British Association for Psychopharmacology consensus guidance on the use of psychotropic medication preconception, in pregnancy and postpartum 2017

@article{McAllisterWilliams2017BritishAF,
  title={British Association for Psychopharmacology consensus guidance on the use of psychotropic medication preconception, in pregnancy and postpartum 2017},
  author={R. Hamish McAllister-Williams and David S. Baldwin and Roch Cantwell and Abigail Easter and Eilish Gilvarry and Vivette Glover and Lucian Green and Alain MRCPsych Gregoire and Louise Michele Howard and Ian Jones and Hind Khalifeh and Anne Lingford-Hughes and Elizabeth McDonald and Nadia Micali and Carmine Maria Pariante and Lesley Peters and Ann Roberts and Natalie Clare Smith and David Taylor and Angelika Wieck and Laura M. Yates and Allan H. Young},
  journal={Journal of Psychopharmacology},
  year={2017},
  volume={31},
  pages={519 - 552}
}
Decisions about the use of psychotropic medication in pregnancy are an ongoing challenge for clinicians and women with mental health problems, owing to the uncertainties around risks of the illness itself to mother and fetus/infant, effectiveness of medications in pregnancy and risks to the fetus/infant from in utero exposure or via breast milk. These consensus guidelines aim to provide pragmatic advice regarding these issues. They are divided into sections on risks of untreated illness in… 
Guidelines on prescribing psychotropic medication during the perinatal period.
TLDR
The purpose of the British Association of Psychopharmacology guidelines is to provide advice regarding making decisions around treating mental illness in the perinatal period and this article provides a summary and explanation of the consensus guidance.
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The use of psychotropic medications in pregnancy is outlined, key considerations for those involved in providing clinical care to pregnant women with mental illness are discussed and it is essential that women do not receive conflicting information.
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TLDR
Antidepressants account for the majority of prescribed psychotropic medications for women in the perinatal period and are indicated for a variety of conditions, other than depression.
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TLDR
It is recommended that women who need to take an antipsychotics during pregnancy continue the antipsychotic that has been most effective for symptom remission, and further study on risperidone is needed to better understand its association with malformations.
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TLDR
This review highlights recent recommendations from influential regulatory and advisory bodies, summarises the relative efficacy and tolerability of valproate preparations in the psychiatric conditions for which they have often been prescribed, and offers practical guidance for the withdrawal and replacement ofValproate-containing medicines in women with psychiatric disorders.
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TLDR
The practical questions, current controversies, and available evidence regarding psychotropic drug therapy during pregnancy and lactation in bipolar disorder are analyzed.
[Antipsychotics during pregnancy: a systematic review].
TLDR
Evaluation of the risks and benefits of administering antipsychotics during pregnancy or for women who wish to become pregnant regarding teratogenic effects, risk of fetal death and stillbirths, perinatal complications, persisting postnatal impairments or disorders and gestational diabetes suggests that the group of antipsychotic seem to be safe in terms of teratogenicity during pregnancy.
Modern approaches to the pharmacotherapy of postpartum depression
TLDR
This review provides a timely update on the current understanding of approaches to the diagnosis and treatment of patients with PDD as part of recurrent depression and bipolar disorder, the features of pharmacotherapy in the postpartum period depending on the manifestations and course of the disease.
Treatment of Peripartum Depression with Antidepressants and Other Psychotropic Medications: A Synthesis of Clinical Practice Guidelines in Europe
TLDR
There is an urgent need for harmonized, up-to-date CPGs for pharmacological management of peripartum depression and comorbid anxiety in Europe so that healthcare providers and women can make informed, evidence-based decisions about treatment choices.
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