Abstract

Prescribing antidepressants and anxiolytic medications to pregnant women: comparing perception of risk of foetal teratogenicity between Australian Obstetricians and Gynaecologists, Speciality Trainees and upskilled General Practitioners

Highlights

  • Depression and anxiety are common disorders, their occurrence during pregnancy has the potential to significantly impact the health and wellbeing of both mother and child [1, 2]

  • The 34 questions were designed to elicit clinician attitudes about AD and AX including their prescription during pregnancy, medication counseling practice, perceptions of the level of patient concern regarding their use during pregnancy and the risk perceptions of the stakeholders who influenced a pregnant woman’s decision making

  • Overall, the Royal Australian College of Obstetricians and Gynaecologists (RANZCOG) database identified 5409 eligible clinicians, all of whom received a standardised invitation by email

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Summary

Introduction

Depression and anxiety are common disorders, their occurrence during pregnancy has the potential to significantly impact the health and wellbeing of both mother and child [1, 2]. Negative outcomes of mental health disorders in pregnancy include a variety of serious complications. In addition to subjective distress, the impact on relationships can be very significant, when attachment to the newborn is disrupted. This may lead to enduring detrimental effects on the child extending into adulthood [4]. Depression leads to suicide, with it being the second largest cause of indirect maternal mortality in the perinatal period in Australian women [1]

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