Evidence map›Paper›PMID 28077067›Full record

Observational studyBMC pregnancy and childbirth2017

Use of antidepressants during pregnancy in the Netherlands: observational study into postpartum interventions.

Noera Kieviet, Fokke de Jong, Fedde Scheele, Koert M Dolman, Adriaan Honig

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC pregnancy and childbirth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Noera KievietDepartment of Pediatrics, Psychiatry Obstetrics Pediatrics Expert Center OLVG West, Jan Tooropstraat 164, 1061 AE, Amsterdam, The Netherlands. noera.kieviet@gmail.com.
Fokke de JongDepartment of Psychiatry, Psychiatry Obstetrics Pediatrics Expert Center OLVG West, Jan Tooropstraat 164, 1061 AE, Amsterdam, The Netherlands.
Fedde ScheeleDepartment of Gynaecology, Psychiatry Obstetrics Pediatrics Expert Center OLVG West, Jan Tooropstraat 164, 1061 AE, Amsterdam, The Netherlands.
Koert M DolmanDepartment of Pediatrics, Psychiatry Obstetrics Pediatrics Expert Center OLVG West, Jan Tooropstraat 164, 1061 AE, Amsterdam, The Netherlands.
Adriaan HonigDepartment of Psychiatry, Psychiatry Obstetrics Pediatrics Expert Center OLVG West, Jan Tooropstraat 164, 1061 AE, Amsterdam, The Netherlands.
OLVG · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPsychiatric disorders and use of selective antidepressants during pregnancy can have negative effects on mother and infant postpartum. This study aimed to provide evidence-based recommendations on observation of antidepressant-exposed mother-infant dyads.

methodsIn this observational study, mother-infant dyads were observed for possible consequences of either the maternal psychiatric disorder or fetal exposure to selective antidepressants during pregnancy. These possible complications can lead to medical interventions, including 1. adjustment of antidepressants 2. admission to the psychiatric department 3. additional investigations due to indistinctness about the origin of neonatal symptoms 4. treatment of poor neonatal adaptation and 5. consultation of an external organization for additional care. The type, number and time to medical interventions were analyzed.

resultsIn 61% of the 324 included mother-infant dyads one or more intrventions were performed. Adjustment of antidepressants and treatment of poor neonatal adaptation were most prevalent. In 75% of dyads the final intervention was performed within 48 h.

conclusionsThe high prevalence and type of medical interventions requires professional observation of all mother-infant dyads exposed to selective antidepressants. In the absence of specialized home care, hospital admission is indicated whereby an observational period of 48 h seems sufficient for most dyads.

Indexed as

AdultAntidepressive AgentsFemaleHumansInfant, NewbornMothersNetherlandsPostpartum PeriodPregnancyPregnancy ComplicationsPrenatal Exposure Delayed EffectsPrevalenceTime-to-TreatmentAntidepressive AgentsDepressionFinneganObservationPregnancyWithdrawal

Identifiers

PMID28077067
PMCPMC5225538
OpenAlexW2568330348

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.