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(PIC)turing Pregnancy - Mental Health

  • Mental health stability of both the mother and father is important for the child; however, disorders can affect men and women differently.

  • Mental health includes anxiety, ADHD, bipolar, personality disorders, depression, eating disorders and schizophrenia.

  • This page provides a limited list, to learn about other mental health disorders, visit the National Institute for Mental Health link at the bottom of the page.
   

Depression - What is it?  

A mood disorder that affects brain chemistry and changes emotions, sleep patterns, issues concentrating, restlessness or thoughts of suicide.

 

Impact:

  • Most disorders are treated with antidepressant medication however use of certain drugs are of concern during pregnancy.

  • Depression can lead to other risky behavior that can have negative effects on a pregnancy.

  • These include substance use, suicidal thoughts, and a decline in nutrition.

  • Depression also increases the risk for premature labor and low birth weight babies.

 

Risk: Previous depression increases the risk of depression during pregnancy and postpartum depression after pregnancy

 

Recommendation: Talk with a healthcare provider to ensure that medicines you are taking are beneficial to your mental health status and healthy for your baby. Do not stop taking your current medications unless a doctor tells you to. Continue to use birth control until you have discussed these points with a healthcare provider.

 

Major Depression During Conception and Pregnancy- Women’s Mental Health

https://womensmentalhealth.org/wp-content/uploads/2008/04/mdd_guide.pdf

Depression-CDC

https://www.cdc.gov/mentalhealth/basics/mental-illness/depression.htm



 


Bipolar Disorder -
What is it?

A mood disorder that includes depression with mania or hypomania. In most cases, it occurs in the reproductive years of life.

 

Impact:

  • Bipolar disorder can get worse during pregnancy.

  • Bipolar disorder can lead to depression and other risky behavior that can have negative effects on a pregnancy.

  • These include substance use, suicidal thoughts, and a decline in nutrition.

  • Depression that is linked to bipolar disorder also increases the risk for premature labor and low birth weight babies.

 

Risk:

  • Previous bipolar disorder

  • Pregnancy

  • Being in reproductive years

 

Recommendation: If you have bipolar disorder, you should be monitored by healthcare providers in all stages of pregnancy. Talk with a healthcare provider to ensure that medicines you are taking are beneficial to your mental health status and healthy for your baby. Do not stop taking your current medications unless a doctor tells you to. Continue to use birth control until you have discussed these points with a health care provider. Take folic acid supplementation especially if on anticonvulsant medication.

 

Bipolar Disorder- CDC

https://www.cdc.gov/mentalhealth/basics/mental-illness/bipolar.htm


 

 
Schizophrenia - What is It?

This is a mental health disorder that changes how a person perceives the world, thinks and acts. There may be multiple causes to schizophrenia.

 

Impact:

Schizophrenia can result in low birth weight babies, premature births and increased risk of death for mother and child.

 

Risk:

  • Substance use and low socioeconomic status (commonly seen with people who have schizophrenia) increase risk for poor birth outcomes.

  • Increased risk of diabetes mellitus due to antipsychotic medication use can increase poor birth outcomes, however the medication itself is not toxic to the pregnancy.

 

Recommendation: If a person has Schizophrenia they should be monitored by health care providers in all stages of pregnancy. Talk with a healthcare provider to ensure that medicines you are taking is beneficial to your mental health status and healthy for your baby. Do not stop taking your current medications unless a doctor tells you to. Continue to use birth control until you have discussed these points with a healthcare provider. Take folic acid supplementation especially if on anticonvulsant medication.

 

Schizophrenia-National Institute of Mental Health

https://www.nimh.nih.gov/health/statistics/prevalence/schizophrenia.shtml

 

To Learn More About All Mental Health Disorders-National Institute of Mental Health

https://www.nimh.nih.gov/health/topics/index.shtml

Page Updated: 8/7/2017