{"id":"https://openalex.org/W7204867304","doi":"https://doi.org/10.12775/qs.2026.71.73983","title":"Safety of the Use of Psychiatric Medications in Pregnant Patients. A Review of Current Medical Knowledge","display_name":"Safety of the Use of Psychiatric Medications in Pregnant Patients. A Review of Current Medical Knowledge","publication_year":2026,"publication_date":"2026-08-31","ids":{"openalex":"https://openalex.org/W7204867304","doi":"https://doi.org/10.12775/qs.2026.71.73983"},"language":"en","primary_location":{"id":"doi:10.12775/qs.2026.71.73983","doi":"https://doi.org/10.12775/qs.2026.71.73983","is_oa":true,"landing_page_url":"https://doi.org/10.12775/qs.2026.71.73983","pdf_url":"https://apcz.umk.pl/QS/article/download/73983/47539","source":{"id":"https://openalex.org/S4210230959","display_name":"Quality in Sport","issn_l":"2450-3118","issn":["2450-3118"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["ddh","erih-plus","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310317346","host_organization_name":"Kazimierz Wielki University in Bydgoszcz","host_organization_lineage":["https://openalex.org/P4310317346"],"host_organization_lineage_names":["Kazimierz Wielki University in Bydgoszcz"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Quality in Sport","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://apcz.umk.pl/QS/article/download/73983/47539","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5137512067","display_name":"Kamil Idzik","orcid":"https://orcid.org/0009-0000-7532-9255","observed_orcids":["https://orcid.org/0009-0000-7532-9255"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kamil Idzik","raw_affiliation_strings":["Murcki Hospital in Katowice"],"raw_orcid":"https://orcid.org/0009-0000-7532-9255","affiliations":[{"raw_affiliation_string":"Murcki Hospital in Katowice","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5144254690","display_name":"Micha\u0142 Kawa","orcid":"https://orcid.org/0009-0001-8083-291X","observed_orcids":["https://orcid.org/0009-0001-8083-291X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Micha\u0142 Kawa","raw_affiliation_strings":["Murcki Hospital in Katowice, Poland"],"raw_orcid":"https://orcid.org/0009-0001-8083-291X","affiliations":[{"raw_affiliation_string":"Murcki Hospital in Katowice, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5144305389","display_name":"Agnieszka Anna Gaczo\u0142","orcid":"https://orcid.org/0009-0008-9020-7123","observed_orcids":["https://orcid.org/0009-0008-9020-7123"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Agnieszka Gaczo\u0142","raw_affiliation_strings":["Gabriel Narutowicz Municipal Specialist Hospital in Krak\u00f3w, Poland"],"raw_orcid":"https://orcid.org/0009-0008-9020-7123","affiliations":[{"raw_affiliation_string":"Gabriel Narutowicz Municipal Specialist Hospital in Krak\u00f3w, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049774594","display_name":"Dominika Grzybowska","orcid":"https://orcid.org/0009-0002-0599-8896","observed_orcids":["https://orcid.org/0009-0002-0599-8896"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Dominika Grzybowska","raw_affiliation_strings":["St. Luke's Provincial Hospital in Tarnow, Poland"],"raw_orcid":"https://orcid.org/0009-0002-0599-8896","affiliations":[{"raw_affiliation_string":"St. Luke's Provincial Hospital in Tarnow, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5144267324","display_name":"Paulina Kopci\u0144ska","orcid":"https://orcid.org/0009-0006-1495-1968","observed_orcids":["https://orcid.org/0009-0006-1495-1968"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Paulina Kopci\u0144ska","raw_affiliation_strings":["Gabriel Narutowicz Municipal Specialist Hospital in Krak\u00f3w, Poland"],"raw_orcid":"https://orcid.org/0009-0006-1495-1968","affiliations":[{"raw_affiliation_string":"Gabriel Narutowicz Municipal Specialist Hospital in Krak\u00f3w, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115685090","display_name":"Gabriela Piotrowska","orcid":"https://orcid.org/0009-0009-1283-7135","observed_orcids":["https://orcid.org/0009-0009-1283-7135","https://orcid.org/0009-0001-5840-0942"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gabriela Piotrowska","raw_affiliation_strings":["Gabriel Narutowicz Municipal Specialist Hospital in Krak\u00f3w, Poland"],"raw_orcid":"https://orcid.org/0009-0009-1283-7135","affiliations":[{"raw_affiliation_string":"Gabriel Narutowicz Municipal Specialist Hospital in Krak\u00f3w, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5144286368","display_name":"Weronika Grzyb-Kurnik","orcid":"https://orcid.org/0009-0001-7622-281X","observed_orcids":["https://orcid.org/0009-0001-7622-281X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Weronika Grzyb - Kurnik","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0009-0001-7622-281X","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137501012","display_name":"Micha\u0142 Kurnik","orcid":"https://orcid.org/0009-0008-4791-0630","observed_orcids":["https://orcid.org/0009-0008-4791-0630"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Micha\u0142 Kurnik","raw_affiliation_strings":["Megrez Provincial Multi-Specialist Hospital in Tychy, Poland"],"raw_orcid":"https://orcid.org/0009-0008-4791-0630","affiliations":[{"raw_affiliation_string":"Megrez Provincial Multi-Specialist Hospital in Tychy, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011498442","display_name":"Aleksander Urba\u015b","orcid":"https://orcid.org/0009-0004-5347-7192","observed_orcids":["https://orcid.org/0009-0004-5347-7192"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Aleksander Urba\u015b","raw_affiliation_strings":["Murcki Hospital in Katowice, Poland"],"raw_orcid":"https://orcid.org/0009-0004-5347-7192","affiliations":[{"raw_affiliation_string":"Murcki Hospital in Katowice, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5144260182","display_name":"Tomasz Bart\u0142omiej Kilian","orcid":"https://orcid.org/0009-0000-3161-6914","observed_orcids":["https://orcid.org/0009-0000-3161-6914"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tomasz Kilian","raw_affiliation_strings":["Murcki Hospital in Katowice, Poland"],"raw_orcid":"https://orcid.org/0009-0000-3161-6914","affiliations":[{"raw_affiliation_string":"Murcki Hospital in Katowice, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5144296489","display_name":"Magdalena Mortka","orcid":"https://orcid.org/0009-0009-0403-0008","observed_orcids":["https://orcid.org/0009-0009-0403-0008","https://orcid.org/0009-0003-4783-0669"]},"institutions":[{"id":"https://openalex.org/I121032520","display_name":"Medical University of Lublin","ror":"https://ror.org/016f61126","country_code":"PL","type":"education","lineage":["https://openalex.org/I121032520"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Magdalena Mortka","raw_affiliation_strings":["Medical University of Lublin, Poland"],"raw_orcid":"https://orcid.org/0009-0009-0403-0008","affiliations":[{"raw_affiliation_string":"Medical University of Lublin, Poland","institution_ids":["https://openalex.org/I121032520"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5144395949","display_name":"Hubert Marcin Bednarz","orcid":"https://orcid.org/0009-0003-1639-0699","observed_orcids":["https://orcid.org/0009-0003-1639-0699"]},"institutions":[{"id":"https://openalex.org/I121032520","display_name":"Medical University of Lublin","ror":"https://ror.org/016f61126","country_code":"PL","type":"education","lineage":["https://openalex.org/I121032520"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Hubert Bednarz","raw_affiliation_strings":["Medical University of Lublin, Poland"],"raw_orcid":"https://orcid.org/0009-0003-1639-0699","affiliations":[{"raw_affiliation_string":"Medical University of Lublin, Poland","institution_ids":["https://openalex.org/I121032520"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.60063917,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"71","issue":null,"first_page":"73983","last_page":"73983"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11964","display_name":"Pregnancy and Medication Impact","score":0.7842000126838684,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11964","display_name":"Pregnancy and Medication Impact","score":0.7842000126838684,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10786","display_name":"Maternal Mental Health During Pregnancy and Postpartum","score":0.21410000324249268,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12229","display_name":"Pharmacological Effects and Toxicity Studies","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pregnancy","display_name":"pregnancy","score":0.9700000286102295},{"id":"https://openalex.org/keywords/maternal-mental-health","display_name":"maternal mental health","score":0.5529999732971191},{"id":"https://openalex.org/keywords/antenatal-depression","display_name":"antenatal depression","score":0.8059999942779541},{"id":"https://openalex.org/keywords/bipolar-disorder","display_name":"bipolar disorder","score":0.6840000152587891},{"id":"https://openalex.org/keywords/anxiety-disorders","display_name":"anxiety disorders","score":0.6200000047683716},{"id":"https://openalex.org/keywords/mood-stabilizers","display_name":"mood stabilizers","score":0.7670000195503235},{"id":"https://openalex.org/keywords/selective-serotonin-reuptake-inhibitors","display_name":"selective serotonin reuptake inhibitors","score":0.7639999985694885},{"id":"https://openalex.org/keywords/serotonin-norepinephrine-reuptake-inhibitors","display_name":"serotonin-norepinephrine reuptake inhibitors","score":0.9819999933242798},{"id":"https://openalex.org/keywords/tcas","display_name":"TCAS","score":0.8259999752044678},{"id":"https://openalex.org/keywords/antipsychotic-drugs","display_name":"antipsychotic drugs","score":0.9950000047683716},{"id":"https://openalex.org/keywords/benzodiazepines","display_name":"benzodiazepines","score":0.996999979019165},{"id":"https://openalex.org/keywords/valproic-acid","display_name":"valproic acid","score":0.7990000247955322},{"id":"https://openalex.org/keywords/paroxetine","display_name":"paroxetine","score":0.9359999895095825},{"id":"https://openalex.org/keywords/congenital-malformations","display_name":"congenital malformations","score":0.8939999938011169},{"id":"https://openalex.org/keywords/neonatal-outcomes","display_name":"neonatal outcomes","score":0.9909999966621399},{"id":"https://openalex.org/keywords/child-development","display_name":"child development","score":0.9860000014305115},{"id":"https://openalex.org/keywords/risk-benefit-assessment","display_name":"risk-benefit assessment","score":0.722000002861023},{"id":"https://openalex.org/keywords/electroconvulsive-therapy","display_name":"electroconvulsive therapy","score":0.9359999895095825},{"id":"https://openalex.org/keywords/perinatal-care","display_name":"perinatal care","score":0.8130000233650208}],"concepts":[{"id":"https://openalex.org/C2778715236","wikidata":"https://www.wikidata.org/wiki/Q55622662","display_name":"Discontinuation","level":2,"score":0.8220000267028809},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7565000057220459},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.6793000102043152},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.5799999833106995},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.5407999753952026},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.5304999947547913},{"id":"https://openalex.org/C2777134132","wikidata":"https://www.wikidata.org/wiki/Q188638","display_name":"Mood disorders","level":3,"score":0.5127000212669373},{"id":"https://openalex.org/C2780733359","wikidata":"https://www.wikidata.org/wiki/Q331769","display_name":"Mood","level":2,"score":0.5045999884605408},{"id":"https://openalex.org/C95713431","wikidata":"https://www.wikidata.org/wiki/Q631425","display_name":"Vulnerability (computing)","level":2,"score":0.4584999978542328},{"id":"https://openalex.org/C3020000205","wikidata":"https://www.wikidata.org/wiki/Q2412849","display_name":"Narrative review","level":2,"score":0.43709999322891235},{"id":"https://openalex.org/C2776174506","wikidata":"https://www.wikidata.org/wiki/Q131755","display_name":"Bipolar disorder","level":3,"score":0.41029998660087585},{"id":"https://openalex.org/C2777828372","wikidata":"https://www.wikidata.org/wiki/Q408471","display_name":"Paroxetine","level":4,"score":0.4090999960899353},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.27970001101493835},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2630999982357025},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.262800008058548}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.12775/qs.2026.71.73983","doi":"https://doi.org/10.12775/qs.2026.71.73983","is_oa":true,"landing_page_url":"https://doi.org/10.12775/qs.2026.71.73983","pdf_url":"https://apcz.umk.pl/QS/article/download/73983/47539","source":{"id":"https://openalex.org/S4210230959","display_name":"Quality in Sport","issn_l":"2450-3118","issn":["2450-3118"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["ddh","erih-plus","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310317346","host_organization_name":"Kazimierz Wielki University in Bydgoszcz","host_organization_lineage":["https://openalex.org/P4310317346"],"host_organization_lineage_names":["Kazimierz Wielki University in Bydgoszcz"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Quality in Sport","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.12775/qs.2026.71.73983","doi":"https://doi.org/10.12775/qs.2026.71.73983","is_oa":true,"landing_page_url":"https://doi.org/10.12775/qs.2026.71.73983","pdf_url":"https://apcz.umk.pl/QS/article/download/73983/47539","source":{"id":"https://openalex.org/S4210230959","display_name":"Quality in Sport","issn_l":"2450-3118","issn":["2450-3118"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["ddh","erih-plus","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310317346","host_organization_name":"Kazimierz Wielki University in Bydgoszcz","host_organization_lineage":["https://openalex.org/P4310317346"],"host_organization_lineage_names":["Kazimierz Wielki University in Bydgoszcz"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Quality in Sport","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204867304.pdf","grobid_xml":"https://content.openalex.org/works/W7204867304.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W1891243156","https://openalex.org/W2126607767","https://openalex.org/W2562374375","https://openalex.org/W4377013002","https://openalex.org/W4384828081","https://openalex.org/W4389222352","https://openalex.org/W4391610351","https://openalex.org/W4401076792","https://openalex.org/W4402122169","https://openalex.org/W4402481385","https://openalex.org/W4404237982","https://openalex.org/W4405981847","https://openalex.org/W4406025051","https://openalex.org/W4409709065","https://openalex.org/W4410883232","https://openalex.org/W4414208403","https://openalex.org/W7119174834"],"related_works":["https://openalex.org/W7197019938","https://openalex.org/W3040785434","https://openalex.org/W1986473171","https://openalex.org/W2098578370","https://openalex.org/W2208091096","https://openalex.org/W127601745","https://openalex.org/W2063899694","https://openalex.org/W4384828081","https://openalex.org/W2038628616","https://openalex.org/W2993853815"],"abstract_inverted_index":{"Pregnancy":[0],"is":[1,37,66,168],"a":[2,42,67],"period":[3],"of":[4,16,28,30,34,48,55,70,81,101,134,140,146,150,163],"increased":[5],"vulnerability":[6],"to":[7,22,41],"mental":[8],"disorders":[9,20,51,167],"and":[10,24,57,92,106,119,122,148],"therapeutic":[11],"challenges.":[12],"Depression":[13],"affects":[14],"10-15%":[15],"pregnant":[17],"women,":[18],"anxiety":[19],"up":[21,40],"20%,":[23],"bipolar":[25],"disorder":[26],"1-2%":[27],"women":[29],"reproductive":[31],"age.":[32],"Discontinuation":[33,162],"mood":[35,90],"stabilizers":[36],"associated":[38],"with":[39],"twofold":[43],"increase":[44,52],"in":[45,165],"the":[46,53,71,79,99,110,141],"risk":[47,54,100],"relapse.":[49],"Untreated":[50],"obstetric":[56],"neonatal":[58,104],"complications":[59],"as":[60,62,158],"well":[61],"suicide.":[63],"This":[64],"paper":[65],"narrative":[68],"review":[69],"literature":[72],"from":[73],"2020-2025":[74],"(PubMed/MEDLINE,":[75],"Embase,":[76],"PsycINFO)":[77],"concerning":[78],"safety":[80],"psychiatric":[82],"medications":[83],"during":[84],"pregnancy.":[85],"SSRIs,":[86],"SNRIs,":[87],"TCAs,":[88],"antipsychotics,":[89],"stabilizers,":[91],"benzodiazepines":[93],"were":[94,115],"discussed,":[95],"taking":[96],"into":[97],"account":[98],"congenital":[102],"malformations,":[103],"outcomes,":[105],"child":[107],"development.":[108],"Among":[109],"agents":[111],"considered":[112],"relatively":[113],"safe":[114],"sertraline,":[116],"haloperidol,":[117],"quetiapine,":[118],"lamotrigine;":[120],"valproate":[121],"paroxetine":[123],"are":[124],"contraindicated;":[125],"data":[126],"for":[127],"some":[128],"drugs":[129],"remain":[130],"limited.":[131],"The":[132],"importance":[133],"an":[135,159],"individualized":[136],"risk--benefit":[137],"analysis,":[138],"use":[139],"lowest":[142],"effective":[143],"dose,":[144],"avoidance":[145],"polytherapy,":[147],"planning":[149],"perinatal":[151],"care":[152],"was":[153,156],"emphasized.":[154],"ECT":[155],"indicated":[157],"alternative":[160],"option.":[161],"treatment":[164],"severe":[166],"not":[169],"recommended.":[170]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-09-02T00:00:00"}
