Striving for good pregnancy outcomes

“I need antidepressants” were the introductory words from Amanda, nine weeks pregnant. It was a high-risk pregnancy, Amanda being 39, a grand multipara and with a poor pregnancy record.

She cried as she spoke of the lack of intimacy in her relationship and her resultant feelings of low self-esteem. Deciding against the knee jerk reaction of prescribing medication, I decided to delve a little further as previously she had appeared blissfully happy in her new (third) marriage.

On deep discussion, it appeared the “intimacy” she referred to was actually sex, and