Use of antidepressants during pregnancy in the Netherlands:Observational study into postpartum interventions
| Autor: | Fokke de Jong, Noera Kieviet, Koert M. Dolman, Adriaan Honig, Fedde Scheele |
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| Přispěvatelé: | Psychiatry, APH - Mental Health |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Psychological intervention Reproductive medicine Mothers Observation Time-to-Treatment 03 medical and health sciences 0302 clinical medicine Pregnancy Intervention (counseling) Obstetrics and Gynaecology medicine Prevalence Humans 030212 general & internal medicine Psychiatry Depression (differential diagnoses) Netherlands Finnegan High prevalence business.industry Depression Postpartum Period Infant Newborn Obstetrics and Gynecology medicine.disease Antidepressive Agents Pregnancy Complications Prenatal Exposure Delayed Effects Withdrawal Observational study Female business 030217 neurology & neurosurgery Postpartum period Research Article |
| Zdroj: | Kieviet, N, de Jong, F, Scheele, F, Dolman, K M & Honig, A 2017, ' Use of antidepressants during pregnancy in the Netherlands : Observational study into postpartum interventions ', BMC Pregnancy and Childbirth, vol. 17, no. 1, 23 . https://doi.org/10.1186/s12884-016-1184-5 BMC Pregnancy and Childbirth, 17(1):23. BioMed Central BMC Pregnancy and Childbirth |
| ISSN: | 1471-2393 |
| Popis: | Background: Psychiatric disorders and use of selective antidepressants during pregnancy can have negative effects on mother and infant postpartum. This study aimed to provide evidence-based recommendations on observation of antidepressant-exposed mother-infant dyads. Methods: In this observational study, mother-infant dyads were observed for possible consequences of either the maternal psychiatric disorder or fetal exposure to selective antidepressants during pregnancy. These possible complications can lead to medical interventions, including 1. adjustment of antidepressants 2. admission to the psychiatric department 3. additional investigations due to indistinctness about the origin of neonatal symptoms 4. treatment of poor neonatal adaptation and 5. consultation of an external organization for additional care. The type, number and time to medical interventions were analyzed. Results: In 61% of the 324 included mother-infant dyads one or more intrventions were performed. Adjustment of antidepressants and treatment of poor neonatal adaptation were most prevalent. In 75% of dyads the final intervention was performed within 48 h. Conclusions: The high prevalence and type of medical interventions requires professional observation of all mother-infant dyads exposed to selective antidepressants. In the absence of specialized home care, hospital admission is indicated whereby an observational period of 48 h seems sufficient for most dyads. |
| Databáze: | OpenAIRE |
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