RT Journal Article SR Electronic T1 Perinatal depression: treatment options and dilemmas JF Journal of Psychiatry and Neuroscience JO JPN FD Canadian Medical Association SP 302 OP 318 VO 33 IS 4 A1 Teri Pearlstein YR 2008 UL http://jpn.ca/content/33/4/302.abstract AB The treatment of depression during pregnancy and the postpartum period raises unique concerns about safety for the developing fetus and the infant. An increasing number of studies suggest adverse effects from untreated stress, anxiety and depression as well as adverse effects from antidepressant and other psychotropic medications. Even when studies suggest a lack of short-term adverse effects with some medications, the paucity of systematic longitudinal follow-up studies investigating the development of children exposed to medications during pregnancy and breastfeeding causes apprehension. This review’s objective is to highlight what is currently known about the negative effects of untreated disease and exposure to psychotropic medication, the treatment dilemmas confronting women with perinatal depression and issues that future studies should address so that a woman with perinatal depression can make an optimally informed decision.