Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-5f56664f6-spj7j Total loading time: 0 Render date: 2025-05-07T15:15:59.885Z Has data issue: false hasContentIssue false

Case 6 - A 20-Year-Old with Anxiety and Depression at 7 Weeks

from Section 1 - Antepartum (Early Pregnancy)

Published online by Cambridge University Press:  08 April 2025

By
Meleen Chuang
Edited by
Peter F. Schnatz ,
D. Yvette LaCoursiere ,
Christopher M. Morosky ,
Jonathan Schaffir ,
Vanessa Torbenson  and
David Chelmow
Peter F. Schnatz
Affiliation:
The Reading Hospital, Pennsylvania
D. Yvette LaCoursiere
Affiliation:
University of California, San Diego
Christopher M. Morosky
Affiliation:
University of Connecticut School of Medicine
Jonathan Schaffir
Affiliation:
The Ohio State University College of Medicine
Vanessa Torbenson
Affiliation:
Mayo Clinic Alix School of Medicine
David Chelmow
Affiliation:
Virginia Commonwealth School of Medicine
Get access

Summary

Early depression screening and risk stratification of modifiable risk factors during pregnancy for women at risk of perinatal mental health conditions is important to ensure safe care delivery during prenatal care and into the postpartum period. Using psychotherapy and antidepressants together with care to avoid multiple psychotrophic medications can limit exposure of medications during pregnancy while ensuring adequate treatment of depression and other mood disorders.

Keywords

perinatal mood disordersperinatal mental healthmaternal mental healthdepressionanxietypostpartum depressionselective serotonin reuptake inhibitorteratogenmedication safety in pregnancy and lactationbreast-feedinglactation
Type
Chapter
Information
Pregnancy Complications
A Case-Based Approach
 , pp. 16 - 18
Publisher: Cambridge University Press
Print publication year: 2025

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Book purchase

Temporarily unavailable

References

Treatment and Management of Mental Health Conditions during Pregnancy and Postpartum: ACOG Clinical Practice Guideline No. 5. Obstet Gynecol. 2023;141:1262–1288.Google Scholar
Becker, M, Weinberger, T, Chandy, A, et al. Depression during Pregnancy and Postpartum. Curr Psychiatry Rep. 2016;18(3):32.CrossRefGoogle ScholarPubMed
ACOG Committee Opinion No. 757: Screening for Perinatal Depression. Obstet Gynecol. 2018;132(5):e208–e212.CrossRefGoogle Scholar
Creeley, CE, Denton, LK. Use of Prescribed Psychotropics during Pregnancy: A Systematic Review of Pregnancy, Neonatal, and Childhood Outcomes. Brain Sci. 2019;9(9):235.CrossRefGoogle ScholarPubMed
Gao, SY, Wu, QJ, Sun, C, et al. Selective Serotonin Reuptake Inhibitor Use during Early Pregnancy and Congenital Malformations: A Systematic Review and Meta-analysis of Cohort Studies of More Than 9 Million Births. BMC Med. 2018;16(1):205.CrossRefGoogle ScholarPubMed
Betcher, HK, Wisner, KL. Psychotropic Treatment during Pregnancy: Research Synthesis and Clinical Care Principles. J Womens Health (Larchmt). 2020;29(3):310–318.Google ScholarPubMed
MotherToBaby. www.mothertobaby.org (accessed September 23, 2024).Google Scholar
National Institute of Child Health and Human Development. Drugs and Lactation Database (LactMed®). www.ncbi.nlm.nih.gov/books/NBK501922/#IX-C (accessed September 23, 2024).Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×