Are women empowered to make decisions about the use of antidepressants in pregnancy?

Lorna Randall, Lesley Briscoe

Research output: Contribution to journalArticle

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Abstract

Background: Untreated depression is related to adverse maternal mortality and morbidity. The most frequent treatment option for women is antidepressant medication. Women find decision-making about antidepressant usage in pregnancy difficult and confusing. There is a dearth of information to explain if women are empowered to make decisions around the use of antidepressants in pregnancy. Method: A literature review was conducted using Cinahl Complete, Intermid, Proquest and Discover More. Results: Information provision was inadequate and women experienced decisional conflict. Women wanted to be involved in a collaborative decision-making process. Conclusion: Women want to be provided with clear and accurate information and follow a collaborative decision-making process when making decisions about antidepressants in pregnancy. More research is needed to explore demographic gaps within population samples. Women’s experiences of decision-making about antidepressant usage need to be explored in depth. Undergraduate and postgraduate health education should include conversation skills training, associated with collaborative discussion and informed choice around medication usage.
Original languageEnglish
Pages (from-to)329-335
JournalBritish Journal of Midwifery
Volume26
Issue number5
Early online date2 May 2018
DOIs
Publication statusE-pub ahead of print - 2 May 2018

Keywords

  • Empowered decision-making
  • pregnancy
  • depression
  • antidepressants

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