Pharmacotherapy of Chronic Neuropsychiatric Conditions During Pregnancy

Nurs Womens Health. 2024 Jun;28(3):227-241. doi: 10.1016/j.nwh.2023.12.003. Epub 2024 May 1.

Abstract

Many pregnant persons will experience neuropsychiatric conditions during pregnancy, including migraine, attention deficit disorder, depression, and anxiety. Treatment of each of these conditions requires shared decision-making among the individual, family, and health care team. Although medications may include risk, the benefits often outweigh the potential fetal risks. In this article, we review pharmacologic treatment options for each of these conditions and appropriate use in pregnancy to maintain the stability of conditions and to optimize maternal and fetal outcomes.

Keywords: ADHD; anxiety; attention deficit disorder; depression; major depressive disorder; medication; migraine; neuropsychiatric; pharmacotherapy; pregnancy.

Publication types

  • Review

MeSH terms

  • Anxiety / drug therapy
  • Anxiety / psychology
  • Attention Deficit Disorder with Hyperactivity / drug therapy
  • Chronic Disease / drug therapy
  • Chronic Disease / psychology
  • Depression / drug therapy
  • Depression / psychology
  • Female
  • Humans
  • Mental Disorders* / drug therapy
  • Migraine Disorders / drug therapy
  • Pregnancy
  • Pregnancy Complications* / drug therapy
  • Pregnancy Complications* / psychology