25 Amazing Facts About ADHD Medication Pregnancy
ADHD Medication During Pregnancy and Breastfeeding
Women suffering from ADHD have to make a difficult choice about whether to continue or stop taking ADHD medication during pregnancy and breastfeeding. Little data exists about how long-term exposure to these drugs could affect the fetus.
A recent study published in Molecular Psychiatry demonstrates that children exposed to ADHD medication during pregnancy do not develop neurological issues such as impaired hearing or vision, febrile seizures or IQ impairment. The authors acknowledge the need for higher-quality studies.
Risk/Benefit Analysis
Women who are pregnant and taking ADHD medications must weigh the advantages of using them against the risks to the foetus. Doctors don't have enough data to make unambiguous recommendations however they can provide information on the risks and benefits to help pregnant women make an informed decision.
A study published in Molecular Psychiatry found that women who used ADHD medications during early pregnancy did not have an higher risk of fetal cardiac malformations or major birth defects that are structural. Researchers conducted a massive population-based study of case control to compare the incidence of major structural defects in infants who were born to mothers who used stimulants during pregnancy. Pediatric cardiologists, clinical geneticists and other experts reviewed the cases in order to make sure that the classification was accurate and to eliminate any bias.
However, the researchers' study was not without its flaws. The researchers were not able in the beginning to differentiate the effects caused by the medication from the disorder. This makes it difficult to know whether the small associations observed in the groups that were exposed are due to medication use or comorbidities that cause confusion. In addition, the researchers did not examine the long-term effects of offspring on their parents.
The study found that infants whose mothers had taken ADHD medication during pregnancy had a higher risk of admission to the neonatal care unit (NICU), compared to those whose mothers didn't take any medication during pregnancy or had stopped taking their medication before or during pregnancy. This was due to central nervous system-related disorders, and the increased risk for admission was not found to be influenced by the stimulant medications were used during pregnancy.
Women who took stimulant ADHD medications during pregnancy also had a higher risk of having a caesarean section or the baby was not scoring well on the Apgar scale (less than 7). These increases appear to be unrelated to the type of medication used during pregnancy.
Researchers suggest that the small risks posed by the use of ADHD medication during pregnancies in the early stages could be offset by the greater benefits for mother and baby from continuing treatment for the woman's condition. Physicians should talk to their patients about this and try to help them improve coping skills which may reduce the effects of her disorder on her daily life and relationships.
Interactions with Medication
As more women than ever are diagnosed with ADHD and being treated with medication, the question of whether to keep or stop treatment during pregnancy is a question that more and more physicians confront. Most of the time, these decisions are taken in the absence of clear and authoritative evidence in either case, which means that doctors must weigh their knowledge, the experiences of other doctors, and what medication is prescribed for adhd (view Chessdatabase) research says on the topic, along with their own best judgment for each individual patient.
Particularly, the issue of potential risks for the baby can be a challenge. Many of the studies on this issue are based on observational data instead of controlled research and their conclusions are often contradictory. Most studies restrict their analysis to live-births, which could underestimate the teratogenic impact which can cause abortions or terminations of pregnancy. The study presented in the journal club addresses these limitations by analyzing information on deceased and live births.
Conclusion A few studies have revealed an association between ADHD medications and certain birth defects However, other studies haven't established a link. Most studies show a neutral, or even slight negative impact. In all cases, a careful study of the benefits and risks should be conducted.
For a lot of women with ADHD who suffer from adhd and depression medication, the decision to discontinue medication is difficult, if not impossible. In a recent piece published in the Archives of Women's Mental Health by psychologist Jennifer Russell, she notes that stopping ADHD medications during pregnancy can increase depression and feelings of isolation. Furthermore, a loss of medication may affect the ability to do job-related tasks and drive safely that are crucial aspects of daily life for many people with ADHD.
She suggests that women who are unsure about whether to keep or discontinue medication due to their pregnancy, consider the possibility of educating friends, family members and colleagues about the condition, its impact on daily life, and the advantages of continuing the current treatment plan. It can also help women feel more confident in her decision. Some medications can pass through the placenta. If the patient decides not to take her ADHD medication while pregnant and breastfeeding, it is crucial to be aware that the drug may be transferred to her infant.
Birth Defects Risk
As the use and abuse of ADHD medications to treat the symptoms of attention deficit hyperactivity disorder (ADHD) is increasing, so does concern about the potential effects of these drugs on fetuses. A recent study published in the journal Molecular Psychiatry adds to the existing knowledge about this subject. Researchers used two massive data sets to examine more than 4.3 million pregnancies and determine if stimulant medication use increased birth defects. Researchers discovered that, while the overall risk is low, first-trimester adhd medication and pregnancy uk exposure to medication was associated with slightly higher risk of certain heart defects, like ventriculoseptal defects.
The researchers of the study could not discover any link between early use of medication and congenital anomalies like facial deformities or club feet. The results are consistent with previous studies that have shown an increase, but not significant, in the risk of developing cardiac malformations among women who began taking ADHD medications prior to pregnancy. The risk was higher in the latter half of pregnancy, when a lot of women decide to stop taking their medication.
Women who used ADHD medications during the first trimester of pregnancy were also more likely to undergo caesarean sections, a low Apgar score after delivery and a baby who needed breathing assistance at birth. The researchers of the study were not able to eliminate selection bias because they restricted the study to women with no other medical conditions that might have contributed to the findings.
Researchers hope that their research will provide doctors with information when they encounter pregnant women. The researchers suggest that, while discussing risks and benefits are crucial, the decision about whether to continue or stop medication should be based on the severity of each woman's ADHD symptoms and her requirements.
The authors also warn that while discontinuing the medications is an alternative, it is not a recommended practice because of the high rate of depression and other mental health issues for women who are expecting or post-partum. Additionally, research suggests that women who stop taking their medications will have a difficult transitioning to life without them once the baby is born.
Nursing
It can be a stressful experience to become a mother. Women who suffer from ADHD who must work through their symptoms while attending physician appointments and making preparations for the arrival of their child and getting used to new routines at home are often faced with a number of difficulties. Many women opt to continue taking their ADHD medication during pregnancy.
The risk to a nursing infant is low because the majority cost of adhd medication uk stimulant medications is absorbed through breast milk in low amounts. The rate of exposure to medication can vary depending upon the dosage and frequency of administration as well as time of day. Additionally, individual medications enter the body of the baby differently through the gastrointestinal tract as well as breast milk. The impact of this on a newborn is not well known.
Some physicians may discontinue stimulant medications during a woman's pregnancy due to the absence of research. This is a difficult decision for the patient, who must balance the benefits of keeping her medication against the potential risks to the foetus. As long as more information is available, GPs can ask pregnant patients if they have an background of adhd medication not working or if they plan to take medication in the perinatal stage.
Numerous studies have demonstrated that women can continue to take their ADHD medication without risk during pregnancy and while breast-feeding. In the end, an increasing number of patients opt to do this and, after consulting with their doctor, they have discovered that the benefits of maintaining their current medication far outweigh any potential risks.
Women who suffer from ADHD who are planning to nurse should seek the advice of a specialist psychiatrist before becoming pregnant. They should review their medications with their prescriber and discuss the advantages and disadvantages of continued treatment, including non-pharmacological management strategies. Psychoeducation should also be offered to help pregnant women suffering from ADHD understand their symptoms and underlying disorder and learn about treatments and to reinforce existing strategies for coping. This should be a multidisciplinary approach with the GP doctors, obstetricians and psychiatrists. Counselling for pregnancy should include the discussion of a plan for management for both the mother and child, and monitoring for signs of deterioration, and when necessary, making adjustments to the medication regimen.