This is scarey and important but it’s not a black and white issue that pregnant women quit antidepressants. Maternal depression is also linked to increased rates of child depression, and poor attachment between mother and infant. The reasoned view I think is represented by Mason Turner, assistant director of regional mental health in northern California for Kaiser: “Even before the study, women have had concerns about taking medication during pregnancy,” he says. “I expect that the results will mean that we will see a lot more discussion and that more women may say, let’s talk about some alternatives [for treating depression]. That discussion should include ways to treat depression that are not medication oriented, such as stress reduction, psychotherapy and support groups; what support the woman can expect from her partner and family; and how reducing her work hours may help address the depression. We may try a combination of these things first, and if they are not working, then talk about the need for medication.”
So before quitting an SSRI, talk at length with your mental health practitioner. Make sure you’ve got back up in place to antidepressant therapy. It will also be interesting to see whether non serotonin antidepressants are also linked to autism or other issues.