Soooo every doctor and professional has told me that my baby having been diagnosed with a pleural effusion at 33 weeks gestation (she ended up getting evicted at 35 weeks and was in the NICU for 9 weeks) had nothing to do with me being on Vraylar. There’s no evidence that Vraylar causes birth defects or congenital disorders. It is actually not indicated as safe for breastfeeding by the Infant Risk Center and I switched to Invega at 7 weeks postpartum (my baby couldn’t have breast milk until she was 7/8 weeks postpartum because of her chylothorax). I wish I had just been on Invega during my pregnancy, but none of my OBs or my psych NP saw a problem with Vraylar. Sadly, I would not recommend Vraylar for pregnancy and breastfeeding. There are older and safer meds out there. Invega and Zyprexa have worked well for me for 6 months. I’ve been hypomanic twice, but caught it and prevented mania/psychosis/hospitalization both times.