20 Myths About ADHD Medication Pregnancy: Debunked > 자유게시판

• 목록
• 답변
• 글쓰기
• 게시판 리스트 옵션
  • 수정
  • 삭제

ADHD Medication During Pregnancy and Breastfeeding

Women suffering from ADHD face a difficult decision about whether to continue or stop taking ADHD medication during pregnancy and breast-feeding. There isn't much information on how long-term exposure to these drugs could affect the foetus.

A study recently published in Molecular Psychiatry shows that children exposed to ADHD medication in the uterus do not develop neurological conditions like impaired vision or hearing, febrile seizures, or IQ impairment. The authors acknowledge the need for more high-quality studies.

Risk/Benefit Analysis

Pregnant women who use ADHD medications need to balance the benefits of taking them against the potential risks to the foetus. The doctors don't have the information 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 concluded that women who took ADHD medication in early pregnancy did not have a greater risk of fetal malformations or structural birth defects. The researchers used a large population-based study of case-control to determine the prevalence of major structural birth defects in babies born to mothers who had taken stimulants in the early stages of pregnancy and those who had not. Pediatric cardiologists and clinical geneticists examined the cases to ensure accurate classification of the cases and to reduce the possibility of bias.

The study of the researchers was not without limitations. In particular, they were not able to differentiate the effects of the medication from those of the underlying disorder. This limitation makes it difficult for researchers to establish whether the small associations observed among the groups that were exposed to medication use or if they were confounded by co-morbidities. Additionally the study did not examine the long-term outcomes of offspring.

The study did find that infants whose mothers took adhd medication cost medications during pregnancy were at a greater risk of being admitted to the neonatal intensive care unit (NICU) than infants whose mothers had not taken any medication or had stopped their medications before or during pregnancy. The reason for this was central nervous system-related disorders, and the increased risk of admission did not appear to be affected by the type of stimulant medications were used during pregnancy.

Women who were taking stimulant ADHD medication during pregnancy also had an increased chance of having a caesarean section or having a baby with low Apgar score (less than 7). These increases did not seem to be influenced by the type of medication that was used during pregnancy.

Researchers suggest that the minor risks posed by the use of ADHD medications used to treat adhd during early pregnancies can be offset by greater benefits for mother and baby from continuing treatment for the woman's disorder. Physicians should speak with their patients about this issue and try to help them improve coping skills which could reduce the effects of her disorder on her daily functioning and her relationships.

Medication Interactions

Many doctors are confronted with the dilemma of whether to continue treatment or stop as more women are diagnosed with ADHD. These decisions are often made without clear and reliable evidence. Instead, physicians must consider their own expertise and experience, as well as the experiences of other doctors, and the research that has been conducted on the subject.

The issue of potential risks for infants can be difficult to determine. Many studies on this topic are based on observational data instead of controlled research and their findings are often contradictory. Most studies focus on live births, which may underestimate the severity of teratogenic effects which can cause terminations or abortions of pregnancy. The study discussed in the journal club addresses these limitations by analyzing information on deceased and live births.

The conclusion: While some studies have shown an association between ADHD medications and the possibility of certain birth defects, other studies have found no such relationship and the majority of studies demonstrate a neutral or slight negative effect. In each case, a careful analysis of the potential risks and benefits is required.

It can be challenging, if not impossible, for women suffering from ADHD to stop taking their medication. In fact, in an article published in Archives of Women's Mental Health psychologist Jennifer Russell notes that stopping ADHD medication during pregnancy can cause depression, feelings of loneliness and family conflict for those suffering from the disorder. Furthermore, a loss of medication can affect the ability to do work-related tasks and safely drive that are crucial aspects of a normal life for many people with ADHD.

She recommends women who are uncertain about whether to keep or stop taking medication because of their pregnancy should consider educating family members, friends, and coworkers on the condition, its impact on daily functioning, and on the advantages of continuing the current treatment regimen. Educating them can also aid in ensuring that the woman feels supported when she is struggling with her decision. Some medications can pass through the placenta. If a patient decides to stop taking her get adhd medication online [More inspiring ideas] medication while breastfeeding, it is crucial to be aware that the drug may be transferred to her infant.

Risk of Birth Defects

As the use and abuse of ADHD medications to treat the symptoms of attention deficit disorder hyperactivity disorder (ADHD) is increasing the concern over the potential effects of these drugs on the fetuses. A study that was published in the journal Molecular Psychiatry adds to the body of information on this topic. Using two massive data sets researchers were able to analyze more than 4.3 million pregnancies and see whether stimulant medications increased the risk of birth defects. While the overall risk is low, the researchers discovered that the first-trimester exposure to ADHD medications was associated with an increase in the risk of specific heart defects, like ventriculo-septal defects (VSD).

The researchers of the study did not find any association between early use of medication and other 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 in women who started taking ADHD medications prior to the time of pregnancy. The risk grew during the latter part of pregnancy, when a lot of women decide to stop taking their ADHD medications.

Women who took ADHD medication in the first trimester were more likely to require a caesarean birth or have an insufficient Apgar after birth and have a baby that needed help breathing when they were born. The authors of the study were unable to remove bias in selection since they limited their study to women with no other medical conditions that could have contributed to the findings.

Researchers hope their research will provide doctors with information when they meet pregnant women. The researchers suggest that while discussing the risks and benefits are important, the decision on whether to continue or stop taking medication should be based on the severity of each woman's ADHD symptoms and her requirements.

The authors caution that, even though stopping the medication is an option to think about, it isn't recommended because of the high incidence of depression and other mental problems in women who are expecting or recently gave birth. Furthermore, research suggests that women who choose to stop their medications are more likely to have difficulties adapting to life without them following the birth of their baby.

Nursing

It can be overwhelming becoming a mother. Women suffering from ADHD are often faced with a number of difficulties when they have to manage their symptoms, go to doctor appointments, prepare for the birth of their child and adjust to a new routine. This is why many women elect to continue taking their ADHD medications throughout the course of pregnancy.

The majority of stimulant medications pass through breast milk in low amounts, therefore the risk to the nursing infant is very low. However, the rate of exposure to medication by the newborn can a doctor prescribe adhd medication without a diagnosis vary depending on dosage, how often it is administered, and the time of the day the medication is administered. Additionally, different medications enter the body of the baby differently through the gastrointestinal tract as well as breast milk and the impact of this on a newborn infant is not well understood.

Due to the absence of research, some doctors might be tempted to stop taking stimulant medication during the pregnancy of a woman. This is a complicated decision for the patient, who must weigh the benefits of continuing her medication against the possible risks to the fetus. In the meantime, until more information is available, doctors can ask pregnant patients if they have an history of ADHD or if they are planning to take medication in the perinatal stage.

A increasing number of studies have shown that women can continue taking their ADHD medication during pregnancy and while breastfeeding. This has led to more and more patients choose to do so, and in consultation with their physician, they have discovered that the benefits of continuing their current medication outweigh any risks.

Women with ADHD who are planning to nurse should seek the advice of an expert psychiatrist prior to becoming pregnant. They should review their medications with their prescriber and discuss the advantages and disadvantages of continuing treatment, including non-pharmacological management strategies. Psychoeducation is also required to help pregnant women suffering from ADHD be aware of the symptoms and the underlying disorder. They should also be informed about treatment options and strengthen strategies for get adhd Medication online coping. This should be a multidisciplinary approach, which includes the GP, obstetricians and psychiatry. Pregnancy counseling should include discussion of a treatment plan for the mother and child, and monitoring for signs of deterioration and, if necessary adjustments to the medication regime.