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Depression Treatment During Pregnancy

Multidisciplinary management of antenatal depression balancing maternal mental health and fetal safety.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Depression Treatment During Pregnancy?

Antenatal depression affects approximately 10 to 15 percent of pregnant women and is a leading risk factor for postpartum depression and adverse perinatal outcomes.

Untreated maternal depression is associated with preterm birth, low birth weight, impaired infant attachment and developmental delay.

Treatment requires shared decision making between obstetric and psychiatric teams, balancing the risks of untreated illness against medication exposure.

Symptoms

Persistent low mood and tearfulness lasting more than two weeks
Loss of interest in usual activities including pregnancy
Sleep disturbance beyond pregnancy norms
Appetite changes and inadequate weight gain
Feelings of guilt, worthlessness or hopelessness
Suicidal ideation or thoughts of harming the baby (urgent referral)

Risk Factors

Personal or family history of depression
Lack of social support and intimate partner violence
Unplanned or high-risk pregnancy
Adolescent pregnancy and socioeconomic stress
Previous pregnancy loss or fertility difficulties
Discontinuation of psychotropic medication in early pregnancy

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent low mood interfering with prenatal care or daily function
  • Inability to bond with the pregnancy or unwanted thoughts
  • Suicidal ideation or self-harm intent (immediate emergency referral)
  • Substance use or eating disorder accompanying mood symptoms

Treatment Methods

01
Validated screening (Edinburgh Postnatal Depression Scale, PHQ-9) at first visit and at 28 weeks
02
Cognitive behavioural therapy and interpersonal psychotherapy as first-line
03
Selective SSRIs (sertraline, fluoxetine) for moderate to severe depression after risk discussion
04
Avoid paroxetine in first trimester (cardiac defect risk) and minimise abrupt discontinuation
05
Group support, peer counselling and home visits where available
06
Coordinated postpartum plan including monitoring for postpartum depression

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.