( Health.com ) -- More than one in 10 women develops depression during pregnancy . Now , a new study suggests that women who are treated with antidepressants are more likely to give birth early or to have newborns that need to spend time in a neonatal intensive care unit . Babies of women taking SSRIs were born earlier and were more likely to have been admitted to intensive care . Depression itself can have ill effects for both mom and baby . Therefore , the benefits of the antidepressants -- known as selective serotonin-reuptake inhibitors -- may still outweigh the risks for some women , researchers say . `` There is no easy way out of this , '' says Dr. Tim Oberlander , a developmental pediatrician at BC Children 's Hospital , in Vancouver , Canada , who has studied the effects of SSRIs on children exposed in the womb , but was not involved in the current study . `` Depression needs to be managed , and for some women , the use of these medications is appropriate and necessary . '' Health.com : 3 Signs you should stop , adjust , or switch antidepressants . The new study , led by Dr. Najaaraq Lund , of Aarhus University , in Denmark , found that babies whose mothers had taken SSRIs were born earlier and were more likely to require treatment in an NICU . Women have been using SSRIs during pregnancy since the early 1990s , Lund and her colleagues point out in the report , which is published in the October issue of Archives of Pediatrics & Adolescent Medicine . These drugs , which include Zoloft , Prozac , and others , are widely considered to be the safest type of antidepressant medication to take during pregnancy . It 's been difficult to confirm their safety , however , especially since investigators have to find a way to distinguish between the effects of depression itself -- and habits that depressed women may be more likely to engage in , like drinking and smoking -- and the drug on the newborn . Health.com : Do pregnancy and bipolar disorder mix ? Lund and her colleagues tackled this issue by including a group of women who reported a history of some type of psychiatric illness but were n't taking SSRIs . Some , but not all , of these women had suffered from depression . `` Using this group as a comparison group takes into account possible genetic or lifestyle factors associated with present or previous psychiatric disorders , '' the researcher notes . The analysis included 329 women who took SSRIs in pregnancy , 4,902 with a history of psychiatric illness who were n't taking the drugs , and 51,770 women who reported no history of psychiatric illness and were n't taking SSRIs . All had received prenatal care at Aarhus University Hospital between 1989 and 2006 . Babies of women taking SSRIs were born an average of five days earlier than those born to women who had no mental illness , and were twice as likely to be born preterm . The babies whose mothers took SSRIs were 2.4 times as likely to have been admitted to the NICU than infants who had n't been exposed to the drugs in utero . They were also more than four times as likely to have Apgar scores below eight , just five minutes after birth . ( Apgar scores measure an infant 's health at birth by looking at his or her breathing , heartbeat , reflexes , muscle tone , and skin color ; scores of seven and above are considered normal , and a newborn 's Apgar score has no influence on how he or she will fare later in life . ) There was no difference between SSRI-exposed babies and unexposed babies in head circumference or birth weight . Antidepressant medication is just one part of the equation in addressing women 's mental health during pregnancy , notes Oberlander , who says depression in pregnancy is a `` huge public health issue '' with lasting implications for women and their children . Helping ensure that women are getting enough social support and adequate nutrition is essential , he adds , while alternative treatments for depression -- such as exercise , light therapy , and omega-3 fatty acids -- ought to be explored further . `` In general , optimizing non-pharmacological treatment would be a really important step , '' he says . He explains that it is essential to follow SSRI-exposed babies as they grow up , to identify any problems and intervene as necessary . However , he and Lund agree that it 's still unclear whether the differences seen at birth will have lasting effects on a child 's development and health . Health.com : 6 Rules for a healthy postpartum slim-down . `` As depression itself can influence birth outcome in a negative direction , treatment is warranted in some cases based on the existing body of evidence , '' Lund says . `` In cases with mild or moderate symptoms , psychotherapy can be used as an alternative treatment . In severe cases and in patients with a history of recurrent , severe depression , continuation or initiation of treatment might be the best option . `` Every single case should be considered individually , and the decision should be made by the woman and her ob-gyn and psychiatrist , '' she says . Health.com : Why you can not wait to treat postpartum depression . Enter to win a monthly Room Makeover Giveaway from MyHomeIdeas.com . Copyright Health Magazine 2009 .
Danish study finds babies whose mothers took antidepressants were born earlier . Babies of mothers who took SSRIs were 2.4 times likely to be in intensive care . Comment: