pregnancy and Risk for ADHD in Children

Previous studies have demonstrated that children born to mothers who smoke during pregnancy are at increased risk for attention-deficit/hyperactivity disorder (ADHD).  In a recent review, Huang and colleagues looked at data from 15 cohort studies [...]

By |2019-06-18T17:52:36-04:00June 19th, 2019|Neurodevelopmental Disorders, Nicotine, Outcomes, Perinatal Substance Use|Comments Off on Smoking During Pregnancy and Risk for ADHD in Children

Anti-Epileptic Drugs in Reproductive Age Women: Valproic Acid and Topiramate Commonly Used

There have long been concerns regarding the safety of the anticonvulsant valproic acid (Depakote) during pregnancy.  Back in 2009, the American Academy of Neurology and American Epilepsy Society recommended against the use of valproic acid [...]

By |2025-06-26T09:07:43-04:00April 9th, 2019|Anti-Epileptic Drugs, Outcomes, Pregnancy & Medications, Risk of Malformations|Comments Off on Anti-Epileptic Drugs in Reproductive Age Women: Valproic Acid and Topiramate Commonly Used

Pregnancy Outcomes in Women with Bipolar Disorder

In treating pregnant women with mood or anxiety disorders, we tend to focus primarily on the reproductive safety of psychotropic medications; however, it must be recognized that withholding or withdrawing pharmacologic treatment for depression or [...]

By |2018-10-30T12:31:41-04:00October 30th, 2018|Bipolar Disorder, Outcomes, Pregnancy Outcomes, Psychiatric Disorders During Pregnancy|Comments Off on Pregnancy Outcomes in Women with Bipolar Disorder

Valproic Acid: Highlighting Risk and Modifying Prescribing Patterns in Reproductive Age Women

For clinicians who have not yet discovered the incredibly thoughtful and clinically practical monthly articles from Chittaranjan Andrade in the Journal of Clinical Psychiatry, it’s time to take a look.  (Not only are these articles [...]

By |2019-04-05T08:04:27-04:00July 3rd, 2018|Anti-Epileptic Drugs, Outcomes, Pregnancy & Medications, Risk of Malformations|Comments Off on Valproic Acid: Highlighting Risk and Modifying Prescribing Patterns in Reproductive Age Women

In Brief: Anxiety and Risk of Fractures in Postmenopausal Women

Around 10 years ago, there was a series of publications suggesting a link between the use of serotonin reuptake inhibitor antidepressants and bone loss in older women.  One of the things that made it difficult [...]

By |2018-06-26T09:33:45-04:00June 26th, 2018|Anxiety Disorders, Menopausal Symptoms, Outcomes|Comments Off on In Brief: Anxiety and Risk of Fractures in Postmenopausal Women

Breastfeeding and Marijuana: What’s Safe?

We continue to see more and more women of reproductive age using marijuana in various forms.  According to research published in the Journal of the American Medical Association, there has been a significant increase in [...]

By |2018-10-03T22:46:11-04:00May 23rd, 2018|Breastfeeding & Medications, Cannabis, Outcomes, Perinatal Substance Use|Comments Off on Breastfeeding and Marijuana: What’s Safe?

Fluvoxamine and Pregnancy: Is There a Right Choice?

  Every day, we see women in our clinic who are deciding whether to continue a selective serotonin reuptake inhibitor (SSRI) for management of depression or anxiety during pregnancy. As a class, SSRI use during [...]

By |2018-09-10T12:34:17-04:00May 16th, 2018|Antidepressants, Outcomes, Pregnancy & Medications, Risk of Malformations|Comments Off on Fluvoxamine and Pregnancy: Is There a Right Choice?
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