As an ObGyn and mom of three, I've supported countless women through the decision of whether to continue their ADHD medication during pregnancy. I know this decision can feel overwhelming - you're trying to balance your own well-being with your baby's health, all while managing the mental load of pregnancy. Let me share what we know from the latest research.
What the Science Shows
I'm excited to share that recent studies, including a 2023 population-based cohort study in the Danish national registers, have been reassuring. The research shows no increased risk of long-term adverse effects on children exposed to ADHD medication during pregnancy. While we always want more data (pregnancy studies are naturally limited for ethical reasons), what we have is promising.
That said, let's be real about what we monitor. Some studies suggest possible associations with lower birth weight and preterm delivery. But here's the important part - these risks are small, and we can watch for them closely through additional growth scans and regular check-ups.
A Balanced Approach
With Sterling Parents, I typically discuss a few key strategies:
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Consider pausing during the first trimester if possible
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Resume after 12 weeks if needed
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Set up extra monitoring throughout pregnancy
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Work with both your ObGyn and psychiatrist
The Reality of Pregnancy with ADHD
Let's talk about what really matters here. Pregnancy itself is mentally demanding - you're managing appointments, preparing for baby, often working, and trying to stay organized through it all. Add untreated ADHD to the mix, and it can feel overwhelming. This is why I believe so strongly in individualizing care for each mama's situation.
Making Your Decision
When thinking about whether to continue ADHD medication, consider your daily life. How does your ADHD impact your work? Your home life? Your ability to take care of yourself? These aren't just convenient factors - they're crucial to your wellbeing and your pregnancy.
Remember, this isn't about making a perfect choice (spoiler alert: there isn't one). It's about making the best choice for you and your baby, considering your specific circumstances.
Moving Forward
If you decide to continue medication, know that you'll have support and monitoring throughout your pregnancy. If you decide to stop, that's okay too. What matters most is that you're making an informed decision with your healthcare team.
The Bottom Line
Here's what I want you to take away: the evidence we have is reassuring, and I've seen many women have healthy pregnancies while managing their ADHD with medication. A healthy mom means a healthy baby, and sometimes that means continuing medication that helps you function and thrive.
Talk with your healthcare providers about your specific situation. Be honest about your concerns and needs. And remember, you're not alone in navigating this decision - many pregnant women manage ADHD, and there's no shame in needing support or medication during this time.
Pregnancy is transformative enough without adding unnecessary struggle. Whether you choose to continue or pause your medication, what matters most is that you're making an informed choice that works for YOU.
