PMH-C Medications Exam fully solved & updated
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Terms in this set (49)
Treatment can benefit both mom and baby
There are two patients No treatment poses risk to both mom and baby
"Exposure always occurs, be it to treatment or illness"
13% of pg women were prescribed antidepressants
Prevalence 50% of pregnancies are unplanned - early exposure
has often occurred
Mild - moderate:
- psychotherapy first line
- continue meds if needed
Severe/Recurrent
PMAD tx guidelines (APA
- continue meds
& ACOG)
Suicidal/Psychotic
- immediate referral to hospital or psychiatric care
provider
- medications
Is often Sertraline/Zoloft
First option for medication
No single med is "safest" or "best" for use during
pregnancy/postpartum/lactation
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, 10/8/25, 1:28 PM PMH-C Medications Exam fully solved & updated 2025-2026(latest version verified for accuracy) | 2024\2025Latest!! Flashcards | …
No randomized, double-blind, placebo-controlled
trials
Why so much conflicting Many studies are retrospective database and case-
data on meds in perinatal control studies
- may involve voluntary reporting
- confounds (esp illness exposure)
Other prescription/non-prescription meds
Nutrition
ETOH/cigarettes
Genetics
Obesity
Confounding variables in
Method of delivery
assessing risk
Environmental toxins
Maternal/paternal age
Length of gestation
Stress
Socioeconomic status
Keep it simple - monotherapy where possible, don't
change what's working
Golden rules of
Ask about and document all known exposure to
pharmacological tx
medications/supplements/herbals/OTC
Encourage psychotherapy & social support
Miscarriage
congenital malformation
preterm delivery / low birth weight
Parental concerns around NAS - Neonatal Abstinence/Adaptation Syndrome
perinatal medication PPHN - Persistent Pulmonary Hypertension of the
Newborn
Long term neurobehavioural effects
Autism
not a true risk when adequate controls are utilized -
Risk of miscarriage
no increased risk with SSRIs
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