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    Depression During Pregnancy

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    Topic Overview

    Depression is common during pregnancy and in the postpartum period. If you have symptoms of depression during pregnancy or are depressed and learn you are pregnant, make a treatment plan with your doctor right away.

    If you are being treated for depression and are planning a pregnancy, talk to your doctor ahead of time. You may be able to taper off of antidepressant medicine before your pregnancy, to see how you feel during your first trimester. It's best to be medicine-free, especially during the first trimester. But if you are severely depressed, your doctor will probably want you to stay on your medicine.

    Did You Know?

    Under the Affordable Care Act, many health insurance plans will cover preventive mental health services, including screening tests for depression and alcohol misuse, at no cost to you. Learn more.

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    Don't ever suddenly stop taking an antidepressant. This can cause difficult emotional and physical symptoms and may also affect your fetus. Your doctor can tell you the best way to taper off of your medicine.

    Depression treatment choices during pregnancy

    If you are not severely depressed, interpersonal counseling or cognitive-behavioral therapy may be all that you need.

    • Interpersonal counseling focuses on your relationship and life adjustments, giving you emotional support and help with problem-solving and goal-setting.
    • Cognitive-behavioral therapy helps you take charge of the way you think and feel, while giving you a supportive relationship.

    If counseling alone isn't enough, or if your symptoms are severe and disabling, talk to your doctor about other possible treatments:

    • Light therapy uses regular doses of bright light (not full-spectrum light, which includes ultraviolet light). Typically, a person having light therapy will sit in front of a high-intensity (2,500- to 10,000-lux) fluorescent lamp, slowly building up to 1 to 2 hours each morning. (Possible side effects include eye strain, headache, feeling "wired," and trouble falling asleep when light therapy is used later in the day.)
    • Antidepressant medicine, most often a selective serotonin reuptake inhibitor (SSRI), such as fluoxetine (Prozac) or sertraline (Zoloft). Fluoxetine and citalopram (Celexa) are not often used during breast-feeding, because they can pass into breast milk in high levels. If you are planning to breast-feed and are taking an antidepressant, talk about this with your doctor.

    Women who take an SSRI during pregnancy have a slightly higher chance of having a baby with birth defects. But not treating depression can also cause problems during pregnancy and birth. If you become pregnant, you and your doctor must weigh the risks of taking an SSRI against the risks of not treating depression.

    The U.S. Food and Drug Administration (FDA) has issued an advisory on antidepressant medicines and the risk of suicide. Talk to your doctor about these possible side effects and the warning signs of suicide.

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    WebMD Medical Reference from Healthwise

    Last Updated: June 04, 2014
    This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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