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Yıl:2011; Cilt: 1; Sayı: 3>> Özet
TAM METİN
Journal of Mood Disorders; 2011;1(3):118-125
Dikkat çekici bir konu: Hamile ve depresyondaki kadınlara ilaç önerilmeli mi?
N Aydın, E Oral, M Güleç
Atatürk Üniversitesi Tıp Fakültesi, Erzurum
Erkeklere kıyasla kadınlar daha fazla depresyon yaygınlık oranlarına sahiptir ve özellkle doğurganlık çağında depresyona daha da duyarlıdırlar. Depresyon oranları gebelik dönemindeki kadınlar için %20'lere kadar ulaşabilir. Aslında kadınları tedavi eden bir klinisyenin, kendisini annenin ve bebeğin gelişiminin korunması için en uygun yöntemi seçmeye çalışırken bulması oldukça muhtemeldir. Emniyet konuları ve doğumla ilgili olumsuz sonuçlar gebelikte antidepresan kullanımı ile ilgili başlıca endişe alanlarıdır. Diğer taraftan, tedavi edilmemiş depresyon da anne ve bebek için sağlık komplikasyonlarına yol açma potansiyeline sahiptir. Ancak gebelikte antidepresan kullanımının muhtemel yan etkilerinin daha fazla vurgulandığı ama tedavi edilmemiş depresyonun o kadar önemsenmediği aşikardır. Halihazırdaki çalışmalar gebelik sırasında antidepresan kullanımının emniyetli olup olmadığına dair çelişkili sonuçlar ortaya koymaktadır dolayısıyla da mevcut verilerin yorumlanması çok dikkatli bir şekilde yapılmalıdır. Ebeveynlerle birlikte karar verirken her iki seçeneğin de riskleri ve faydaları göz önüne alınmalıdır.
A challenging issue: Should medications be prescribed to pregnant and depressed women?
Women have higher prevalence rates of depression than men and they are particularly vulnerable to depression in childbearing [year]s. The rates of depression can reach up to 20% of all women during pregnancy. Actually, physicians who treat women are likely to find themselves trying to choose the best option for protection of the mother and for the development of her child. Safety issues and negative birth outcomes are matters of concern with antidepressant use during pregnancy. Otherwise, untreated depression also has potential to cause health complications for both mother and infant. It is obvious that possible adverse effects of antidepressant use during pregnancy are more emphasized but adverse outcomes of untreated depression are underrated. Currently, studies exhibit conflicting results about antidepressant safety in pregnancy period so current data must be cautiously interpreted. The risks and benefits of both options must be taken into account in decision-making process with families.

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