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Journal of Clinical and
Basic Psychosomatics Safe psychotropic drug use: Pregnancy checklist

limited, as while it recognizes and recommends the role 2. Morgan VA, McGrath JJ, Jablensky A, et al. Psychosis
of psychotherapy and counseling, and includes this in the prevalence and physical, metabolic and cognitive
checklist, it does not formally evaluate these methods, co-morbidity: Data from the second Australian national
which warrant their own extensive review. The patient’s survey of psychosis. Psychol Med. 2014;44(10):2163-2176.
diagnosis, severity of previous episodes, necessity for doi: 10.1017/S0033291713002973
medication, and responsiveness to medication are strong 3. Frayne J, Ellies R, Nguyen T. Experiences of decision
predictors of the need for medication during pregnancy. making about psychotropic medication during pregnancy
14
Evolving pharmaceutical studies are being frequently and breastfeeding in women living with severe mental
released, so it is essential for prescribers to remain engaged illness: A qualitative study. Arch Womens Ment Health.
with the evolving literature to provide accurate and up-to- 2023;26(3):379-387.
date advice. As considered by Frayne et al., “the clinician doi: 10.1007/s00737-023-01325-0
needs to provide comprehensible and concise information,
giving space for a woman’s voice to be heard to guide them 4. Medical Student Council of Victoria Submission
Recommendations; 2021. Available from: https://rcvmhs.
from a position of hesitancy to one of assurance.” 3(p385) archive.royalcommission.vic.gov.au/medical_student_
Incorporating effective shared decision-making will assist council_of_victoria.pdf [Last accessed on 2024 Feb 02].
in providing that assurance to the patient.
5. Therapeutic Guidelines. Psychotropic Use During
Acknowledgments Pregnancy; 2023. Available from: https://www.Vtopicteaser?
guidelinepage=psychotropic&etgaccess=true [Last
None. accessed on 2024 Feb 02].

Funding 6. Wesseloo R, Kamperman AM, Munk-Olsen T, Pop VJM,
Kushner SA, Bergink V. Risk of postpartum relapse in bipolar
None. disorder and postpartum psychosis: A systematic review and
meta-analysis. Am J Psychiatry. 2016;173(2):117-127.
Conflict of interest
doi: 10.1176/appi.ajp.2015.15010124
The authors declare that they have no competing interests.
7. Davis D, Sheehy A, Nightingale H, de Vitry-Smith S, Taylor J,
Author contributions Cummins A. Anxiety, stress, and depression in Australian
pregnant women during the COVID-19 pandemic: A cross
Conceptualization: All authors sectional study. Midwifery. 2023;119:103619.
Writing – original draft: All authors doi: 10.1016/j.midw.2023.103619
Writing – review & editing: All authors
8. Desai G, Babu GN, Chandra PS. Unplanned pregnancies
Ethics approval and consent to participate leading to psychotropic exposure in women with mental
illness-findings from a perinatal psychiatry clinic. Indian J
Not applicable. Psychiatry. 2012;54(1):59-63.
Consent for publication doi: 10.4103/0019-5545.94649

Not applicable. 9. Alsdorf R, Wyszynski DF. Teratogenicity of sodium
valproate. Expert Opin Drug Saf. 2005;4(2):345-353.
Availability of data doi: 10.1517/14740338.4.2.345

Not applicable. 10. Tuccori M, Montagnani S, Testi A, et al. Use of selective
serotonin reuptake inhibitors during pregnancy and risk
Further disclosure of major and cardiovascular malformations: An update.
Postgrad Med. 2010;122(4):49-65.
This article does not constitute or replace legal advice
and/or clinical judgment. If in doubt, please contact your doi: 10.3810/pgm.2010.07.2175
medical indemnity insurer or legal representative. 11. Boyce P, Buist A. Management of bipolar disorder over the
perinatal period. Aust Fam Physician. 2016;45:890-893.
References
12. Wang J, Cosci F. Neonatal withdrawal syndrome following late
1. Howard LM, Kumar R, Thornicroft G. Psychosocial in utero exposure to selective serotonin reuptake inhibitors:
characteristics and needs of mothers with psychotic A systematic review and meta-analysis of observational
disorders. Br J Psychiatry. 2001;178(5):427-432. studies. Psychother Psychosom. 2021;90(5):299-307.
doi: 10.1192/bjp.178.5.427 doi: 10.1159/000516031

Volume 2 Issue 3 (2024) 5 https://doi.org/10.36922/jcbp.2978