Mental Health During Pregnancy

Pregnancy does not protect against depression or anxiety — yet studies show that nearly half of women taking antidepressants before pregnancy stop their medication once they conceive. Recent data presented at national maternal-fetal medicine meetings found that discontinuing antidepressants during pregnancy is associated with nearly double the risk of serious mental health emergencies compared with continuing treatment.


Untreated or undertreated psychiatric illness carries real risks — including poor prenatal care engagement, preterm birth, and increased maternal morbidity. While concerns about medication exposure are understandable, many commonly used antidepressants have reassuring safety data, and abrupt discontinuation is often not the safest choice.


The key is individualized, shared decision-making. Pregnancy is a time for proactive mental health support — not silent suffering. If you or your patient is considering stopping medication, a thoughtful conversation with an obstetric and mental health provider is essential.


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