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ADHD Medication During Pregnancy and Breastfeeding<br><br>The choice of whether to stop or continue ADHD medications during pregnancy and nursing is a challenge for women suffering from the condition. There is a lack of information about how long-term exposure to these medications can affect the foetus.<br><br>A study recently published in Molecular Psychiatry demonstrates that children exposed to ADHD medication during pregnancy do not develop neurological disorders like hearing loss or vision, febrile seizures or IQ impairment. The authors acknowledge the need for more high-quality research.<br><br>Risk/Benefit Analysis<br><br>Women who are pregnant and taking ADHD medication should evaluate the benefits of using it against the possible risks for the baby. Physicians do not have the information needed to make unequivocal recommendations, but they can provide information regarding the risks and benefits to assist pregnant women in making informed decisions.<br><br>A study published in Molecular Psychiatry found that women who were taking ADHD medications in early pregnancy did not face an higher risk of fetal cardiac malformations or major birth defects that are structural. Researchers used a large population-based case control study to compare the incidence of structural defects that were major in infants born to mothers who were taking stimulants during pregnancy. Pediatric cardiologists, clinical geneticists and other experts reviewed the cases in order to confirm that the classification was correct and to minimize any bias.<br><br>However, the researchers' study was not without its flaws. In particular, they were not able to differentiate the effects of the medication from those of the disorder that is underlying. That limitation makes it difficult to determine whether the small differences observed in the exposed groups are due to the use of medication or the confounding effect of comorbidities. The researchers also did not examine the long-term effects for the offspring.<br><br>The study did reveal that babies whose mothers had taken ADHD medication during pregnancy were at a greater risk of being admitted to the neonatal intensive care unit (NICU) than those who whose mothers did not take any medication or taken off their medication prior to or during pregnancy. This was due to central nervous system disorders, and the increased risk of admission did not appear to be influenced by the stimulant medication was used during pregnancy.<br><br>Women who were taking stimulant ADHD medication during pregnancy also had an elevated chance of having a caesarean delivery or having a baby born with an low Apgar score (less than 7). These increases did not appear to be influenced by the type of medication that was used during pregnancy.<br><br>Researchers suggest that the small risk of using ADHD medications during early pregnancies could be offset by the greater benefits for baby and mother of continued treatment for the woman’s disorder. Doctors should discuss with their patients about this and try to help them improve coping skills which can lessen the effects of her disorder on her daily life and relationships.<br><br>Medication Interactions<br><br>As more women than ever before are being diagnosed with ADHD and treated with medication, the issue of whether to continue or end treatment during pregnancy is a question that more and more physicians confront. These decisions are frequently made without clear and reliable evidence. Instead, doctors must weigh their own knowledge in conjunction with the experiences of other physicians and the research that has been conducted on the subject.<br><br>The issue of risk to infants is difficult to determine. Many studies on this issue are based on observational data instead of controlled research and their findings are often contradictory. Most studies restrict their analysis to live births, which can underestimate the teratogenic impact which can cause abortions or terminations of pregnancy. The study presented in the journal club addresses these limitations by analyzing both the data from deceased and live births.<br><br>Conclusion A few studies have shown an association between ADHD medications and certain birth defects However, other studies haven't shown such a relationship. Most studies show that there is a neutral, or somewhat negative, effect. In every case an in-depth evaluation of the benefits and risks should be conducted.<br><br>For women suffering from ADHD and ADD, the decision to stop medication is difficult if not impossible. In a recent article in the Archives of Women's Mental Health by psychologist Jennifer Russell, she notes that stopping ADHD medications during pregnancy can cause depression and feelings of being isolated. Furthermore, a loss of medication can interfere with the ability to perform jobs and drive safely, which are important aspects of daily life for a lot of people with [https://championsleage.review/wiki/Responsible_For_The_Non_Stimulant_ADHD_Medication_Uk_Budget_10_Unfortunate_Ways_To_Spend_Your_Money adhd medication ritalin].<br><br>She suggests that women who are unsure whether to continue taking medication or stop it due to their pregnancy educate family members, coworkers and acquaintances about the condition, its effects on daily functioning, and the benefits of continuing the current treatment. It can also help women feel more confident in her decision. It is important to note that some drugs can pass through the placenta therefore, if a patient decides to stop taking her [https://community.umidigi.com/home.php?mod=space&uid=1362339 adhd medication making it worse] medication during pregnancy and breastfeeding, she should be aware that traces of the drug can be transferred to the infant.<br><br>Risk of Birth Defects<br><br>As the use and misuse of ADHD drugs to treat symptoms of attention deficit hyperactivity disorder ([https://www.youtube.com/redirect?q=https://coppergun0.bravejournal.net/15-strange-hobbies-that-will-make-you-more-successful-at-medication-for-autism adhd medication prices uk]), increases, so does concern about the possible effects of the drugs on foetuses. A recent study published in the journal Molecular Psychiatry adds to the existing information on this topic. Researchers utilized two massive data sets to study over 4.3 million pregnant women and determine if the use of stimulant medications increased the risk of birth defects. While the overall risk is low, the researchers found that exposure in the first trimester to ADHD medications was associated with an increase in the risk of certain heart defects like ventriculo-septal defects (VSD).<br><br>The authors of the study found no association between the use of early medications and congenital abnormalities like facial clefting, or club foot. The results are in agreement with previous studies which showed a small, but significant increase in the number of cardiac malformations among women who began taking ADHD medication before the birth of their child. The risk was higher in the latter half of pregnancy, as many women are forced to stop taking their ADHD medications.<br><br>Women who were taking ADHD medication during the first trimester were more likely to need a caesarean, have a low Apgar after delivery and have a baby who needed breathing assistance at birth. However, the authors of the study were unable to eliminate bias due to selection by limiting the study to women who did not have any other medical conditions that could be a contributing factor to these findings.<br><br>Researchers hope their research will help doctors when they meet pregnant women. They recommend that, while the discussion of the risks and benefits is crucial, the decision to stop or continue medication should be based on each woman's needs and the severity of her ADHD symptoms.<br><br>The authors also advise that, while stopping the medication is an option, it isn't an option that is recommended due to the high rate of depression and other mental health issues for women who are expecting or post-partum. Research has also shown that women who stop taking their medications will have a harder adjustment to life without them after the baby is born.<br><br>Nursing<br><br>The responsibilities of a new mom can be overwhelming. Women with ADHD who have to manage their symptoms while attending physician appointments as well as making preparations for the arrival of a baby and getting used to new routines at home may face a lot of challenges. As such, many women elect to continue taking their ADHD medications throughout pregnancy.<br><br>The risk for nursing infant is low because the majority of stimulant medications is absorbed through breast milk at a low level. However, the frequency of exposure to medication by the newborn can vary depending on dosage, how often it is administered and the time of day it is administered. Additionally, different medications are introduced into the baby's system through the gastrointestinal tract or breast milk. The impact of these medications on the health of a newborn is not completely known.<br><br>Some doctors may stop taking stimulant medication during a woman's pregnancy due to the absence of research. This is a complicated decision for the patient, who must balance the benefits of continuing her medication against the possible dangers to the foetus. As long as more information is available, doctors can inquire about pregnant patients if they have any history of [https://peatix.com/user/24744853 Cheapest adhd medication] or if they are planning to take medication in the perinatal stage.<br><br>Many studies have shown that women can continue taking their ADHD medication without risk during pregnancy and while breast-feeding. In response, an increasing number of patients are choosing to do so. They have concluded through consultation with their physicians, that the benefits of retaining their current medication far outweigh any possible risks.<br><br>Women with ADHD who are planning to breastfeed should seek the advice of a specialist psychiatrist before becoming pregnant. They should discuss their medication with their doctor and discuss the pros and cons of continuing treatment. This includes non-pharmacological strategies. Psychoeducation should also be offered to help women with ADHD understand their symptoms and the root cause and learn about treatment options and reinforce existing strategies for coping. This should be a multidisciplinary approach together with obstetricians, GPs, and psychiatrists. Pregnancy counseling should include a discussion of a treatment plan for the mother as well as the child, and monitoring for signs of deterioration, and, if needed adjustments to the medication regime.