Depression and Antidepressant Use during Pregnancy

The difficulties that begin in the early stages of pregnancy in expectant mothers may increase especially towards the last period of pregnancy, and these difficulties can often lead to expectant pregnancy depression.

Depression in pregnancy is more common than you think: Between 14% and 23% of pregnant women experience symptoms of depression. In light of these rates, pregnancy depression can be widely accepted among expectant mothers.

In addition, the initial stages of dizziness and nausea that began in the first months with the development of the baby disrupt the body balance of the expectant mothers, while the addition of back and leg pains that began in the following months leads the mothers to pregnancy depression.

Most expectant mothers do not realize this, but this can cause domestic unrest from time to time. Father candidates have a big task to deal with this situation.

Specialist physicians recommend the application of one of the treatment methods such as drug-free treatment or psychotherapy, depending on the severity of pregnancy depression symptoms seen in expectant mothers.
However, in some cases, the relationship of snow&a damaging is discussed and antidepressant use may be recommended during pregnancy.

Possible Symptoms of Pregnancy Depression

• Constant sadness

• Difficulty concentrating

• Too little or too much sleep

• Loss of interest in activities that usually give pleasure

• Pessimistic thoughts about the future of the child to be born

• Concerns about not being able to take care of the child to be born

• Constant repetition of thoughts of death, suicide or despair

• Anxiety, restlessness

• Feelings of guilt or worthlessness

• Changes in eating habits

• Factors That Trigger Pregnancy Depression

• Problems in relationships, concerns about the future of marriage

• The possibility that the child to be born may be disabled

• Unwanted pregnancy conditions

• History of depression in family or person

• Previous miscarriages

• Stressful life events

• Complications in pregnancy

• Exposure to trauma

Is Doctor’s Support Necessary?
Expectant mothers who experience severe pregnancy depression do not show the necessary importance to both themselves and pregnancy follow-up and nutrition during this process. This also affects babies. Experts indicate that expectant mothers with pregnancy depression are more common in infants such as iron deficiency, hyperactivity, agitation.

The expectant mothers are in themselves; When they notice some of the situations of sadness, inability to concentrate, change in eating habits, avoid socialization, forgetfulness, constant and sudden crying attacks, etc. are recommended to consult a doctor immediately when they notice some of them.

In addition to appropriate treatments by psychiatry specialists, treatment methods such as psychotherapy are applied to expectant mothers in this condition.

Antidepressants Used during Pregnancy

Selective serotonin reuptake inhibitors (SSRI): Usually the active ingredient cyitalopram, fluoxine, sertralin drugs are the types of antidepressants selected for pregnancy.

Serotonin, norepinephrine reuptake inhibitors (SNRI): Duloxetine and venlafaxine are drugs that can be used in depression during pregnancy.

Bupropion: This drug can be used to treat both depression and smoking cessation. Although it is not the first option in depression, the effect of quitting smoking is high in women with extreme dependence.

Tricycyclic antidepressants: These drugs with amytriptyline and nortrythyne inactive substance sing are generally not used as the first choice in pregnant women. However, they can be used to treat resistant depression that does not respond to other drugs.

Are Antidepressant Drugs Harmful during Pregnancy?
Some respiratory problems in newborns are known to be associated with antidepressants. In particular, the use of antidepressants in the first month of pregnancy can lead to fetal heart defects and worsening high blood pressure in the expectant mother.

This also applies to those who take panic attack medication during pregnancy. Therefore, it is useful to keep the use of antidepressants on a minimum scale during the first trimester period unless it is mandatory.
However, before prescribing an antidepressant, the doctor considers the obligation to weigh the potentially harmful effects of the disease against the damage of treatment with antidepressants.

Because for pregnant women with severe depression, not taking medication can pose an unacceptable risk of harm.

To be more revealing, untreated depression can harm both the mother and her developing child, so it is important to investigate all treatment options. For some women, the benefits of antidepressants can outweigh potential risks, and some drugs are probably safer than others.

If you are pregnant and think you may be experiencing a depression, it is very important that you follow your doctor’s guidelines, especially if problems such as depression or other anxiety have been diagnosed.

If you are thinking of getting pregnant while using antidepressants in the same way, it might be a good idea to talk to your doctor.