Brentwood, TN – A recent study that is getting a lot of attention about antidepressants (AD) and a possible link to Autism Spectrum Disorders (ASD), may be bringing about worry and confusion among moms-to-be, according to MotherToBaby experts who study a variety of medications during pregnancy and breastfeeding.

“Questions are coming in to us, so we really wanted to reassure moms that this study doesn’t prove anything. It’s not the whole story,” said Robert Felix, MotherToBaby President. The study, Antidepressant Use During Pregnancy and the Risk of Autism Spectrum Disorder in Children, has suggested a link between taking antidepressants during the second or third trimester of pregnancy and an increased risk of having a child with autism spectrum disorder.

“It’s important to remember that this is one study, and there are still a lot of unanswered questions,” said Felix. “While it adds to the information on the use of these medications in pregnancy, it’s not proof that use of antidepressants will lead to ASD.” Felix points out other recent studies which have not found a link to ASD. While a mother’s mental illness may play a role, it is very important to treat her illness. Untreated mental illness may cause problems for the mom, the pregnancy and the developing baby.

“What we do know for sure is that a pregnant woman should not change her medication without talking to her health care provider first,” he added.

If you have heard about or read the new study on antidepressants and autism and are concerned, please contact MotherToBaby at 1-866-626-6847. You can also text questions to us at 855-999-3525 or read our evidence-based information fact sheets on SSRI medications.

MotherToBaby Launches Unique ‘Text Counseling’ for Reliable Info About Exposure Risks to Baby

BRENTWOOD, TN – As the world prepares to recognize Fetal Alcohol Spectrum Disorders (FASD) Awareness Day on September 9th, MotherToBaby, a service of the international non-profit Organization of Teratology Information Specialists (OTIS), launches a way for expectant moms to have free expert information about the risks of alcohol and other exposures to baby at their fingertips – via text.

“The risks to baby of being exposed to things like alcohol, drugs or medications during a woman’s pregnancy or breastfeeding can really vary depending on mom’s metabolism, timing of the exposure, and whole host of other factors,” said Lori Wolfe, MS, a certified genetic counselor and director of MotherToBaby’s North Texas affiliate. “Mom really needs the latest information tailored to her particular circumstance in order to make informed decisions, along with her health care provider, about her and baby’s health. We’re now offering that research-based info in the most convenient way possible,” she added.

Expecting moms will simply need to text their questions in English or Spanish to 855-999-3525 to be connected to a bilingual specialist in the field of teratology – the study of exposures that cause birth defects. Standard text messaging rates may apply depending on an individual’s phone plan. Those who do use the new texting service are encouraged to check with their carrier first.

“When someone goes searching the internet, it can be a scary place that often highlights worst-case scenarios only,” explained Al Romeo, RN, PhD and teratogen information specialist at MotherToBaby’s Utah affiliate. “We’re not the internet. We’re registered nurses, genetic counselors and teratogen information specialists on the other end of your cell phone answering texts with the most up-to-date evidence you often can’t find online.”

MotherToBaby, which consists of 14 services housed at universities, hospitals and government institutions across the country, provides free, evidence-based, personalized risk assessments, education and counseling regarding the effects of exposures like prescription and over-the-counter drugs, alcohol, smoking, illicit substances, vaccines, beauty products, herbal supplements, chemicals and more during pregnancy and while breastfeeding. In addition to the new text counseling component, the public can be connected with a bilingual MotherToBaby expert by calling toll-free 1-866-626-6847. The MotherToBaby website also houses a library of fact sheets located at www.MotherToBaby.org.

More than 100,000 women and their health care providers seek information about birth defects prevention from MotherToBaby every year. MotherToBaby has been able to launch new outreach efforts to reach underserved populations, including new communication technologies, through a cooperative agreement with the U.S. Health Resources and Services Administration.

About FASD Awareness Day

FASD Awareness Day has been recognized on the ninth day of the ninth month since 1999 as a reminder for women to abstain from drinking alcohol during the nine months of pregnancy. As many as 1 out of every 100 babies are estimated to be affected by prenatal alcohol exposure, which can result in a range of neurobehavioral disabilities. FASD awareness events also traditionally take place across the nation all month long each September.

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Media Contact: Nicole Chavez, 619-368-3259, nchavez@MotherToBaby.org. Interviews in Spanish can also be arranged.

Holiday festivities sometimes include eating foods and drinks that might not be part of our everyday diet. During pregnancy and breastfeeding, we need to give a little more thought to what we should eat and drink. “Is it ok for the baby?” often goes through our minds during these times. As a teratogen information specialist at MotherToBaby who answers a lot of the questions we get via our texting service (855-999-3525), these types of questions ramp up during this time of year! So, here’s some insight…

Popular Holiday Food & Drinks

Eggnog & Other Holiday Beverages

Eggnog seems to be a part of many holiday parties. Always be sure to check if the eggnog is homemade or not. Does it contain raw eggs, which can carry bacteria such as salmonella? If the eggnog was commercially made and packaged, then usually the eggs have been pasteurized, and the product may even have been heated prior to packaging. Also, always remember to check if the eggnog contains a little “holiday cheer” (i.e., alcohol) or not. It is common to add rum to eggnog, and we want to avoid alcohol when pregnant or breastfeeding (see our Alcohol Fact Sheet for more info). Other common holiday beverages include mulled wine, wassail, hot buttered rum, and of course wine and champagne. All of these contain alcohol as well, so it is best to avoid them and just stick with mocktails and non-alcoholic punch.

Smoked Salmon & Fruit

“Smoked salmon tastes wonderful on crackers with cream cheese! But is it ok during pregnancy?” one woman texted me. Here’s what I told her. Smoked salmon is still considered raw fish as it is cured rather than cooked, so should be avoided during pregnancy due to the risk of foodborne illnesses. If the salmon has been heated to steaming, any concern for bacteria has been reduced. See our Fact Sheet on Eating Raw, Undercooked, or Cold Meats and Seafood for more info. Sometimes you will find foods that contain meats that have been dried, such as beef jerky. Although beef jerky is high in salt, there are not any other known risks to eating this tasty food during pregnancy.

“What about a fruit plate containing papaya and pineapple? Are there some worries about eating those fruits during pregnancy?” another texter wrote. Both fruits do contain enzymes that have been thought to induce labor. Papaya contains papain, while pineapple contains bromelain. Yet when eaten at normal levels (not daily!), these delicious fruits have not been shown to have any negative effect on a pregnancy. Of course, we hope the fruit has been well-washed before cutting and serving!

Eggplant Parmesan

“When the main dish is served, can we enjoy the amazing eggplant parmesan? Or what about eggplant ratatouille?” Eggplant is low in calories and high in fiber. Do avoid eating it raw, but cooked eggplant can be an occasional part of your diet. The concern is that eggplant is part of the Nightshade family and contains alkaloids in the leaves and tubers that can be toxic. But eating the fruit alone has not been shown to have any risks during pregnancy, especially when cooked.

Tiramisu

“Will rounding out our holiday meal with a delicious dessert such as tiramisu need to wait until after pregnancy and breastfeeding?” Traditional tiramisu contains two forms of alcohol, both Marsala wine and rum. Plus, liberal amounts of caffeine in the form of coffee and espresso. We have already mentioned that alcohol should be avoided if pregnant or breastfeeding, but what about the caffeine? Low to moderate levels of caffeine use (200 to 300 mg per day) has not been shown to increase any risks during pregnancy. See our Caffeine Fact Sheet for more info.

Who knew that holiday menus could need extra thought and consideration during pregnancy and breastfeeding?! Plus, with the added stress of COVID-19 this year, and the warnings to avoid large gatherings, you may have even more questions now than ever. Hopefully, this information will equip you to sit back, relax, and enjoy the festivities!

Free, personalized, and confidential exposure information services

Please use this form to email a MotherToBaby expert. Our information specialists can help answer your questions or concerns about exposures (like a medication, vaccine, chemical, or health condition) during pregnancy or breastfeeding. Our information specialists are available for consultation from Monday through Friday from 8 am – 7 pm ET. If it is after-hours, please expect a reply by the next business day. We look forward to hearing from you!

NOTE. MotherToBaby counseling services are available only for residents of the United States and its territories. For pregnancy and breastfeeding exposure information services that are available in other regions of the world, please visit: https://mothertobaby.org/international/. If you experience any issues using our Email An Expert form (e.g., a zip code error), please notify us by sending an email to ContactUs@mothertobaby.org. In that event, you can reach one of our experts via the following alternative methods. Please use our alternative forms, if you are a resident of the United States, the U.S. territories, or Canada and would like to join a pregnancy study or refer a patient to a study.

Ask An Expert.

Call | 866.626.6847 | Toll-free
Text | 855.999.3525 | Standard messaging rates may apply.
Chat | Click the Live Chat window in the bottom corner of your screen

Your Partner in Health for Pregnant and Lactating Patients with Cardiovascular Disease

MotherToBaby supports cardiologists and lipidologists in managing cardiovascular disease during pregnancy and while breastfeeding. We understand the challenges that you face when deciding on treatment courses when your patient is pregnant or breastfeeding. Care of people who are pregnant and/or lactating with serious conditions like hypertension, hypercholesterolemia, or ASCVD is further complicated by the physiological changes of pregnancy that may alter treatment needs throughout the course of pregnancy. Our resources will help you weigh the risks and benefits to both your patient who is pregnant and their baby as you determine a treatment plan that maximizes disease management and minimizes maternal and fetal/infant risk.

We are also dedicated to furthering the information and understanding of medication safety in pregnancy through our observational MotherToBaby Pregnancy Studies, and we are proud to lead more than half of all Food and Drug Administration (FDA)-mandated pregnancy registries conducted in the U.S. MotherToBaby Pregnancy Studies are rigorously designed cohort studies that aim to provide critically needed product safety information – and your patient referrals make all the difference. If you have cardiac or lipid patients with comorbid conditions like COVID-19, asthma, rheumatoid arthritis, or Crohn’s disease, please consider referring them to our research studies. With your referral, you are helping us generate data that will lead to improved product safety information in pregnancy, thereby providing patients and health providers with the evidence they need to make more informed treatment decisions.

Heart disease and stroke are the leading cause of pregnancy-related death before, during, and up to a year after delivery.

— Centers for Disease Control and Prevention (CDC)

Explore how we can help you and your pregnant and breastfeeding patients by providing no-cost exposure risk assessments, patient education materials, and more.

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Download our LactRx app for on-the-go access to the Library of Medicine’s LactMed database for current information on cardiology and lipidology medications as well as other drugs and vaccinations to which breastfeeding mothers may be exposed.

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• The FH Foundation
• The Foundation of the National Lipid Association (NLA)
• PCNA
• Society for Maternal-Fetal Medicine   
• Society for Birth Defects Research & Prevention
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