Pregnant Women Have Lingering Depression Despite Medication

Many pregnant women were found to have lingering depression and anxiety symptoms throughout their pregnancy and postpartum despite using antidepressants, reveals a new Northwestern Medicine study. //

The study also found anxiety symptoms are common in treated depressed women, with symptoms worsening over time in some women.

Antidepressants Use during Pregnancy
Depression is common during pregnancy and antidepressants are usually prescribed to overcome it. Is it safe to take these drugs while pregnant?

‘About 20 percent of women are affected with perinatal depression and anxiety during pregnancy and after birth.’

Tweet it Now

This is the first study to measure the different trajectories of depression and anxiety in pregnant and postpartum women. Through pregnancy, 18% of the women had minimal, 50% had mild and 32% clinically relevant depressive symptoms.

“This is the first longitudinal data to show that many pregnant women report depression and anxiety symptoms during pregnancy and postpartum, despite their choice to continue treatment with antidepressants,” said senior author Dr. Katherine Wisner, director of the Asher Center for the Study and Treatment of Depressive Disorders and professor of psychiatry and of obstetrics and gynecology at Northwestern University Feinberg School of Medicine.

“It lets us know these women need to be continually monitored during pregnancy and postpartum, so their clinicians can tailor their treatment to alleviate their symptoms.”

Depression, Anxiety Linked to C-Section Risk Among Pregnant Women: Study
New study sheds light on relationship between perinatal mood and anxiety disorders and first time cesarean delivery among pregnant women.

“Psychological and psychosocial factors change rapidly across childbearing,” said co-author Dr. Catherine Stika, a clinical professor of obstetrics and gynecology at Northwestern and a Northwestern Medicine gynecologist. “Repeated screenings will allow your clinician to adapt the type and/or intensity of intervention until your symptoms improve.”

Depression also impacts a woman’s infant. “This is key as children exposed to a depressed mother have an increased risk of childhood developmental disorders,” Wisner said.

Depression During Pregnancy may Increase Offspring�s Risk of Mental Health Issues
Children born to mothers who struggled with depression during pregnancy also have a slightly increased risk of depression.

The study will be published in Psychiatric Research and Clinical Practice.

The new research also showed that pregnant women taking selective serotonin reuptake inhibitors to treat their depression showed sub-optimal health, including elevated body mass index, infertility, migraines, thyroid disorders and asthma. A history of eating disorders predicted elevated depression trajectory scores.

One Out of 10 Women Experience Depression During Pregnancy
Researchers from University of Carolina found that women who have suffered eating disorders carry a greater risk of depression during pregnancy.

Perinatal depression and anxiety are widespread, affecting 20% of women during pregnancy and after birth. An estimated 500,000 pregnancies in the U.S. annually will result in women who have or will have psychiatric illness during pregnancy.

The prospective longitudinal observational cohort study, entitled “Optimizing Medication Management for Mothers with Depression (OPTI-MOM),” included 88 pregnant women. They completed assessments every four weeks from study entry until delivery and at six and 14 weeks postpartum.

Participants were enrolled at urban academic medical centers including Northwestern University Feinberg School of Medicine, University of Texas-Galveston, University of Pittsburgh and a rural health center (Marshfield Clinic Health System in Wisconsin).

The study was a collaboration with the University of Pittsburgh, Magee Women’s Hospital; The Ohio State University Wexner Medical Center; and the University of Texas Medical Branch.

Source-Eurekalert