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Treatments during pregnancy and breastfeeding

What are the issues regarding antipsychotic treatment during pregnancy and motherhood? 

Antipsychotic use during pregnancy requires careful consideration of the mother’s risk of illness relapse, against the risk of harm or complications for the developing infant if medication is to be continued.

What is the evidence for the use of antipsychotics during pregnancy and breastfeeding?

Moderate to low quality evidence suggests a small increased risk of heart defect or lower birth weight in infants, and a small increased risk of preterm delivery, but not stillbirth, with exposure to antipsychotics (first or second generation). Low quality evidence is unsure about the risk of termination or spontaneous abortion, and the size and malformation in infants.

Review authors report that the studies did not routinely adjust for potential confounding factors, such as other medication use.

Also see the Course and Outcome parenthood topic and the psychosocial treatments for mothers with schizophrenia topic.

 

December 2017

Page last updated: 0:07  19 December 2017

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