Are psychotropics drugs used in pregnancy?

Autor: De Las Cuevas C; Department of Psychiatry, School of Medicine, University of La Laguna, La Laguna, Tenerife, Canary Islands, Spain. ccuevas@ull.es, de la Rosa M A, Troyano JM, Sanz EJ
Jazyk: angličtina
Zdroj: Pharmacoepidemiology and drug safety [Pharmacoepidemiol Drug Saf] 2007 Sep; Vol. 16 (9), pp. 1018-23.
DOI: 10.1002/pds.1401
Abstrakt: Purpose: To assess the prevalence and characteristics of psychiatric drug use in pregnancy.
Methods: A prospective observational study was performed on a total of 1332 consecutive women admitted for delivery, during a 3 months period, in the public obstetric services of Tenerife Island (covering a population of 1 000 000 inhabitants).
Results: Less than 4% (3.6%) of the women recognised having a psychiatric disorder, and only 2.5% were receiving psychiatric drug treatment at the moment they knew they were pregnant; of those, 68.7% introduced substantial modifications in their treatment at that moment, 47.9% did not report any change with respect to the period before pregnancy and 35.4% recognised that their mood was worse than previously. Although patients affected by a psychiatric disorder registered a higher rate of abdominal delivery, no differences in delivery or obstetric complications were found between women with and without psychiatric illness or in relation to psychiatric drug treatment.
Conclusions: Compared to the literature, the studied population shows a lower rate of psychiatric problems and pharmacological treatment. This might reflect underrecognition or undertreatment.
(Copyright (c) 2007 John Wiley & Sons, Ltd.)
Databáze: MEDLINE
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