It was once simpler.  Turning into a perinatal psychiatrist meant understanding some rudimentary knowledge on the reproductive dangers of some psychotropic drugs — drugs like lithium and valproic acid that had been identified teratogens. There was some preliminary knowledge on just a few SSRI antidepressants, the tricyclic antidepressants, and the older antipsychotic drugs.  More often than not, consultations concerned weighing the dangers of untreated psychiatric sickness within the mom in opposition to the as but unknown dangers to the kid of the drugs used to deal with these problems. 

Now now we have plenty of knowledge to wade by way of, and it’s a daunting process to familiarize oneself with this physique of knowledge.  Having a stable, well-researched overview article is an effective place to begin, however a lot of these articles are in books that are generally tough to find.  This text from Hanna Betcher and Katherine Wisner is out there on-line (free) and is a wonderful foundational article.  It gives clinically related knowledge but in addition helps the reader navigate a number of the extra controversial points within the area.    

Have a Completely happy and Wholesome New Yr!

Ruta Nonacs, MD PhD

Betcher HK, Wisner KL. Psychotropic Therapy Throughout Being pregnant: Analysis Synthesis and Scientific Care Ideas. J Womens Well being (Larchmt). 2020;29(3):310-318. doi:10.1089/jwh.2019.7781

 

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