Mental Illness in Pregnancy

Question 1

What is the first line pharmaceutical treatment for depression in pregnancy and breastfeeding?

Answer 1

Sertraline

Question 2

What is there a small risk of in antidepressant use in pregnancy?

Answer 2

Persistent foetal pulmonary hypertension

Question 3

Which mood stabilising medications should be stopped in pregnancy and which medication is preferred?

Answer 3

1. Stop valproate and carbamazepine

2. Lamotrigine preferred

Question 4

What issues can occur with lithium in pregnancy?

Answer 4

Teratogenic

1. Ebstein’s anomaly
2. Floppy baby syndrome

Question 5

Which antipsychotic is contraindicated in breastfeeding?

Answer 5

Clozapine