Psychiatria pre prax 1/2005

THERAPY OF DEPRESSION, ANXIETY DISORDER AND INSOMNIA DURING PREGNANCY AND LACTATION

The presented overview is focused on medication by anti-depressives during pregnancy and lactation and on pharmacotherapy of anxiety disorder and insomnia in these periods. It comprehensively maps known data from publications dealing with therapy by anti-depressives. Relatively new clinical data obtained during ambulant treatment of patients are reported together with experience gained at Prague Psychiatric Center (PCP). The article may serve as an advise material for a psychiatrist during intervention in a case of a pregnant or breast-feeding woman.

Keywords: pregnancy and lactation, psychopharmacological therapy, risk factors, treatment principles, teratogenity, malformation.