Chris,
Please send me the article regarding the SSRIs.  I am a PNP and also do 
lactation counseling in our pediatric practice and in the hospital with 
our patients.  I am very interesting in the implications of this article!
Susan, CPNP
Missouri

Chris Clark wrote:

>While I was trying to help the mom with the hypertonic arching baby who
>had difficulty latching (my last post), my husband brought to my attention
>an article in the last issue of JAMA (May 18, 2005 vol. 293 No. 19) on the
>prevalence of neonatal problems associated with women who are on anti-
>depressants during the last trimester of their pregnancy. I hadn't
>mentioned in my last post that anti-depressant use was a factor with this
>mom, because I never considered it relevant. However, after reading the
>article, I now realize that SSRI use among pregnant women (and those
>lactating?)may account for a significant portion of the problems we are
>seeing.
>   The researchers analyzed all the studies out there plus considered the
>FDAs adverse drug reaction reports. They conclude that many SSRI babies (10-
>15%)are subject to the same kind of withdrawal effects that adults go
>through when they try to quit these drugs. Included in the long list of
>adverse reactions are poor suck leading to tube feeding, increased tone -
>rigidity, decreased tone, hyperreflexia, irritability, agitation, emesis,
>diarrhea and tremors.  It appears that some of these reactions may also be
>the result of serotonin syndrome -- not the discontinuation of the drug,
>but the use of it.
>    Please email me if you want me to send you the complete article in an
>attachment.
>
>Chris
>
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