What Are The Biggest "Myths" About ADHD Medication Pregnancy…
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ADHD Medication During Pregnancy and Breastfeeding
Women suffering from ADHD have to make a difficult choice regarding whether or not to stop taking ADHD medication during pregnancy and breast-feeding. There isn't much information on how long-term exposure to these drugs can affect the fetus.
A study recently published in Molecular Psychiatry shows that children exposed to ADHD medication in the uterus do not develop neurological disorders such as hearing loss or impaired vision seizures, febrile seizures, or IQ impairment. The authors acknowledge that more high quality studies are required.
Risk/Benefit Analysis
Women who are expecting and taking ADHD medication must weigh the benefits of taking it versus the risks to the baby. Doctors don't have the information needed to give clear guidelines but they can provide information about the risks and benefits to aid pregnant women in making informed choices.
A study published in Molecular Psychiatry concluded that women who were taking ADHD medication in early pregnancy were not at higher risk of fetal malformations or structural birth defects. Researchers conducted a large population-based study of case control to examine the prevalence of structural defects that were major in infants born to mothers who used stimulants during pregnancy. Pediatric cardiologists and clinical geneticists reviewed the cases to ensure correct case classification and to minimize the chance of bias.
The research conducted by the researchers was not without limitations. In particular, they were unable to separate the effects of the medication from the effects of the disorder at hand. This limitation makes it difficult for researchers to establish whether the small associations observed among the groups exposed were due to the use of medications or affected by comorbidities. In addition the study did not study the long-term effects of offspring on their parents.
The study found that babies whose mothers took ADHD medication during pregnancy had a slightly greater risk of being admitted to the neonatal care unit (NICU), compared to mothers who did not take any medication during pregnancy, or had quit taking the medication prior to or during pregnancy. This increase was caused by central nervous system disorders. The higher risk of admission was not influenced by the stimulant medication used during pregnancy.
Women who took stimulant adhd and medication medication during pregnancy also had an increased chance of having a caesarean delivery or having a child with low Apgar score (less than 7). These increases did not appear to be affected by the kind of medication used during pregnancy.
The research suggests that the small risk associated with the use of ADHD medications during early pregnancy may be offset by the greater benefit to both the mother and child from continued treatment for the woman's condition. Physicians should discuss this with their patients and, where possible, assist them in developing strategies to improve their coping abilities that can lessen the effects of her disorder on her daily life and relationships.
Medication Interactions
As more women than ever before are being diagnosed with ADHD and being treated with medication, the question of whether or not to stop treatment during pregnancy is a question that doctors are having to face. Often, these decisions are made without any evidence that is clear and definitive either way, so physicians must weigh their knowledge, the experiences of other doctors, and what research suggests on the subject as well as their own judgments for each patient.
Particularly, the issue of potential risks for the infant can be difficult. The research on this issue is based on observations rather than controlled studies and many of the findings are in conflict. The majority of studies limit their analysis to live births, which may underestimate the teratogenic impact which can cause abortions or terminations of pregnancy. The study that is discussed in the journal club addresses these issues by analyzing information on deceased and live births.
The conclusion: While certain studies have demonstrated an association between ADHD medications and the risk of certain birth defects, others have not found any evidence of a link and the majority of studies have a neutral or slight negative effect. As a result an accurate risk-benefit analysis must be conducted in every situation.
It can be challenging, if not impossible, for women suffering from ADHD to stop taking their medication. In fact, in a recent article in the Archives of Women's Mental Health, psychologist Jennifer Russell notes that stopping adhd medication weekends adults ADHD medication during pregnancy can increase depression, feelings of loneliness and family conflict for those suffering from the disorder. Additionally, the loss of medication can affect the ability to perform work-related tasks and safely drive which are essential aspects of a normal life for many people with ADHD.
She suggests that women who are not sure whether to continue taking the medication or stop it due to their pregnancy should educate family members, colleagues, and their friends about the condition, the effects on daily functioning, and the benefits of continuing the current treatment plan. In addition, educating them can aid in ensuring that the woman feels supported in her struggle with her decision. It is important to note that some medications can pass through the placenta, so if the patient decides to discontinue her ADHD medication during pregnancy and [Redirect Only] breastfeeding, she should be aware that the effects of the medication could be transferred to the infant.
Risk of Birth Defects
As the use of ADHD medications to treat symptoms of attention deficit hyperactivity disorder (ADHD) increases as do concerns over the impact that these medications could have on the fetuses. A study that was published in the journal Molecular Psychiatry adds to the existing knowledge about this subject. With two massive data sets, researchers were able to analyze more than 4.3 million pregnancies and see whether stimulant medication use increased the risk of birth defects. Researchers discovered that, while the overall risk is low, the first trimester ADHD medication use was associated with slightly higher rates of specific heart defects such as ventriculoseptal defect.
The authors of the study found no link between early medication use and other congenital anomalies, such as facial clefting or club foot. The findings are in line with previous studies that have shown an increase, but not significant, in the risk of cardiac malformations among women who can prescribe medication for adhd began taking ADHD medications prior to pregnancy. This risk increased during the latter part of pregnancy, when many women are forced to stop taking their ADHD medications.
Women who took ADHD medications during the first trimester of their pregnancies were also more likely to experience caesarean section, low Apgar score following delivery, and a baby who required help breathing at birth. However the researchers of the study were not able to eliminate bias due to selection by limiting the study to women who didn't have other medical issues that could have contributed to these findings.
Researchers hope their research will help doctors when they see pregnant women. They advise that while discussing the risks and benefits is crucial but the decision to stop or maintain medication should be based on the woman's needs and the severity of her ADHD symptoms.
The authors also warn that while discontinuing the medications is an alternative, it is not a recommended practice because of the high prevalence of depression and other mental health issues for women who are expecting or post-partum. Further, research shows that women who stop taking their medication will have a harder adjustment to life without them after the baby is born.
Nursing
The responsibilities of being a new mom can be overwhelming. Women suffering from ADHD can face severe challenges when they must deal with their symptoms, attend doctor appointments and prepare for the birth of a baby and adjust to new routines. Therefore, many women decide to continue taking their ADHD medications throughout the course of pregnancy.
The risk for breastfeeding infant is not too high since the majority of stimulant medication is absorbed through breast milk in low amounts. The rate of exposure to medication will vary based on the dosage and frequency of administration as well as the time of the day. In addition, different medications enter the baby’s system via the gastrointestinal tract or through breast milk. The impact of these medications on the health of a newborn isn't fully comprehended.
Because of the lack of research, some physicians may be inclined to discontinue stimulant medications during a woman's pregnancy. It's a difficult choice for the woman who must weigh the advantages of her medication against the risk to the embryo. Until more information is available, GPs should ask all pregnant patients about their history of ADHD and whether they are taking or planning to take medication during the perinatal period.
Numerous studies have demonstrated that women can continue to take their ADHD medication safely while breastfeeding and during pregnancy. In response, a growing number of patients are choosing to do so. They have found, in consultation with their doctors, that the benefits of keeping their current medication outweigh any potential risks.
Women who suffer from adhd medication uk buy who plan to breastfeed should seek advice from a specialist psychiatrist prior to becoming pregnant. They should discuss their medication with their doctor and discuss the advantages and disadvantages of continuing treatment, including non-pharmacological strategies. Psychoeducation should also be provided to help women with ADHD be aware of their symptoms and the underlying disorder, learn about available treatments and to reinforce existing strategies for coping. This should be a multidisciplinary approach together with obstetricians, GPs and psychiatry. Pregnancy counseling should include discussion of a treatment plan for the mother and child, monitoring of indicators of deterioration, and, if necessary modifications to the medication regime.
Women suffering from ADHD have to make a difficult choice regarding whether or not to stop taking ADHD medication during pregnancy and breast-feeding. There isn't much information on how long-term exposure to these drugs can affect the fetus.
A study recently published in Molecular Psychiatry shows that children exposed to ADHD medication in the uterus do not develop neurological disorders such as hearing loss or impaired vision seizures, febrile seizures, or IQ impairment. The authors acknowledge that more high quality studies are required.
Risk/Benefit Analysis
Women who are expecting and taking ADHD medication must weigh the benefits of taking it versus the risks to the baby. Doctors don't have the information needed to give clear guidelines but they can provide information about the risks and benefits to aid pregnant women in making informed choices.
A study published in Molecular Psychiatry concluded that women who were taking ADHD medication in early pregnancy were not at higher risk of fetal malformations or structural birth defects. Researchers conducted a large population-based study of case control to examine the prevalence of structural defects that were major in infants born to mothers who used stimulants during pregnancy. Pediatric cardiologists and clinical geneticists reviewed the cases to ensure correct case classification and to minimize the chance of bias.
The research conducted by the researchers was not without limitations. In particular, they were unable to separate the effects of the medication from the effects of the disorder at hand. This limitation makes it difficult for researchers to establish whether the small associations observed among the groups exposed were due to the use of medications or affected by comorbidities. In addition the study did not study the long-term effects of offspring on their parents.
The study found that babies whose mothers took ADHD medication during pregnancy had a slightly greater risk of being admitted to the neonatal care unit (NICU), compared to mothers who did not take any medication during pregnancy, or had quit taking the medication prior to or during pregnancy. This increase was caused by central nervous system disorders. The higher risk of admission was not influenced by the stimulant medication used during pregnancy.
Women who took stimulant adhd and medication medication during pregnancy also had an increased chance of having a caesarean delivery or having a child with low Apgar score (less than 7). These increases did not appear to be affected by the kind of medication used during pregnancy.
The research suggests that the small risk associated with the use of ADHD medications during early pregnancy may be offset by the greater benefit to both the mother and child from continued treatment for the woman's condition. Physicians should discuss this with their patients and, where possible, assist them in developing strategies to improve their coping abilities that can lessen the effects of her disorder on her daily life and relationships.
Medication Interactions
As more women than ever before are being diagnosed with ADHD and being treated with medication, the question of whether or not to stop treatment during pregnancy is a question that doctors are having to face. Often, these decisions are made without any evidence that is clear and definitive either way, so physicians must weigh their knowledge, the experiences of other doctors, and what research suggests on the subject as well as their own judgments for each patient.
Particularly, the issue of potential risks for the infant can be difficult. The research on this issue is based on observations rather than controlled studies and many of the findings are in conflict. The majority of studies limit their analysis to live births, which may underestimate the teratogenic impact which can cause abortions or terminations of pregnancy. The study that is discussed in the journal club addresses these issues by analyzing information on deceased and live births.
The conclusion: While certain studies have demonstrated an association between ADHD medications and the risk of certain birth defects, others have not found any evidence of a link and the majority of studies have a neutral or slight negative effect. As a result an accurate risk-benefit analysis must be conducted in every situation.
It can be challenging, if not impossible, for women suffering from ADHD to stop taking their medication. In fact, in a recent article in the Archives of Women's Mental Health, psychologist Jennifer Russell notes that stopping adhd medication weekends adults ADHD medication during pregnancy can increase depression, feelings of loneliness and family conflict for those suffering from the disorder. Additionally, the loss of medication can affect the ability to perform work-related tasks and safely drive which are essential aspects of a normal life for many people with ADHD.
She suggests that women who are not sure whether to continue taking the medication or stop it due to their pregnancy should educate family members, colleagues, and their friends about the condition, the effects on daily functioning, and the benefits of continuing the current treatment plan. In addition, educating them can aid in ensuring that the woman feels supported in her struggle with her decision. It is important to note that some medications can pass through the placenta, so if the patient decides to discontinue her ADHD medication during pregnancy and [Redirect Only] breastfeeding, she should be aware that the effects of the medication could be transferred to the infant.
Risk of Birth Defects
As the use of ADHD medications to treat symptoms of attention deficit hyperactivity disorder (ADHD) increases as do concerns over the impact that these medications could have on the fetuses. A study that was published in the journal Molecular Psychiatry adds to the existing knowledge about this subject. With two massive data sets, researchers were able to analyze more than 4.3 million pregnancies and see whether stimulant medication use increased the risk of birth defects. Researchers discovered that, while the overall risk is low, the first trimester ADHD medication use was associated with slightly higher rates of specific heart defects such as ventriculoseptal defect.
The authors of the study found no link between early medication use and other congenital anomalies, such as facial clefting or club foot. The findings are in line with previous studies that have shown an increase, but not significant, in the risk of cardiac malformations among women who can prescribe medication for adhd began taking ADHD medications prior to pregnancy. This risk increased during the latter part of pregnancy, when many women are forced to stop taking their ADHD medications.
Women who took ADHD medications during the first trimester of their pregnancies were also more likely to experience caesarean section, low Apgar score following delivery, and a baby who required help breathing at birth. However the researchers of the study were not able to eliminate bias due to selection by limiting the study to women who didn't have other medical issues that could have contributed to these findings.
Researchers hope their research will help doctors when they see pregnant women. They advise that while discussing the risks and benefits is crucial but the decision to stop or maintain medication should be based on the woman's needs and the severity of her ADHD symptoms.The authors also warn that while discontinuing the medications is an alternative, it is not a recommended practice because of the high prevalence of depression and other mental health issues for women who are expecting or post-partum. Further, research shows that women who stop taking their medication will have a harder adjustment to life without them after the baby is born.
Nursing
The responsibilities of being a new mom can be overwhelming. Women suffering from ADHD can face severe challenges when they must deal with their symptoms, attend doctor appointments and prepare for the birth of a baby and adjust to new routines. Therefore, many women decide to continue taking their ADHD medications throughout the course of pregnancy.
The risk for breastfeeding infant is not too high since the majority of stimulant medication is absorbed through breast milk in low amounts. The rate of exposure to medication will vary based on the dosage and frequency of administration as well as the time of the day. In addition, different medications enter the baby’s system via the gastrointestinal tract or through breast milk. The impact of these medications on the health of a newborn isn't fully comprehended.
Because of the lack of research, some physicians may be inclined to discontinue stimulant medications during a woman's pregnancy. It's a difficult choice for the woman who must weigh the advantages of her medication against the risk to the embryo. Until more information is available, GPs should ask all pregnant patients about their history of ADHD and whether they are taking or planning to take medication during the perinatal period.
Numerous studies have demonstrated that women can continue to take their ADHD medication safely while breastfeeding and during pregnancy. In response, a growing number of patients are choosing to do so. They have found, in consultation with their doctors, that the benefits of keeping their current medication outweigh any potential risks.
Women who suffer from adhd medication uk buy who plan to breastfeed should seek advice from a specialist psychiatrist prior to becoming pregnant. They should discuss their medication with their doctor and discuss the advantages and disadvantages of continuing treatment, including non-pharmacological strategies. Psychoeducation should also be provided to help women with ADHD be aware of their symptoms and the underlying disorder, learn about available treatments and to reinforce existing strategies for coping. This should be a multidisciplinary approach together with obstetricians, GPs and psychiatry. Pregnancy counseling should include discussion of a treatment plan for the mother and child, monitoring of indicators of deterioration, and, if necessary modifications to the medication regime.
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