Evidence map›Paper›PMID 29340802›Full record

ArticleArchives of women's mental health2018

Longitudinal trajectories of antidepressant use in pregnancy and the postnatal period.

Gretchen Bandoli, Grace M Kuo, Renu Sugathan, Christina D Chambers, Matthieu Rolland, Kristin Palmsten

Abstract read
In one paragraph

Article in Archives of women's mental health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Timing of selective serotonin reuptake inhibitor use and risk for preterm birth and related adverse events: with a consideration of the COVID-19 pandemic period.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2024
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  10. Oral Corticosteroids and Risk of Preterm Birth in the California Medicaid Program.The journal of allergy and clinical immunology. In practice · 2021
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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

6 authors.

Gretchen BandoliDepartment of Pediatrics, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA. gbandoli@ucsd.edu.
Grace M KuoSkaggs School of Pharmacy and Pharmaceutical Sciences and Department of Family Medicine and Public Health, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.
Renu SugathanDecision Support, University of California San Diego Health and Skaggs School of Pharmacy and Pharmaceutical Sciences and Department of Family Medicine and Public Health, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.
Christina D ChambersDepartment of Pediatrics and Family Medicine and Public Health, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.
Matthieu RollandInserm, Bordeaux Population Health Research Center, team IDLIC, UMR 1219, University of Bordeaux, F-33000, Bordeaux, France.
Kristin PalmstenDepartment of Pediatrics, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.

Funding

UC San Diego Clinical and Translational Research InstituteTL1TR001443 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DEPP, COLIN A. · 2015 to 2019
$3.4M
Treatment Initiation for New Episodes of Depression in Pregnant WomenR01HD100579 · NICHD · HEALTHPARTNERS INSTITUTE · PI PALMSTEN, KRISTIN · 2021 to 2025
$3.1M
Oral Corticosteroid Use During Pregnancy and Risk for Preterm BirthR00HD082412 · NICHD · HEALTHPARTNERS INSTITUTE · PI PALMSTEN, KRISTIN · 2017 to 2019
$716k
Oral Corticosteroid Use During Pregnancy and Risk for Preterm BirthK99HD082412 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI PALMSTEN, KRISTIN · 2015 to 2016
$274k
NCATS NIH HHS TL1 TR001443NICHD NIH HHS K99 HD082412NICHD NIH HHS K99HD082412NICHD NIH HHS R00 HD082412NICHD NIH HHS R01 HD100579NIH HHS TL1TR001443
6 · The paper itself

Abstract

Studies of antidepressant safety in pregnancy typically do not address complex patterns of use throughout pregnancy. We performed longitudinal trajectory modeling to describe patterns of antidepressant use in the first 32 weeks of pregnancy, and test whether these trajectories are associated with a reduction in birth weight or gestational age at delivery. Our study included 166 pregnant women with deliveries between 2011 and 2015 who were prescribed an antidepressant between 91 days prior to last menstrual period and 32 weeks of gestation. From electronic medical records, we estimated average daily dose and cumulative dose per week for the first 32 weeks of gestation and for the first 13 weeks postnatal. We clustered women with similar utilization patterns using k-means longitudinal modeling and assessed the associations between trajectory group and birth weight and gestational age at delivery. We identified four cumulative dose trajectory groups and three average daily dose trajectory groups in each period. Relative to the lowest trajectory group, the highest trajectory group during pregnancy was associated with reduced birth weight in multivariable analysis (average daily highest trajectory vs. lowest trajectory β - 314.1 g, 95% CI - 613.7, - 15.5) adjusted for depression severity score, maternal age, race, and pregnancy smoking. Trajectory groups were not associated with gestational age at delivery. The highest trajectory group of antidepressant use in pregnancy was associated with a modest reduction in birth weight but not with gestational age at delivery. Longitudinal trajectories allow for a dynamic visualization and quantification of medication use among pregnant women.

Indexed as

AdultAntidepressive AgentsBirth WeightCaliforniaDepressionFemaleGestational AgeHumansLongitudinal StudiesPharmacoepidemiologyPregnancyPregnancy ComplicationsPregnant PeoplePremature BirthPrenatal Exposure Delayed EffectsYoung AdultAntidepressive AgentsAntidepressive agentsBirth outcomesMethodologyPharmacoepidemiologyPregnancy

Identifiers

PMID29340802
PMCPMC6031455

What OpenQuestion holds

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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.