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Taking Ativan While Pregnant

Using Ativan in late-term pregnancy can increase a baby’s risk of side effects, but there are many alternatives pregnant women can use to safely manage anxiety.

Article at a Glance:

  • Doctors used to believe that taking benzodiazepines like Ativan during pregnancy increased the risk of birth defects.
  • Newer studies do not support this, so the link between benzo use in pregnancy and fetal risks is unclear.
  • When taken close to birth, benzodiazepines like Ativan can cause sedation and withdrawal symptoms in the baby.

Lorazepam and Pregnancy

Almost 19%of pregnant women suffer from a mental health disorder like depression, bipolar disorder or anxiety. Before they became pregnant, they may have used a prescription medication to treat their mental health disorder. However, some women hesitate to take these medications during pregnancy due to the potential risks involved.

Anxiety treatments may includeAtivan, the brand name of the benzodiazepine lorazepam. Ativan isFDA-approvedto treat patients with acute anxiety disorders. However, women with anxiety disorders who are currently pregnant or planning to be should speak with their doctor to weigh the benefits and risks of taking Ativan during pregnancy.

Do you or someone you love have questions or concerns about pregnancy and don’t know where to turn for help?Get support and answers from theAmerican Pregnancy Associationat 1-800-672-2296.

What We Know About Maternal Use of Benzodiazepines

Benzodiazepines like Ativanused to beclassified asCategory Ddrugs by the U.S. Food and Drug Administration (FDA). This meant there wasevidencethat these drugs could be risky for an unborn baby. The Category D rating stemmed fromolder studiesthat seemed to show an increase in fetal malformations like cleft palate when mothers used benzodiazepines during pregnancy.

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In 2014, the FDA reformed the pregnancy rating system andremoved the old pregnancy categories. Around the same time, more studies were being done on how benzodiazepines impacted pregnant women. Newer studies indicate that there isnot a clear linkbetween benzodiazepine use and the risk of fetal malformations. In addition, the Centers for Disease Control and Prevention (CDC) noted that even if there is an increased risk for fetal malformations, itmay not be dueto a benzodiazepine. Instead, it may be due to the mother’s medical condition that the benzodiazepine is prescribed to treat.

However, benzodiazepines like Ativan can still pose risks to an unborn baby.

Effects of Ativan Use on the Unborn Baby

When a pregnant woman takes Ativan, the fetus may be at risk for side effects, especially if the benzodiazepine is taken during thelate third trimester. Babies born shortly after the mother has taken a benzodiazepine have hadsymptoms like:

  • Sedation
  • Slowed breathing
  • Withdrawal
  • Problems feeding

Old studies concluded that benzodiazepines like Ativan were linked to malformations like cleft lip and palate. Based on newer evidence, however, the data supporting this isno longer clear. As a result, neither theCDCnor the Ativanpackage labelingmentions cleft lip or palate.

Babies Born Addicted to Ativan

Babies who are born addicted to benzodiazepines like Ativan can have symptoms that interfere with their development,including:

  • Drowsiness
  • Absent reflexes
  • Problems suckling

Symptoms of Benzo Withdrawal and Toxicity in Newborns

When a baby exposed to benzos during pregnancy is no longer getting the drug, they can go into withdrawal. This isespecially trueof babies with long-term exposure to benzos, and it can even occur in those exposed to the drug while the mother is in labor. Benzo withdrawal symptoms in a newborninclude:

  • Vomiting
  • Jitteriness
  • Tremors
  • Being easily startled
  • Crying

These symptomscan occurshortly after birth and last up to several weeks in some cases.

Alternatives To Taking Ativan While Pregnant

Pregnant women with anxiety disorders may see their symptoms intensify during pregnancy. Alternatives to Ativan treatment that can offer some relief to pregnant women may include clinical and recreational therapy, such ascognitive behavioral therapy, yoga, meditation, aromatherapy and massage.

When choosing an alternative anxiety medication, it’s important to find one that is effective and has a good safety profile. Pregnant women with anxiety can talk to their doctors about antidepressants like selective serotonin reuptake inhibitors (SSRIs), which can be an alternative to Ativan during pregnancy.

The safest route is to stop taking benzodiazepines, but this is sometimes not an option. Additionally, pregnant women who use Ativan should not abruptly stop — quitting cold turkey could result in severewithdrawal symptoms. It is also important for women with anxiety disorders to be monitored throughout their pregnancy, whether they are taking medications or not.

Finding Help for Ativan Use While Pregnant

Do you or someone you love have questions or concerns about pregnancy and don’t know where to turn for help?Get support and answers from theAmerican Pregnancy Associationat1-800-672-2296.

Deciding whether to stop taking Ativan during pregnancy depends on many unique factors, so it’s important for pregnant women to discuss their options with their doctor. This conversation should ideally occur before conception, but if that’s not the case, the mother should contact her physician as soon as possible. The earlier a plan is created to keep the mother and baby healthy, the better.

If you or someone you love is struggling with Ativan use and anxiety, The Recovery Village is here to help.Contact ustoday to learn more about individualized treatment options that can work well for you and your needs.


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Sources

Tinker, Sarah C.; Reefhuis, Jennita; Bitsko, Rebecca H.; et al. “Use of benzodiazepine medications during pregnancy and potential risk for birth defects, National Birth Defects Prevention Study, 1997–2011.” Birth Defects Research, June 1, 2019. Accessed November 1, 2021.

Drugs.com. “Lorazepam.” August 1, 2021. Accessed November 1, 2021.

Centers for Disease Control and Prevention. “Pregnant Women Report Taking Medicines for Anxiety and Other Mental Health Conditions.” December 9, 2020. Accessed November 1, 2021..

U.S. Department of Health and Human Services. “FDA Pregnancy Categories.” August 16, 2021. Accessed November 1, 2021.

U.S. Food and Drug Administration. “Pregnant? Breastfeeding? Better Drug Information Is Coming.” December 17, 2014. Accessed November 1, 2021.

Armstrong, Carrie. “ACOG Guidelines on Psychiatric Medication Use During Pregnancy and Lactation.” American Family Physician, September 15, 2008. Accessed November 1, 2021.

Mongan, David; Lynch, Janine; Hanna, Donncha; et al. “Prevalence of self-reported mental disorders in pregnancy and associations with adverse neonatal outcomes: a population-based cross-sectional study.” BMC Pregnancy and Childbirth, November 8, 2019. Accessed November 1, 2021.

Ordean, Alice; Chisamore, Brian C. “Clinical presentation and management of neonatal abstinence syndrome: an update.” Research and Reports in Neonatology, April 9, 2014. Accessed November 1, 2021.

Medical Disclaimer

The Recovery Village aims to improve the quality of life for people struggling with substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers.

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