And we wonder why so many ob/gyns don't seem cognizant of - or competent with - mental health issues as they affect pregnant and postpartum women's medical treatment?

Just saw this coverage of ACOG's warning in today's news.

Hard to believe that the American College of Obstetricians and Gynecologists (ACOG) would be so slow to issue a statement in response to FDA warnings about the use of antidepressant Paxil during pregnancy -- It has, after all, been a full YEAR since the federal agency alerted the public to potential birth defects risks.

In its "hot off the press" statement, ACOG's Committee on Obstetric Practice "recommends that treatment with all SSRIs [selective serotonin reuptake inhibitors] or selective norepinephrine reuptake inhibitors or both during pregnancy be individualized and paroxetine [Paxil] use among pregnant women or women planning to become pregnant be avoided, if possible." This recommendation will appear in the December issue of the journal Obstetrics & Gynecology.

Not exactly on the cutting edge of information delivery! And guess what? When you go to ACOG's massive website and do a keyword search for "Paxil," one lone entry comes up. And it's a two-year-old article related to hormone therapy.

Is it just me, or is something very wrong with this picture?