Serotonin reuptake inhibitors (SRIs) are prescribed for ~30% of pregnant women with depression and are reported to disrupt sleep architecture. Furthermore, prenatal maternal depression itself is associated with disrupted circadian rhythms and sleep problems in offspring. However, little is known about the effects of prenatal SRI exposure on child sleep and circadian rhythms. We examined the effects of prenatal exposure to maternal depression and SRIs on circadian neurohormone excretion and sleep in 36-month-olds. Mothers were originally enrolled during pregnancy into a larger, longitudinal study and were interviewed with standardized instruments for psychiatric diagnoses and treatment status. Mothers-child pairs (n=59) were categorized as: 1) No depression or SRI treatment during pregnancy (NoEXP, N=25); 2) Depression, no SRIs (DEP, N=15); 3) Depression with SRIs (SRI, N=19). Videosomnography and respiration recordings were collected on the children for two consecutive nights at 18 and 36-months post-birth. Recordings were manually scored by a trained rater, who was blinded to group status, for percentage of time in bed in wake, Non-REM, REM, and sleep-wake transitional states as well as sleep onset latency (SOL) and number of behavioral arousals. Overnight and daytime urine samples were obtained to determine melatonin, epinephrine, norepinephrine, and cortisol excretion. Overnight melatonin levels were significantly lower in the DEP group compared to NoEXP (Wald χ2=8.2, p<.02). The SRI group had higher cortisol levels overall compared to NoEXP and DEP groups (Wald χ2=6.6, p<.05). Higher daytime cortisol was related to shorter SOL (β=.87, p<.02) and lower amounts of NREM sleep in the early night period (β=.1.1, p<.03). Higher nighttime cortisol was related to longer SOL (β=1.3, p<.02) and more REM sleep (β=.1.1, p<.02). Higher overnight norepinephrine was related to more REM sleep (β=1.75, p<.02) across groups, while higher daytime norepinephrine was related to longer SOL (β=3.56, p<.01) in DEP and SRI groups. Prenatal exposure to maternal depression and SRIs affected sleep and neurohormone secretion of the pineal and the sympathetic nervous system in early childhood. The impact of such prenatal exposure on specific aspects of sleep might act via distinct biological pathways. NIH R01MH079033 to Amy Salisbury.