Do antipsychotic medications have an impact on having children?

In general, antipsychotic medications for schizophrenia can affect pregnancy and fetal development, but the extent of impact varies depending on the type of medication and how it is used. Some drugs carry higher risks, while others can be managed safely under medical supervision. A detailed analysis is as follows:

Certain antipsychotic medications pose clear risks. For example, some traditional antipsychotics may increase the risk of fetal malformations, while certain newer drugs may lead to sedation or feeding difficulties in newborns. Self-medication during pregnancy or using high-risk drugs not only may impair fetal growth and development, but also could compromise maternal health due to drug side effects, increasing the risk of pregnancy complications.

However, if medication is adjusted under a doctor’s guidance—switching to drugs considered relatively safe during pregnancy and strictly controlling dosage—the associated risks can be significantly reduced. Physicians will evaluate whether discontinuation or switching medications is feasible based on the patient's condition. For those who require ongoing treatment, doctors will select the regimen with the least potential harm to both mother and fetus, and conduct regular prenatal monitoring to ensure safety throughout pregnancy.

Medication use during preconception and pregnancy should prioritize the safety of both mother and baby, following integrated guidance from psychiatrists and obstetricians. Family members should provide strong support, helping the patient adhere to prescribed treatments and attend regular check-ups, working together to prepare for a healthy pregnancy and baby.