And the stigma crosses the placental barrier...
DOI:
https://doi.org/10.25118/2236-918X-4-3-5Keywords:
psychotropics, pregnancy, stigmaAbstract
Deciding whether to continue to take a medication or not during pregnancy is a complex decision for women and their healthcare providers to make. Information from friends, family, health care providers and media can have an important impact on decision-making regarding pharmacotherapy for psychiatric disorders during pregnancy. This article seeks to show how the stigma related to psychiatric treatment may also interfere with the perception of risk associated with them during pregnancy. If society, patients and doctors are concerned about the use of medications during pregnancy, there seems to be more concern if these medications are psychotropics. Health care providers should recognize this to identify core barriers when counseling patients who require psychopharmacotherapy in this period.
Downloads
Metrics
References
Cantilino A, Rennó Jr J, Ribeiro HL, et al. Afinal, o lítio é um teratógeno relevante? Revista Debates em Psiquiatria. 2013;3:24-27.
Cantilino A, Zambaldi CF. Uma revisão narrativa sobre os riscos dos antidepressivos e da depressão na gravidez. Revista Debates em Psiquiatria. 2012;2:40-44.
Leppée M1, Culig J, Eric M, Sijanovic S. The effects of benzodiazepines in pregnancy. Acta Neurol Belg. 2010;0:163-7.
Myles N, Newall H, Ward H, Large M. Systematic meta-analysis of individual selective serotonin reuptake inhibitor medications and congenital malformations. Aust N Z J Psychiatry. 2013;47:1002-12. https://doi.org/10.1177/0004867413492219
BBC News (Internet). Antidepressants 'could be risk to unborn babies'. 2013 Jun 23 (cited 2014 Mar 21): http://www.bbc.com/news/health-23005367
BBC Brasil (Internet). Uso de antidepressivos na gravidez 'pode trazer riscos para fetos'. 2013 Jun 25 (cited 2014 Mar 21): http://www.bbc.co.uk/portuguese/noticias/2013/06/130624_antidepressivos_riscos_feto_mv.shtml
Bonari L, Koren G, Einarson TR, Jasper JD, Taddio A, Einarson A. Use of antidepressants by pregnant women: evaluation of perception of risk, effi cacy of evidence based counseling and determinants of decision making. Arch Womens Ment Health. 2005;8:214-20. https://doi.org/10.1007/s00737-005-0094-8
Einarson A. Challenges for healthcare providers in treating women with psychiatric disorders during pregnancy. J Popul Ther Clin Pharmacol. 2012;19:e371-5.
Domar AD, Moragianni VA, Ryley DA, Urato AC. The risks of selective serotonin reuptake inhibitor use in infertile women: a review of the impact on fertility, pregnancy, neonatal health and beyond. Hum Reprod. 2013;28:160-71. https://doi.org/10.1093/humrep/des383
Robinson GE, Einarson A. Risks of untreated depression outweigh any risks of SSRIs. Hum Reprod. 2013;28:1145-6. https://doi.org/10.1093/humrep/det006
Broudy C, Payne JG. A dangerous bias. Hum Reprod. 2013;28:1148-9. https://doi.org/10.1093/humrep/det007
Ornoy A1, Koren G. Selective serotonin reuptake inhibitors in human pregnancy: On the way to resolving the controversy. Semin Fetal Neonatal Med. 2013: S1744-165X:00116-9.
Cantilino A, Lorenzo L, Paula JA, Einarson A. Use of psychotropic medications during pregnancy: perception of teratogenic risk among physicians in two Latin American countries. Rev Bras Psiquiatr. 2014;36:106-110. https://doi.org/10.1590/1516-4446-2013-1221
Downloads
Published
How to Cite
Conference Proceedings Volume
Section
License
Copyright (c) 2014 Amaury Cantilino , Joel Rennó Jr, Hewdy Lobo Ribeiro , Juliana Pires Calvasan, Renata Demarque , Jerônimo de A. Mendes Ribeiro , Gislene Valadares, Renan Rocha , Antônio Geraldo da Silva
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Debates em Psiquiatria allows the author (s) to keep their copyrights unrestricted. Allows the author (s) to retain their publication rights without restriction. Authors should ensure that the article is an original work without fabrication, fraud or plagiarism; does not infringe any copyright or right of ownership of any third party. Authors should also ensure that each one complies with the authorship requirements as recommended by the ICMJE and understand that if the article or part of it is flawed or fraudulent, each author shares responsibility.
Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) - Debates em Psiquiatria is governed by the licencse CC-By-NC
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
The licensor cannot revoke these freedoms as long as you follow the license terms. Under the following terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
