Evidence map›Paper›PMID 29522259›Full record

ArticleBritish journal of clinical pharmacology2018

Impact of serotonin reuptake inhibitor use on breast milk supply in mothers of preterm infants: a retrospective cohort study.

Luke E Grzeskowiak, Catherine Leggett, Lynn Costi, Claire T Roberts, Lisa H Amir

Open access · bronzeAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Observational
  3. Review
  4. Article
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 4 institutions in 1 country.

Luke E GrzeskowiakSA Pharmacy, Flinders Medical Centre, SA Health, Australia & Adelaide Medical School, The Robinson Research Institute, The University of Adelaide, Adelaide, SA, Australia.ORCID 0000-0001-8554-4696
Catherine LeggettSA Pharmacy, Women's and Children's Hospital, SA Health, Adelaide, SA, Australia.
Lynn CostiSA Pharmacy, Women's and Children's Hospital, SA Health, Adelaide, SA, Australia.
Claire T RobertsAdelaide Medical School, The Robinson Research Institute, The University of Adelaide, Adelaide, SA, Australia.ORCID 0000-0002-9250-2192
Lisa H AmirJudith Lumley Centre, La Trobe University, Melbourne, VIC, Australia.
Women's and Children's Hospital · AUFlinders Medical Centre · AULa Trobe University · AUThe University of Adelaide · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe aims of the present study were to examine the association between late pregnancy exposure to serotonin reuptake inhibitor (SRI) antidepressants and difficulties in achieving an adequate breast milk supply in women who have given birth to preterm infants, while accounting for the potential impacts of underlying maternal psychiatric illness.

methodsA retrospective cohort study was carried out of 3024 women delivering liveborn preterm infants (<37 weeks' gestation) between January 2004 and December 2008. The primary outcome was postnatal domperidone use, considered to be a valid proxy for the presence and pharmacological management of low milk supply. Relative risks adjusted for maternal sociodemographic characteristics and comorbidities (aRRs) were calculated for low milk supply, comparing women with late pregnancy exposure to SRI antidepressants (n = 86), women with a psychiatric illness but no antidepressant use (n = 126) and women with neither antenatal exposures (n = 2812).

resultsCompared with non-exposed women, nonmedicated psychiatric illness [aRR 1.64; 95% confidence interval (CI) 1.16, 2.30] but not late pregnancy SRI use (aRR 1.00; 95% CI 0.59, 1.70) was associated with an increased risk of domperidone use, indicative of low milk supply.

conclusionsThese findings do not support the previously observed negative impacts of antidepressant use on breastfeeding, instead suggesting that women with an underlying psychiatric illness appear at greatest risk of experiencing low milk supply and could benefit from additional breastfeeding education and support.

Indexed as

Infant, PrematureAdultAntidepressive AgentsDomperidoneDopamine AntagonistsFemaleGestational AgeHumansLactationMaternal ExposureMilk, HumanRetrospective StudiesRisk FactorsSelective Serotonin Reuptake InhibitorsYoung AdultAntidepressive AgentsDomperidoneDopamine AntagonistsSelective Serotonin Reuptake Inhibitorsantidepressive agentsbreastfeedinglactationpremature birthserotonin agents

Identifiers

PMID29522259
PMCPMC5980248
OpenAlexW2793832607

What OpenQuestion holds

Textmetadata
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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.