Clinical Guidance: ADHD and Pregnancy
Medications for attention deficit hyperactivity disorder (ADHD) have not been demonstrated to have clear risks in early pregnancy, but fetal growth may be reduced when stimulants are used in late pregnancy. Treatment suggestions offered by Freeman (p. 723) include cognitive-behavioral therapy, which may allow pregnant or breastfeeding women with ADHD to function reasonably well with less or no medication. For some women with more severe ADHD symptoms who wish to forego medication, it may help to anticipate and accommodate their expected impairments, such as lower work performance and poor driving. Others may choose to continue medication or to use it intermittently, since stimulants take effect quickly.