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작성자 Moises 댓글 0건 조회 11회 작성일 25-05-22 14:35

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ADHD Medication During Pregnancy and Breastfeeding

Royal_College_of_Psychiatrists_logo.pngThe decision to stop or keep ADHD medication during pregnancy and breastfeeding is a challenge for women suffering from the condition. There aren't enough data regarding how exposure over time may affect the foetus.

A recent study published in Molecular Psychiatry demonstrates that children exposed to ADHD medication during pregnancy do not develop neurological issues like hearing loss or vision, febrile seizures, or IQ impairment. The authors acknowledge that more high quality studies are needed.

Risk/Benefit Analysis

Women who are pregnant and take ADHD medication should weigh the benefits of taking it against the possible risks to the fetus. Physicians don't have the information needed to make unequivocal recommendations however they can provide information regarding risks and benefits that assist pregnant women in making informed choices.

A study published in Molecular Psychiatry concluded that women who took ADHD medication during early pregnancy were not at a greater risk of fetal malformations or structural birth defects. Researchers used a large sample-based case control study to compare the incidence of major structural defects in infants who were born to mothers who were taking stimulants during pregnancy. Clinical geneticists, pediatric cardiologists and other experts examined the cases to ensure that the classification was accurate and to eliminate any bias.

However, the researchers' study was not without its flaws. In particular, they were unable to separate the effects of the medication from those of the disorder at hand. This limitation makes it difficult for researchers to determine whether the small differences observed between the groups that were exposed to the use of medication or confounded by co-morbidities. The researchers did not look at long-term outcomes for the offspring.

The study did show that babies whose mothers had taken ADHD medications during pregnancy were at a higher risk of being admitted to the neonatal intensive care unit (NICU) than infants who whose mothers did not take any medication or had taken off their medication prior to or during pregnancy. This was due to central nervous system disorders. The higher risk of admission was not influenced by the stimulant medications used during pregnancy.

Women who took stimulant ADHD medication during pregnancy also had an elevated risk of having a caesarean delivery or having a child with low Apgar score (less than 7). These risks did not appear to be influenced by the kind of medication used during pregnancy.

Researchers suggest that the small risks associated with the use ADHD medication during pregnancies in the early stages could be offset by the more beneficial outcomes for both mother and baby of continuing treatment for the woman's condition. Physicians should discuss the issue with their patients and, where possible, help them develop strategies for improving their coping skills that can lessen the effects of her disorder on her daily life and relationships.

Medication Interactions

As more women than ever are diagnosed with ADHD and treated with medication, the question of whether to keep or end treatment during pregnancy is a question that doctors are having to face. These decisions are often taken without clear and authoritative evidence. Instead, physicians must take into account their own experience in conjunction with the experiences of other physicians and the research on the topic.

Particularly, the subject of possible risks to the baby can be tricky. The research that has been conducted on this topic is based on observation instead of controlled studies and the results are in conflict. Most studies focus on live-births, which could underestimate the severity of teratogenic effects that can lead to terminations or abortions of pregnancy. The study discussed in this journal club addresses these shortcomings by looking at data from both live and deceased births.

The conclusion is that while certain studies have demonstrated an association between ADHD medications and the risk of certain birth defects, other studies have found no such relationship, and most effective adhd medication for adults studies have a neutral or slight negative effect. In every case it is imperative to conduct a thorough evaluation of the potential risks and benefits should be conducted.

It isn't easy, but not impossible, for women with ADHD to stop taking their medication. In a recent piece published in Archives of Women's Mental Health by psychologist Jennifer Russell, she notes that stopping ADHD medications during pregnancy can cause depression and feelings of isolation. A decrease in medication could also impact the ability to drive safely and to perform work-related tasks which are vital aspects Types of adhd medication normal life for people with ADHD.

She suggests that women who are not sure whether to take the medication or stop due to pregnancy should educate family members, coworkers, and acquaintances about the condition, its effects on daily functioning, and the benefits of continuing the current treatment regimen. It will also help a woman feel supported in her decision. Some medications can pass through the placenta. If a woman decides to stop taking her ADHD medication while breastfeeding, it is crucial to be aware that the drug could be transferred to the infant.

Birth Defects Risk

As the use of adhd medication how does it work medication to treat the symptoms of attention deficit hyperactivity disorder (ADHD) grows as do concerns over the impact that these medications could have on the fetuses. Recent research published in the journal Molecular Psychiatry has added to the body knowledge on this topic. Researchers used two massive data sets to study more than 4.3 million pregnant women and determine if stimulant medication use increased birth defects. Researchers discovered that, while the risk overall is low, first-trimester ADHD medication use was associated with slightly higher rates of certain heart defects, such as ventriculoseptal defect.

The researchers of the study found no link between early medication use and other congenital abnormalities, like facial clefting, or club foot. The results are in the same vein as previous studies which showed an insignificant, but small increase in the number of cardiac malformations among women who started taking ADHD medication prior to the time of pregnancy. The risk increased in the latter stages of pregnancy when many women began to stop taking their medication.

Women who took ADHD medication in the first trimester were more likely to require a caesarean delivery and also have a low Apgar after delivery, and had a baby that required breathing assistance at birth. However, the authors of the study were not able to eliminate selection bias by restricting the study to women who didn't have any other medical issues that could have contributed to these findings.

The researchers hope their research will serve to inform the clinical decisions of doctors who see pregnant women. The researchers advise that while discussing risks and benefits are important, the choice about whether to continue or stop taking medication for adhd should be in light of the severity of each woman's ADHD symptoms and the needs of the woman.

The authors caution that, even though stopping the medication is an option to think about, it isn't recommended due to the high prevalence of depression and other mental problems in women who are expecting or who have recently given birth. Further, research shows that women who stop taking their medication will have a difficult time adjusting to a life without them after the baby is born.

Nursing

It can be overwhelming becoming a mother. Women with ADHD who have to manage their symptoms while attending physician appointments and getting ready for the arrival of their child and adjusting to new household routines are often faced with a number of difficulties. Many women opt to continue taking their ADHD medication during pregnancy.

The majority of stimulant medications are absorbed by breast milk in small quantities, so the risk to the breastfeeding infant is minimal. However, the amount of exposure to medications by the newborn may differ based on the dosage, frequency it is administered and the time of day it is administered. Additionally, different medications enter the baby's system differently through the gastrointestinal tract and breast milk. The impact of this on a newborn infant is not fully known.

Some doctors may decide to stop stimulant medication during a woman’s pregnancy due to the absence of research. It is a difficult decision for the woman who must weigh the advantages of continuing her medication against the potential risks to the foetus. In the meantime, until more information is available, doctors may ask pregnant patients if they have an history of ADHD or if they are planning to take medication during the perinatal stage.

Many studies have shown that women can continue taking their ADHD medication safely while breastfeeding and during pregnancy. In response, an increasing number of patients are opting to do this. They have concluded, in consultation with their doctor, that the benefits of continuing their current medication far outweigh any possible risks.

Women with ADHD who plan to breastfeed should seek advice from an expert psychiatrist prior to becoming pregnant. They should discuss their medication with their prescriber and discuss the advantages and disadvantages of continued treatment, including non-pharmacological management strategies. Psychoeducation is also needed to help pregnant women with ADHD understand the symptoms and the underlying disorder. They should also be informed about treatment options and strengthen strategies for coping. This should involve an approach that is multidisciplinary, including the GP doctors, obstetricians and psychiatrists. The pregnancy counselling should consist of the discussion of a treatment plan for both the mother as well as the child, monitoring for signs of deterioration, and the need for adjustments to the medication regimen.

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