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Decisions about the use of psychotropic medication during pregnancy: a qualitative study
  1. Fiona Stevenson1,
  2. Sarah Hamilton2,
  3. Vanessa Pinfold2,
  4. Charlotte Walker2,
  5. Ceri R J Dare2,
  6. Harminder Kaur2,
  7. Ruth Lambley2,
  8. Paulina Szymczynska3,
  9. Vicky Nicolls4,
  10. Irene Petersen1,5
  1. 1Department of Primary Care and Population Health, UCL, London, UK
  2. 2McPin Foundation, London, UK
  3. 3Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK
  4. 4Mental Health Foundation, London, UK
  5. 5Department of Clinical Epidemiology, Aarhus, Denmark
  1. Correspondence to Dr Fiona Stevenson; f.stevenson{at}ucl.ac.uk

Abstract

Objective To understand the perspectives of women with severe mental illness concerning the use of psychotropic medicines while pregnant.

Design Interviews conducted by female peer researchers with personal experience of making or considering decisions about using psychotropic medicines in pregnancy, supported by professional researchers.

Participants 12 women who had had a baby in the past 5 years and had taken antipsychotics or mood-stabilisers for severe mental illness within the 12-month period immediately prior to that pregnancy. Recruitment to the study was via peer networks and the women interviewed came from different regions of England.

Setting Interviews were arranged in places where women felt comfortable and that accommodated their childcare needs including their home, local library and the research office.

Results The views expressed demonstrated complex attempts to engage with decision-making about the use of psychotropic medicines in pregnancy. In nearly all cases, the women expressed the view that healthcare professionals had access to limited information leaving women to rely on experiential and common sense evidence when making decisions about medicine taking during pregnancy.

Conclusions The findings complement existing work using electronic health records by providing explanations for the discontinuation of psychotropic medicines in pregnancy. Further work is necessary to understand health professionals’ perspectives on the provision of services and care to women with severe mental illness during pregnancy.

  • MENTAL HEALTH
  • DECISION MAKING
  • MEDICINE TAKING
  • QUALITATIVE RESEARCH
  • HEALTH EXPERIENCES

This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/

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