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Psychotropic medication prescribing patterns during pregnancy in two South African Maternal Mental Health clinics
Thesis (MMed)--Stellenbosch University, 2023.
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| Other Authors: | |
| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2023
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| _version_ | 1867614029393952768 |
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| access_status_str | Open Access |
| author | Farmer, Catherine |
| author2 | Niehaus, Daniel Jan Hendrik |
| author_browse | Farmer, Catherine Niehaus, Daniel Jan Hendrik |
| author_facet | Niehaus, Daniel Jan Hendrik Farmer, Catherine |
| author_sort | Farmer, Catherine |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed)--Stellenbosch University, 2023. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/129091 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:45:32.686Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/129091 Psychotropic medication prescribing patterns during pregnancy in two South African Maternal Mental Health clinics Farmer, Catherine Niehaus, Daniel Jan Hendrik Koen, Liezl Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Psychiatry. Psychotropic drugs -- South Africa Mental illness -- Treatment -- South Africa Mental illness in pregnancy -- South Africa Pregnant women -- Mental health -- South Africa UCTD Thesis (MMed)--Stellenbosch University, 2023. ENGLISH SUMMARY: Background: There is a significant burden of mental illness during pregnancy and the safety of medication use in pregnancy is an ongoing focus of research. There is potential risk for the developing fetus and the mother from the increased risk for psychiatric illness and medication effects. Psychotropic polypharmacy during pregnancy is common, but not well- researched and there is a paucity of data on the use of psychotropic medication during pregnancy in South African women suffering from a mental illness. Aim: To determine the psychotropic medication prescription patterns in pregnant patients attending one of two maternal mental health clinics in Cape Town in terms of: the general classes of medication prescribed, the frequency and duration of psychotropic use, medication exposure according to pregnancy trimester and the prevalence of polypharmacy use. Methods: Pregnant women attending two maternal mental health clinics were studied from presentation to six weeks postpartum. Demographic data, psychiatric history, medical comorbid illnesses, pregnancy related data and medication prescription was collected and tabulated at treatment-as-usual visits. Polypharmacy prevalence was determined by using the definition of the use of two or more psychotropic medication prescriptions for a period of at least ninety days. Results: Data was collected on 303 pregnancies and the majority of pregnant women (51.8%) were diagnosed with major depressive disorder. Anti-depressant medication was the most commonly prescribed medication class (64.3%). A third of participants received prescriptions in all three trimesters. Polypharmacy criteria was met in 18.8% of the sample population. Conclusion: Prescribing psychotropic drugs in pregnancy is challenging because of the need to weigh up the potential risks of drug- related effects on the mother and child against those of discontinuing treatment. Our data contributes to raising awareness and aids medical professionals with regards to the rational use of psychotropic medication in pregnant women. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2023-11-28T12:28:13Z 2024-01-08T22:04:46Z 2023-11-28T12:28:13Z 2024-01-08T22:04:46Z 2023-12 Thesis https://scholar.sun.ac.za/handle/10019.1/129091 en_ZA Stellenbosch University 33 unnumbered pages application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Psychotropic drugs -- South Africa Mental illness -- Treatment -- South Africa Mental illness in pregnancy -- South Africa Pregnant women -- Mental health -- South Africa UCTD Farmer, Catherine Psychotropic medication prescribing patterns during pregnancy in two South African Maternal Mental Health clinics |
| title | Psychotropic medication prescribing patterns during pregnancy in two South African Maternal Mental Health clinics |
| title_full | Psychotropic medication prescribing patterns during pregnancy in two South African Maternal Mental Health clinics |
| title_fullStr | Psychotropic medication prescribing patterns during pregnancy in two South African Maternal Mental Health clinics |
| title_full_unstemmed | Psychotropic medication prescribing patterns during pregnancy in two South African Maternal Mental Health clinics |
| title_short | Psychotropic medication prescribing patterns during pregnancy in two South African Maternal Mental Health clinics |
| title_sort | psychotropic medication prescribing patterns during pregnancy in two south african maternal mental health clinics |
| topic | Psychotropic drugs -- South Africa Mental illness -- Treatment -- South Africa Mental illness in pregnancy -- South Africa Pregnant women -- Mental health -- South Africa UCTD |
| url | https://scholar.sun.ac.za/handle/10019.1/129091 |
| work_keys_str_mv | AT farmercatherine psychotropicmedicationprescribingpatternsduringpregnancyintwosouthafricanmaternalmentalhealthclinics |