Last updated: Apr 07, 2008
Katherine Stone, 38, of Atlanta, elected to stay on her medication between pregnancies.
Approach a second pregnancy with your eyes wide open and remember that it's almost never as bad the second time as it is the first.When she found out that she was pregnant a second time, she actually enrolled in a study of women with pregnancy-related mood disorders.
—Ruta Nonacs, MD, Psychiatrist
When to consider preventive antidepressants
Postpartum depression can happen the second time around, even if great care is taken to prevent it. Amy Sky, 47, of Toronto, recalls that her second pregnancy, like her first, was fairly easy: She had a supportive husband and family, she hired full-time help in the house, and her career as a songwriter was in full bloom.
Postpartum Depression Risk
Odds go up on 2nd pregnancy Watch video
More About Postpartum Depression
The risks and benefits of meds
Psychiatrists who specialize in the treatment of postpartum psychiatric disorders generally agree that, for patients at the highest risk of depression, the benefits of antidepressants tend to outweigh the risks during pregnancy and after. This is true for both SSRI antidepressants as well as older tricyclic antidepressants, though the decision to medicate should always be made carefully, in consultation with one or more medical experts.