Psychotropic Medications in Pregnancy and Breastfeeding

Linda Glenn, CNM, MPH, MN, PMHNP

Linda is a Certified Nurse-Midwife and began practicing midwifery in 1975 in the deep South. She worked in rural areas in several southeastern states (the Mississippi Delta, the Appalachian region of Kentucky, and North Carolina). In North Carolina, Linda helped write and successfully pass legislation establishing a separate licensing board for nurse-midwives. She also developed the first birth center in North Carolina as well as establishing a safe system of care for patients choosing home birth. In 1985, Linda moved to Gallup, New Mexico, and worked with Native American populations. During those years, she worked with the University of New Mexico School of Nursing to establish a B.S.N. completion program for Registered Nurses and steered the nursing program into its first accreditation review by the National League for Nurses. Linda arrived in Portland in 1988 to pursue post-graduate education and has remained here since, working as a faculty midwife at a local teaching hospital and attending home births. She provides mental health services to her clients as well. For relaxation, Linda loves to read and work on needlework projects. She is an excellent cook and a decent carpenter. She also shares a love of outdoor activities with her adult son.

Presentation Key points:

1. Identify physiologic and sociologic changes of pregnancy that affect mood and treatment of mood disorders


2. Review classes of psychotropic medication that may be used during pregnancy


3. Discuss the pros, cons, risks, and benefits of psychotropic drug use during pregnancy and breastfeeding


4. Discuss alternative methods of treatment of mood disorders in pregnancy that do not involve psychotropic medications

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