Preterm Birth and Antidepressant Medication Use during Pregnancy: A Systematic Review and Meta-Analysis
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{"title"=>"Preterm birth and antidepressant medication use during pregnancy: A systematic review and meta-analysis", "type"=>"journal", "authors"=>[{"first_name"=>"Krista F.", "last_name"=>"Huybrechts", "scopus_author_id"=>"6603369021"}, {"first_name"=>"Reesha Shah", "last_name"=>"Sanghani", "scopus_author_id"=>"57189330454"}, {"first_name"=>"Jerry", "last_name"=>"Avorn", "scopus_author_id"=>"7102340272"}, {"first_name"=>"Adam C.", "last_name"=>"Urato", "scopus_author_id"=>"57190416759"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"84899977008", "doi"=>"10.1371/journal.pone.0092778", "issn"=>"19326203", "pui"=>"373038487", "pmid"=>"24671232", "scopus"=>"2-s2.0-84899977008"}, "id"=>"af898bc7-bfc9-3740-ab1f-9969aa504d33", "abstract"=>"Preterm birth is a major contributor to neonatal morbidity and mortality and its rate has been increasing over the past two decades. Antidepressant medication use during pregnancy has also been rising, with rates up to 7.5% in the US. The objective was to systematically review the literature to determine the strength of the available evidence relating to a possible association between antidepressant use during pregnancy and preterm birth.", "link"=>"http://www.mendeley.com/research/preterm-birth-antidepressant-medication-during-pregnancy-systematic-review-metaanalysis", "reader_count"=>48, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Librarian"=>1, "Researcher"=>7, "Student > Doctoral Student"=>6, "Student > Ph. D. Student"=>6, "Student > Postgraduate"=>3, "Student > Master"=>16, "Other"=>3, "Student > Bachelor"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Librarian"=>1, "Researcher"=>7, "Student > Doctoral Student"=>6, "Student > Ph. D. Student"=>6, "Student > Postgraduate"=>3, "Student > Master"=>16, "Other"=>3, "Student > Bachelor"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Biochemistry, Genetics and Molecular Biology"=>2, "Nursing and Health Professions"=>3, "Medicine and Dentistry"=>18, "Agricultural and Biological Sciences"=>2, "Neuroscience"=>2, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Psychology"=>15, "Social Sciences"=>2, "Computer Science"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>18}, "Neuroscience"=>{"Neuroscience"=>2}, "Social Sciences"=>{"Social Sciences"=>2}, "Psychology"=>{"Psychology"=>15}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Unspecified"=>{"Unspecified"=>2}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}}, "reader_count_by_country"=>{"United States"=>2, "Denmark"=>1, "Brazil"=>1, "South Africa"=>1, "France"=>1}, "group_count"=>3}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1436813"], "description"=>"<p>Subset of studies that account for the underlying psychiatric illness.</p>", "links"=>[], "tags"=>["Clinical medicine", "epidemiology", "Pharmacoepidemiology", "Mental health and psychiatry", "pharmacology", "Adverse reactions", "Public and occupational health", "Women’s health", "Maternal health", "birth", "Labor and delivery", "Preterm labor", "pregnancy", "Pregnancy complications", "Obstetrics and gynecology", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "research design", "Clinical research design", "study-specific", "pooled", "estimates", "antidepressant", "preterm"], "article_id"=>975661, "categories"=>["Biological Sciences"], "users"=>["Krista F. Huybrechts", "Reesha Shah Sanghani", "Jerry Avorn", "Adam C. Urato"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0092778.g004", "stats"=>{"downloads"=>2, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Adjusted_study_specific_and_pooled_odds_ratio_estimates_for_antidepressant_medication_during_pregnancy_and_preterm_birth_/975661", "title"=>"Adjusted study-specific and pooled odds ratio estimates for antidepressant medication during pregnancy and preterm birth.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-03-26 03:39:20"}
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  • {"files"=>["https://ndownloader.figshare.com/files/1436808"], "description"=>"<p>Study selection flowchart.</p>", "links"=>[], "tags"=>["Clinical medicine", "epidemiology", "Pharmacoepidemiology", "Mental health and psychiatry", "pharmacology", "Adverse reactions", "Public and occupational health", "Women’s health", "Maternal health", "birth", "Labor and delivery", "Preterm labor", "pregnancy", "Pregnancy complications", "Obstetrics and gynecology", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "research design", "Clinical research design"], "article_id"=>975656, "categories"=>["Biological Sciences"], "users"=>["Krista F. Huybrechts", "Reesha Shah Sanghani", "Jerry Avorn", "Adam C. Urato"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0092778.g001", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Study_selection_flowchart_/975656", "title"=>"Study selection flowchart.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-03-26 03:39:20"}
  • {"files"=>["https://ndownloader.figshare.com/files/1436817"], "description"=>"<p>Abbreviations: Prosp = Prospective cohort; Retro = Retrospective cohort; depr = depression; AD = antidepressant; SRI = serotonin reuptake inhibitor; TCA = tricyclic antidepressant; NaSSA = Noradrenergic and specific serotonergic antidepressants; SNRI = Serotonin–norepinephrine reuptake inhibitors; NRI = noradrenaline reuptake inhibitors; T = trimester; exp = exposed; TIS = Teratogen Information Service.</p>", "links"=>[], "tags"=>["Clinical medicine", "epidemiology", "Pharmacoepidemiology", "Mental health and psychiatry", "pharmacology", "Adverse reactions", "Public and occupational health", "Women’s health", "Maternal health", "birth", "Labor and delivery", "Preterm labor", "pregnancy", "Pregnancy complications", "Obstetrics and gynecology", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "research design", "Clinical research design", "41", "studies", "evaluating", "antidepressant", "preterm"], "article_id"=>975665, "categories"=>["Biological Sciences"], "users"=>["Krista F. Huybrechts", "Reesha Shah Sanghani", "Jerry Avorn", "Adam C. Urato"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0092778.t001", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_41_studies_evaluating_the_association_between_antidepressant_medication_use_during_pregnancy_and_preterm_birth_/975665", "title"=>"Characteristics of 41 studies evaluating the association between antidepressant medication use during pregnancy and preterm birth.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-26 03:39:20"}
  • {"files"=>["https://ndownloader.figshare.com/files/1436815"], "description"=>"<p>Funnel plot with pseudo 95% confidence limits.</p>", "links"=>[], "tags"=>["Clinical medicine", "epidemiology", "Pharmacoepidemiology", "Mental health and psychiatry", "pharmacology", "Adverse reactions", "Public and occupational health", "Women’s health", "Maternal health", "birth", "Labor and delivery", "Preterm labor", "pregnancy", "Pregnancy complications", "Obstetrics and gynecology", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "research design", "Clinical research design", "pseudo"], "article_id"=>975663, "categories"=>["Biological Sciences"], "users"=>["Krista F. Huybrechts", "Reesha Shah Sanghani", "Jerry Avorn", "Adam C. Urato"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0092778.g006", "stats"=>{"downloads"=>0, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Funnel_plot_with_pseudo_95_confidence_limits_/975663", "title"=>"Funnel plot with pseudo 95% confidence limits.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-03-26 03:39:20"}
  • {"files"=>["https://ndownloader.figshare.com/files/1436816"], "description"=>"(1)<p>Typically 1st trimester; some women continued during pregnancy, others discontinued.</p>(2)<p>Typically 3<sup>rd</sup> trimester.</p>(3)<p>Factors varied between studies, but typically included maternal age, smoking, alcohol use, parity, and history of prematurity or miscarriage.</p>(4)<p>Values of I<sup>2</sup> are percentages (% of variance explained). 95% uncertainty intervals are calculated as proposed by Higgins and Thompson <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0092778#pone.0092778-Higgins1\" target=\"_blank\">[89]</a>.</p>", "links"=>[], "tags"=>["Clinical medicine", "epidemiology", "Pharmacoepidemiology", "Mental health and psychiatry", "pharmacology", "Adverse reactions", "Public and occupational health", "Women’s health", "Maternal health", "birth", "Labor and delivery", "Preterm labor", "pregnancy", "Pregnancy complications", "Obstetrics and gynecology", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "research design", "Clinical research design", "antidepressant", "preterm"], "article_id"=>975664, "categories"=>["Biological Sciences"], "users"=>["Krista F. Huybrechts", "Reesha Shah Sanghani", "Jerry Avorn", "Adam C. Urato"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0092778.t002", "stats"=>{"downloads"=>0, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Effect_of_antidepressant_medication_use_during_pregnancy_on_preterm_birth_meta_analysis_results_/975664", "title"=>"Effect of antidepressant medication use during pregnancy on preterm birth: meta-analysis results.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-26 03:39:20"}
  • {"files"=>["https://ndownloader.figshare.com/files/1436814"], "description"=>"<p>Example for estimated OR = 1.61 (depression adjusted point estimate) and OR = 1.26 (lower 95% bound of depression adjusted estimate) for different levels of confounder prevalence (▪ P<sub>c</sub> = 0.05, OR = 1.61; •P<sub>c</sub> = 0.25, OR = 1.61; □ P<sub>c</sub> = 0.05, OR = 1.26; ○P<sub>c</sub> = 0.25, OR = 1.26). Each line splits the area into two. The upper right area represents all combinations of OR<sub>EC</sub> and RR<sub>CD</sub> that would create confounding by an unmeasured factor strong enough to move the point estimate of OR to the null (OR = 1) or beyond. The area to the lower left represents all parameter combinations that would not be able to move the estimated OR to the null.</p>", "links"=>[], "tags"=>["Clinical medicine", "epidemiology", "Pharmacoepidemiology", "Mental health and psychiatry", "pharmacology", "Adverse reactions", "Public and occupational health", "Women’s health", "Maternal health", "birth", "Labor and delivery", "Preterm labor", "pregnancy", "Pregnancy complications", "Obstetrics and gynecology", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "research design", "Clinical research design", "residual", "confounding"], "article_id"=>975662, "categories"=>["Biological Sciences"], "users"=>["Krista F. Huybrechts", "Reesha Shah Sanghani", "Jerry Avorn", "Adam C. Urato"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0092778.g005", "stats"=>{"downloads"=>1, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Sensitivity_analysis_of_residual_confounding_Rule_out_approach_/975662", "title"=>"Sensitivity analysis of residual confounding (Rule-out approach).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-03-26 03:39:20"}
  • {"files"=>["https://ndownloader.figshare.com/files/1436811"], "description"=>"<p>Studies that adjusted for other risk factors.</p>", "links"=>[], "tags"=>["Clinical medicine", "epidemiology", "Pharmacoepidemiology", "Mental health and psychiatry", "pharmacology", "Adverse reactions", "Public and occupational health", "Women’s health", "Maternal health", "birth", "Labor and delivery", "Preterm labor", "pregnancy", "Pregnancy complications", "Obstetrics and gynecology", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "research design", "Clinical research design", "pooled", "estimates", "antidepressant", "preterm"], "article_id"=>975659, "categories"=>["Biological Sciences"], "users"=>["Krista F. Huybrechts", "Reesha Shah Sanghani", "Jerry Avorn", "Adam C. Urato"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0092778.g003", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Study_specific_and_pooled_odds_ratio_estimates_for_antidepressant_medication_during_pregnancy_and_preterm_birth_/975659", "title"=>"Study-specific and pooled odds ratio estimates for antidepressant medication during pregnancy and preterm birth.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-03-26 03:39:20"}
  • {"files"=>["https://ndownloader.figshare.com/files/1436818"], "description"=>"<div><p>Introduction</p><p>Preterm birth is a major contributor to neonatal morbidity and mortality and its rate has been increasing over the past two decades. Antidepressant medication use during pregnancy has also been rising, with rates up to 7.5% in the US. The objective was to systematically review the literature to determine the strength of the available evidence relating to a possible association between antidepressant use during pregnancy and preterm birth.</p><p>Methods</p><p>We conducted a computerized search in PUBMED, MEDLINE and PsycINFO through September 2012, supplemented with a manual search of reference lists, to identify original published research on preterm birth rates in women taking antidepressants during pregnancy. Data were independently extracted by two reviewers, and absolute and relative risks abstracted or calculated. Our <i>a priori</i> design was to group studies by level of confounding adjustment and by timing of antidepressant use during pregnancy; we used random-effects models to calculate summary measures of effect.</p><p>Results</p><p>Forty-one studies met inclusion criteria. Pooled adjusted odds ratios (95% CI) were 1.53 (1.40–1.66) for antidepressant use at any time and 1.96 (1.62–2.38) for 3<sup>rd</sup> trimester use. Controlling for a diagnosis of depression did not eliminate the effect. There was no increased risk [1.16 (0.92–1.45)] in studies that identified patients based on 1<sup>st</sup> trimester exposure. Sensitivity analyses demonstrated unmeasured confounding would have to be strong to account for the observed association.</p><p>Discussion</p><p>Published evidence is consistent with an increased risk of preterm birth in women taking antidepressants during the 2<sup>nd</sup> and 3<sup>rd</sup> trimesters, although the possibility of residual confounding cannot be completely ruled out.</p></div>", "links"=>[], "tags"=>["Clinical medicine", "epidemiology", "Pharmacoepidemiology", "Mental health and psychiatry", "pharmacology", "Adverse reactions", "Public and occupational health", "Women’s health", "Maternal health", "birth", "Labor and delivery", "Preterm labor", "pregnancy", "Pregnancy complications", "Obstetrics and gynecology", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "research design", "Clinical research design", "antidepressant", "systematic"], "article_id"=>975666, "categories"=>["Biological Sciences"], "users"=>["Krista F. Huybrechts", "Reesha Shah Sanghani", "Jerry Avorn", "Adam C. Urato"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0092778", "stats"=>{"downloads"=>4, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Preterm_Birth_and_Antidepressant_Medication_Use_during_Pregnancy_A_Systematic_Review_and_Meta_Analysis_/975666", "title"=>"Preterm Birth and Antidepressant Medication Use during Pregnancy: A Systematic Review and Meta-Analysis", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-03-26 03:39:20"}

PMC Usage Stats | Further Information

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Relative Metric

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