Pregnancy

Taking anti-psychotics during pregnancy: is it safe?

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Women with bipolar disorder are no different from other women around the world.  Being diagnosed with bipolar doesn’t stop the desire to have a baby, or add to our family.
In the lead up to their pregnancy, most women with Bipolar Disorder are advised to go off all medication.
Yet, what about those of us at risk of relapse if we stop taking our prescribed antipsychotic medication can be detrimental to our health.  Or for those whose pregnancy was unplanned, and may have already been taking antipsychotic medication before they discover they are pregnant?
Are we doomed to rest of our pregnancy worrying about the impact on our unborn baby?

The National Register of Anti-Psychotic Medications in Pregnancy (NRAMP) is an observational, nationwide study based in Melbourne, Australia, that is aiming to provide a better understanding of antipsychotic medication use during pregnancy, birth and the first year of a baby’s life.

This world-first, innovative study will give women taking antipsychotic medications, and the medical profession, with the information we need to make informed decisions before and during pregnancy.

I participated in this study during my second and third pregnancies.  The outcome?  Two very healthy babies and no signs of the mental illness I endured after the birth of my first baby.

Here’s the lowdown on this great research project:

What does NRAMP aim to achieve?

  • Provide a better understanding of antipsychotic medication use during pregnancy, birth and for the first year of the baby’s life;
  • Allow for the development of evidence-based guidelines for the best use and effect of antipsychotic medication during pregnancy, birth and the postnatal phase;
  • Assist healthcare professionals, and women with mental illness, to make informed decisions about appropriate treatment options, and encourage safer outcomes for both mother and baby, during pregnancy, birth and the postnatal phase;
  • Enhance our knowledge regarding the care of women with mental illness during pregnancy, birth and the postnatal phase.

What’s involved in the study?

Through regular phone calls and research, NRAMP follows the journey of mother and baby during pregnancy, delivery and for the first year of the baby’s life.  The study is designed to collect and record information on maternal and neonatal health and wellbeing during this time frame.  It is not designed to provide treatment recommendations, make mental health diagnoses or pass judgment on any individual.

Who can participate in NRAMP?

  • Women who are taking, or have taken, antipsychotic medication during pregnancy;
  • Women who are pregnant or who have had a baby in the last 12 months;
  • Women who reside in Australia;
  • Women who are able to provide informed consent.

How can I join NRAMP?

Referral by your clinicians: Healthcare professionals can refer potential participants to NRAMP. Clinicians are asked to briefly discuss the study with appropriate patients, and to ask their consent to pass on contact details to NRAMP research personnel, who will then contact the potential participant to discuss participation in the study.

By self-referral: Women who are interested in participating in the study can contact the NRAMP researcher personnel directly.

Contact details:

Ms Heather Gilbert, Senior Research Nurse

Phone + 61 3 9076 6591

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