April 07, 2006

Stillbirths?

A BBC account of the Canadian study of pregnant women taking SSRIs, which I posted about yesterday, reports that patients taking the meds had twice the likelihood of delivering babies stillborn as did a control group. I have no way of knowing if that relationship is statistically significant or just a weird coincidence, but it sure makes me raise my eyebrows. Stillbirth isn't one of thsoe side-effects that docs and regulators can explain away by saying, "Averages are not individuals. Nothing to worry about here. There is hope."

And yet here's an advocate, quoted by the BBC, saying:

"Whilst this study has found a correlation between SSRIs and pregnancy complications, it has in no way confirmed a clear causal effect between the two, so pregnant women should continue taking their medication as normal. Left untreated, the physical and psychological effects of depression can lead to problems during pregnancy. Sufferers of depression are far more likely to smoke, as well as lose their appetites and in extreme cases are more likely to attempt suicide, which can all have devastating effects on mother and baby."

Ah, I love how the health nannies always get in a dig against smoking, but refuse to acknowledge just how dicey taking SSRIs actually is. That's the kind of arrogance that ought to be in the criminal code. Why do reporters continue to quote these fools?

Funny that the stillbirth issue wasn't highlighted in other press accounts. I wish I could do this gig full-time so I could actually have time to call the study's authors and ask them about their data instead of just sitting here wondering.

Posted by Philip Dawdy at April 7, 2006 09:30 AM
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Comments

I SO do not want my kid to have birth defects!!! That would be the most horrible thing that could ever happen to me!!! I really, REALLY don't want that to happen!

Fortunatly, I just went off all my antideppressents, so, at least according to that study, I don't have to worry about stillbirths or other stuff.

But still, what about all my other medications??? I don't have to continue to take lamictal or clonampin, but I don't think anyone will let me go off my abilify or risperdal. What about those??? Do those cause birth defects???

I'm SOOOO SCARED!!! I DON'T want my kid having birth defects! Anything but that! Philip, really, do my meds cause that?! REALLY, I DON'T WANT MY KID HAVING BIRTH DEFECTS!!!

Maybe I should just go off all my medication. Maybe that would be best. I'd rather suffer and have a great kid than be fine and have a messed up kid. Really, I might just do that...

Posted by: Gwen at April 10, 2006 09:08 AM

Dear Gwen, Please read the paperwork that comes with the meds. The pharmacist has the package inserts and they are also online. Are you pregnant now? or planning ? otherwise, please do not go off of your meds.If you (Im sorry I sound like a damn doctor, Im just a mom of 3)are planning to become pregnant, speak with ALL docs, and see what they think. I mean more than the psychiatrist. Women's hormones are complex.I have a friend who is bipolar, and I have no scientific explanation at hand this minute (I can help research this)somehow the hormones, well she felt GOOD off meds and once having baby, back on meds. Women are complex.Dont we know it.Please take care, and dont go off meds.

Posted by: Stephany at April 10, 2006 06:25 PM

Dear Gwen,
www.rxlist.com
"Labor and Delivery

The effect of aripiprazole on labor and delivery in humans is unknown."
The study on Abilify was done by giving rats, mice and rabbits Abilify.

There are risks in life, we all know this. I was a health-foody with all 3 of my daughters (wouldnt know it by looking at me now)with all 3 pregnancies, and each pregnancy had its own issues, and each child came into the world differently. My point is: do not let this stop you from living. Take a chance and talk it out with lots of docs...take care.

Posted by: Stephany at April 10, 2006 06:36 PM

Hi Stephany,

Thanks so, so much for your support. Yah, I don't know, this is just one thing that worries me to death, even though I'm not planning on getting pregnant anytime soon. It's just so scary! And no, I'm not planning on really going off my meds ... if I do I'll end up in the hosptial, and right now my life is way too good for that. This whole birth defect thing is just one of my biggest nightmares! I've always looked forward to having a kid, and I want him or her to be beautiful, smart, nice, kind, everything. If I had a kid with down syndrome or some other major deformity, I don't know how I would deal with that. I want my kid to be great!

Anyway, thank you so much for your support. I really, very much appreciate it. Be well.

Posted by: Gwen at April 12, 2006 10:11 AM

Gwen, You would be amazed how strong you are and can be, when presented with what you think could be a challenge as a Mother. The child is always perfect in a Mother's eyes. It always works out.

Posted by: Stephany at April 17, 2006 12:44 AM

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