Could your child develop autism because you took
antidepressants while pregnant?
There has been an ongoing controversy over the use of
antidepressants during pregnancy. Various studies have linked their use to an
increased risk of autism developing in their children. However, the dilemma
still persists and often creates a confusing environment not only among
patients, but also doctors.
Autism is a group of severe neurological
disorders in which a child has difficulties with communication (both verbal
and nonverbal), interacting with individuals or responding to certain
situations (social aspect), and exhibits repetitive pattern behaviors.
(Further Reading: Symptoms of Autism)
Symptoms start appearing during early
childhood and usually continue for life. Today, there is currently no cure for
autism. However, there are some treatments that may improve symptoms and help
the affected child live a more normal life.
What are SSRI antidepressants? Do they really cause Autism?
SSRI’s (Selective Serotonin Reuptake Inhibitors) are a class of
depression-treating medications that work by altering levels of certain
chemicals (especially serotonin) in the brain. These medications are more
useful in severe cases of depression when other non-drug treatments cannot
provide desired results.
Some SSRI examples include Prozac, Zoloft and others. Your doctor can also
prescribe SSRI’s to treat anxiety disorders such as social anxiety disorder (SAD or social phobia)
and post-traumatic stress disorder (PTSD).
Key Points about antidepressant (SSRI) that should not be
missed
●
SSRI’s are not contraindicated in pregnancy
●
SSRI’s are the drug of choice to treat depression that
occurs during pregnancy
Some clues regarding the link between antidepressant and autism
are observed in the studies, but there is no causal relationship between the
two.
The BIG Question: Should You use Antidepressant during Pregnancy?
The
big question is not just about the numbers and stats, it’s about how we can
help pregnant women overcome depression, leaving little or no effect on the
fetus. Here are some facts to consider before taking antidepressants during
pregnancy:
●
Untreated depression and its effects on both the pregnant mother and
developing child warrant the use of antidepressant during pregnancy. Severe
depression remains one of the leading causes of suicide. In addition, anxiety
problems during pregnancy can result in low birth weight.
●
Studies conducted today are not conclusive, and do not
establish antidepressant use during pregnancy as the sole cause of autism in
the child.
●
Some studies have missed the unhealthy lifestyle of the
mother during pregnancy.
●
Studies show increased risk is just 0.5%, which is
arguably less significant.
●
Data shows depression symptoms observed in approximately 10-20% of the
future moms. Looking at the prevalence of depression during pregnancy, one
cannot simply rule out the use of an antidepressant.
●
The perceived risk of autism in children is relatively small, and should
not stop the mother from taking measures (both drug and non-drug) to combat
symptoms of depression.
Owed
to limitations of the studies and lack of direct cause and effect, further
large-scale studies are needed to quantify this problem.
Until
conclusive results come to fruition, you can use antidepressants during
pregnancy, after consulting your doctor. It is important that you continue
scheduled visits to the doctor during pregnancy.
For mild to moderate depression, you may stop the medication during pregnancy
and continue after delivery, if your doctor permits.
Pregnancy
is one of the most cherished moments for a family, and such moments should not
be marred by depression,
or the undesirable effects of antidepressants. A balanced approach in treating
depression, while causing no long term harm to the unborn child is what every
doctor should make their priority.
For
future mothers, stay happy, learn more about risk through reliable sources and
keep your doctor informed.
If you are pregnant and taking antidepressants, considering
these potential complications, and visit your doctor to discuss the likelihood
of antidepressant complications during pregnancy.
