Guest guest Posted February 9, 2005 Report Share Posted February 9, 2005 This list was hot with discussion on C-section. The list has a number of posts on foods to be avoided and taken during pregnancy. While there are special groups devoted to pregnancy and childbirth, midwifery etc, we at ayurveda can discuss ayurvedic herbs, yoga etc benificial for fetus and mom both. While coming across patients belonging to family of an allopath but seeking alternative therapies is now common, medical researchers openly recommending alternative therapy is something unusual. Having come across such a noting, the author felt that group should also know. Another objective of this post is to seek answers to a question wheteher fetal distress can also be due to anti-depressants taken by mom during pregnancy. The movement against anti-depressant SSRI medicines is well known. Infants of women who took antidepressants while pregnant, might experience symptoms of withdrawal, including convulsions, according to a study published in the Feb. 4 issue of the journal Lancet. Dr. Emilio Sanz of La Laguna Medical School in Spain and colleagues analyzed a World Health Organization database on adverse drug reactions recorded since 1968, specifically looking for reports on newborns who had been exposed to antidepressants in utero and experienced symptoms at birth such as fever, quickened breathing and "heightened agitation". The researchers found more than 100 such cases in the WHO database and concluded that 93 could be "linked strongly" to antidepressants based on original medical reports, as reported in (Carey, New York Times, 2/4). In 13 of the 93 cases, the infants also experienced convulsions -- a reaction that has not been "widely" documented in adults who cease using antidepressants, according to the Times. The researchers concluded that the recorded symptoms were "more common than would be expected by chance". Paxil, known generically as paroxetine, was most commonly associated with withdrawal symptoms, but Celexa, Prozac and Zoloft also were linked to withdrawal symptoms. Recommendations, Reaction According to Sanz, Paxil "should not be used in pregnancy, or if used, should be given at the lowest effective dose" (Peres, Chicago Tribune, 2/4). Approximately 10% to 15% of women experience some depression during pregnancy, and about 25% of those women take antidepressants, according to the Times. If left untreated, women who experience depression during pregnancy also might be at an increased risk of postpartum depression -- a potentially "devastating" condition than can "cloud the relationship between mother and child" and "interfere with the child's social development," the Times reports (New York Times, 2/4). Therefore, some doctors "reacted with caution" to the study, the Tribune reports. In an accompanying Lancet opinion piece, Dr. Vladislav Ruchkin, a child psychiatrist at Yale University, writes that a "precipitous shift away from widespread prescription of [antidepressants] is not called for and would do much more damage than good." However, he adds that "doctors should be more careful" in prescribing such medications to pregnant women (Chicago Tribune, 2/4). Dr. Patrick O'Brien, a consulting obstetrician at University College London Hospital, said, "My advice is that if you can avoid medication in pregnancy do, but without a doubt there will be women who should be taking medication for depression during their pregnancy" (BBC News, 2/4). Until further research is available, Sanz and colleagues said that doctors should use alternative therapies to treat depression in pregnant women and review prescription doses (Reaney, Reuters, 2/4). This author has discussed various simple remedies to be used in case of depression in past. A cured case who followed these, is also reported on the archieves earlier. Indian pregnant women are very reluctant to take any medicines during pregnancy even herbal, and they are well cared by joint family system, with daily showering of love and advise by elderlies. Mother-in-law and daughter-in-law, if they have sore relationship normally, the sourness and soreness melts during pregnancy. Due to this, depression during pregnancy or even Post-partum, is relatively unheard in India. Time has come for rest of the world to follow either simple herbal regime or contented love- filled lifestyle of oriental culture. Dr Bhate Quote Link to comment Share on other sites More sharing options...
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