Why Access to SSRIs During Pregnancy Matters: What Houston-Area Expecting & New Parents Should Know
When you’re expecting, there’s no shortage of advice — about what to eat, how to sleep, what to avoid. But one topic that still causes confusion and fear is whether antidepressants like SSRIs are safe during pregnancy.
In July 2025, the American College of Obstetricians and Gynecologists (ACOG) issued a clear, research-based statement: For most people, the benefits of continuing SSRIs during pregnancy outweigh the risks.
At the Center for Postpartum & Family Health (CPFH), our Houston-area therapists work closely with expecting and new parents navigating anxiety, depression, and postpartum recovery. Here’s what the latest evidence — and local experts — want you to know.
Q: What did ACOG recently say about SSRIs during pregnancy?
A: In its July 2025 statement, ACOG emphasized that “robust evidence shows SSRIs are safe in pregnancy and most do not increase the risk of birth defects.” They also highlighted a crucial fact: untreated depression and anxiety can be more dangerous than medication. Risks of untreated illness include:
Preterm birth and low birth weight
Preeclampsia
Difficulty bonding with baby
Substance use during pregnancy
Maternal suicide — a leading cause of pregnancy-related death
In short: mental health is medical health. Access to effective, evidence-based treatment can save lives — both parent and baby.
📖 Source: ACOG Statement on the Benefit of Access to SSRIs During Pregnancy (July 2025)
Q: Are SSRIs really safe in pregnancy?
A: No medication is completely risk-free, but decades of research now show that the most commonly prescribed SSRIs — like sertraline (Zoloft) and fluoxetine (Prozac) — carry low risk for major birth defects.
Possible side effects can include:
Mild neonatal adaptation symptoms (like jitteriness) that resolve quickly
Small increases in preterm birth risk (which must be weighed against untreated depression)
The consensus: for many pregnant individuals, staying on an SSRI is safer than stopping.
If you’re currently taking medication or considering it, talk with your OB-GYN or therapist about your individual risks, benefits, and comfort level.
Q: What happens if depression or anxiety go untreated during pregnancy?
A: Untreated mood disorders during pregnancy can have lasting effects for both parent and baby — including premature delivery, poor prenatal care, and increased risk of postpartum depression.
From a mental health perspective, untreated depression can make it harder to bond, cope, or recover after delivery. It can also increase the risk of postpartum anxiety and intrusive thoughts.
💛 Taking care of your emotional health is part of taking care of your baby.
Q: If I’m pregnant or planning pregnancy, what should I ask my doctor about SSRIs?
A: Here are a few key questions to guide your next prenatal visit:
Which antidepressants have the strongest safety data in pregnancy?
Should I adjust my dose or timing?
What’s the plan for postpartum medication management?
How can we coordinate care between my OB-GYN, psychiatrist, and therapist?
What local support options are available if my symptoms increase?
🪷 Schedule a consultation with a CPFH perinatal therapist to explore therapy options alongside your medical plan.
Q: What local supports are available in Houston & The Woodlands for perinatal mental health?
A: You don’t have to navigate this decision alone. There are excellent local and state-wide supports available:
Postpartum Support International – Texas Chapter – Free helpline and peer support.
The Motherhood Center Houston – Postpartum and prenatal classes, doula care, and groups.
Memorial Hermann The Woodlands Medical Center – Offers prenatal and New Parents Support Groups in The Woodlands.
North Houston Moms Network – Local events, family guides, and mom meetups.
Center for Postpartum & Family Health (CPFH) – Specialized perinatal and family therapists offering in-person and telehealth sessions across Texas.
📍 Serving Houston, The Woodlands, Spring, and all of Texas (telehealth available).
Q: What if I feel judged or afraid to take medication during pregnancy?
A: You’re not alone — stigma and misinformation still cause many pregnant people to stop necessary treatment. But depression and anxiety are medical conditions, not personal weaknesses.
Therapists and OBs who specialize in perinatal care understand that your mental health affects your baby’s health, too. It’s okay to ask questions, seek a second opinion, or build a team that makes you feel supported and informed.
About the Author
Lauren Pasqua, PsyD, PMH-C, Licensed Psychologist (TX License #36214) Executive Director, Center for Postpartum & Family Health (CPFH)
Credentials: PsyD in Clinical Psychology, Certified Perinatal Mental Health Professional (PMH-C), DBT and TBRI-trained clinician. Experience: Over 20 years supporting parents, children, and families through life transitions. Professional Profiles:
Last Medically Reviewed: October 21, 2025 Reviewer: Lauren Pasqua, PsyD, PMH-C