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15 Of The Most Popular ADHD Medication Pregnancy Bloggers You Should Follow

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ADHD Medication During Pregnancy and Breastfeeding

Women suffering from ADHD must make a difficult decision on whether to keep or stop taking ADHD medication during pregnancy and breast-feeding. There isn't much information on how long-term exposure to these medications may affect the fetus.

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

Risk/Benefit Analysis

Women who are expecting and taking ADHD medication should weigh the benefits of taking it against the potential risks for the baby. Doctors don't have enough data to give clear advice however they can provide information about risks and benefits to assist pregnant women to make informed choices.

A study published in Molecular Psychiatry found that women who used ADHD medications during early pregnancy did not have a significantly higher risk of fetal cardiac malformations or major birth defects that are structural. Researchers conducted a massive population-based study of case control to assess the frequency of structural defects that were major in infants who were born to mothers who took stimulants during pregnancy. Clinical geneticists, pediatric cardiologists and other experts looked over the cases to confirm that the classification was accurate and to eliminate any bias.

However, the researchers' study was not without its flaws. Researchers were unable to, in the first place, to separate the effects triggered by the medication from the disorder. This limitation makes it difficult to know whether the limited associations observed in the exposed groups result from medication use or confounding by comorbidities. The researchers did not look at the long-term effects for the offspring.

The study did find that babies whose mothers had taken ADHD medications during pregnancy were at a more risk of being admitted to the neonatal intensive care unit (NICU) than those whose mothers had not taken any medication or had stopped their medications before or during pregnancy. The reason for this was central nervous system disorders. The increased risk of admission was not influenced by the stimulant medication used during pregnancy.

Women who took stimulant ADHD medications during pregnancy also had a higher chance of having to have caesarean sections or one whose baby scored low on the Apgar scale (less than 7). These risks did not appear to be influenced by the kind of medication used during pregnancy.

Researchers suggest that the small risks posed by the use of ADHD medication during pregnancies in the early stages may be offset by the greater benefits to both mother and baby from continuing treatment for the woman's condition. Physicians should speak with their patients about this and try to help them improve coping skills which may reduce the impact of her disorder in her daily life and relationships.

Medication Interactions

As more women than ever are diagnosed with ADHD and being treated with medication, the issue of whether to continue or discontinue treatment during pregnancy is a question that doctors are having to face. These decisions are usually made without clear and reliable evidence. Instead, doctors have to weigh their own knowledge, the experience of other doctors and the research that has been conducted on the subject.

The issue of potential risks to the infant can be difficult to determine. The research on this issue is based on observation instead of controlled studies and the results are conflicting. In addition, most popular adhd medication studies limit their analysis to live births, which could underestimate the severity of teratogenic effects that could cause abortion or termination of the pregnancy. The study presented in the journal club addresses these shortcomings by analyzing both information on deceased and live births.

The conclusion is that while some studies have shown a positive association between ADHD medications and the possibility of certain birth defects, others have found no such relationship, and most studies have a neutral or slightly negative impact. In all cases it is imperative to conduct a thorough study of the potential risks and benefits must be performed.

It isn't easy, but not impossible, for women suffering from adult adhd medication uk to stop taking their medication. In a recent article in the Archives of Women's Mental Health, psychologist Jennifer Russell notes that stopping ADHD medication during pregnancy can increase depression, feelings of loneliness, and family conflict for these patients. A decrease in medication could also affect the ability to drive safely and perform work-related tasks, which are vital aspects of everyday life for those with ADHD.

She suggests women who are uncertain about whether or not to stop taking medication because of their pregnancy, consider informing family members, friends and colleagues on the condition, its effects on daily functioning, and on the advantages of staying on the current treatment plan. It can also help women feel supported in her decision. It is important to remember that some medications are able to be absorbed through the placenta so if a woman decides to stop her ADHD medication during pregnancy and breastfeeding, she must be aware that traces of the drug can be transferred to the infant.

Risk of Birth Defects

As the use and misuse of ADHD drugs to treat symptoms of attention deficit hyperactivity disorder (ADHD), increases the concern over the possible effects of the drugs on fetuses. A study that was published in the journal Molecular Psychiatry adds to the existing knowledge on this subject. Utilizing two huge data sets researchers were able to examine more than 4.3 million pregnancies and see whether stimulant medication use increased the risk of birth defects. Researchers discovered that although the overall risk is low, the first trimester ADHD exposure to medication was associated with slightly higher rates of specific heart defects like ventriculoseptal defect.

The researchers of the study could not find any association between early use of medication and other congenital anomalies, like facial deformities, or club feet. The results are in the same vein as previous studies that showed a small, but significant increase in cardiac malformations for women who started taking ADHD medication before pregnancy. The risk was higher in the latter half of pregnancy, as many women decide to stop taking their medication.

Women who took ADHD medication in the first trimester of pregnancy were also more likely to undergo caesarean section, low Apgar score following delivery, and a baby who needed help breathing at birth. However the researchers of the study were unable to eliminate bias due to selection by restricting the study to women who did not have any other medical issues that could have contributed to these findings.

Researchers hope their research will help doctors when they meet pregnant women. The researchers suggest that while discussing benefits and risks are important, the decision regarding whether or not to stop taking medication should be according to the severity of each woman's ADHD symptoms and the needs of the woman.

The authors caution that, while stopping the medication is a possibility to look into, it is not advised because of the high incidence of depression and other mental problems among women who are pregnant or have recently given birth. Furthermore, research suggests that women who choose to stop taking their medications are more likely to have a difficult time getting used to life without them following the birth of their baby.

Nursing

The responsibilities of a new mother can be overwhelming. Women who suffer from ADHD who must work through their symptoms while attending doctor appointments, getting ready for the arrival of their child and adapting to new routines in the home are often faced with a number of difficulties. Many women choose to continue taking their ADHD medication during pregnancy.

The risk to a breastfeeding infant is not too high since the majority of stimulant medication passes through breast milk at low levels. The rate of exposure to medication will vary based on the dosage the medication is administered, its frequency and time of day. Additionally, different medications enter the infant's system differently through the gastrointestinal tract as well as breast milk and the impact of this on a newborn isn't fully understood.

Due to the absence of research, some physicians might be tempted to stop taking stimulant drugs during a woman's pregnancy. This is a difficult choice for the patient, who must weigh the benefits of continuing her medication against the possible risks to the embryo. In the meantime, until more information is available, doctors should ask all pregnant patients about their history of ADHD and if they are taking or planning to take medication during the perinatal period.

Many studies have shown 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 discovered, in consultation with their doctor that the benefits of retaining their current medication outweigh risk.

Women with ADHD who are planning to nurse should seek the advice of a specialist psychiatrist before becoming pregnant. They should discuss the medication they are taking with their physician and discuss the pros and cons of continuing treatment. This includes non-pharmacological strategies. Psychoeducation should also be provided to help pregnant people with adhd medication how does it work understand their symptoms and the underlying disorder Learn about the available treatment options and reinforce existing coping strategies. This should be a multidisciplinary approach including obstetricians, GPs, and psychiatry. Pregnancy counseling should include discussion of a treatment plan for the mother and the child, as well as monitoring for signs of deterioration and, if needed, adjustments to the medication regime.top-doctors-logo.png

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