Evidence map›Paper›PMID 29804133›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2019

Antidepressants during pregnancy: a French drug utilisation study in EFEMERIS cohort.

Caroline Hurault-Delarue, Isabelle Lacroix, Anne Bénard-Laribière, Jean-Louis Montastruc, Antoine Pariente, Christine Damase-Michel

Registry-linked trialAbstract read
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In one paragraph

Article in European archives of psychiatry and clinical neuroscience, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02818842 (Evaluation of Drug's Risk in Pregnant Women), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 18% 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.

NCT02818842 unknown statusnot on this map

Evaluation of Drug's Risk in Pregnant Women

TypeobservationalSponsorUniversity Hospital, ToulouseRan2010 to 2025Enrolled30,000ConditionsPregnancyArmsPrimary Health Insurance Fund data, Prenatal Diagnostic Center of Toulouse University Hospital data, Mother and child protection data collection, Medicalisation Program of Information Systems data
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 15 citations in OpenAlex.

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

Caroline Hurault-DelarueLaboratoire de Pharmacologie Médicale et Clinique, Centre Midi-Pyrénées de PharmacoVigilance, de Pharmacoépidémiologie et d'Information sur le Médicament, INSERM/UPS UMR 1027, CIC INSERM 1436, Faculté de Médecine de l'Université Paul-Sabatier et Centre Hospitalier Universitaire, 37 allées Jules Guesde, 31000, Toulouse, France. caroline.delarue-hurault@univ-tlse3.fr.
Isabelle LacroixLaboratoire de Pharmacologie Médicale et Clinique, Centre Midi-Pyrénées de PharmacoVigilance, de Pharmacoépidémiologie et d'Information sur le Médicament, INSERM/UPS UMR 1027, CIC INSERM 1436, Faculté de Médecine de l'Université Paul-Sabatier et Centre Hospitalier Universitaire, 37 allées Jules Guesde, 31000, Toulouse, France.
Anne Bénard-LaribièreUniversité Bordeaux, Inserm, CHU Bordeaux, Service de Pharmacologie Médicale, Bordeaux Population Health Research Center, Team Pharmacoepidemiology, UMR 1219, Bordeaux, France.
Jean-Louis MontastrucLaboratoire de Pharmacologie Médicale et Clinique, Centre Midi-Pyrénées de PharmacoVigilance, de Pharmacoépidémiologie et d'Information sur le Médicament, INSERM/UPS UMR 1027, CIC INSERM 1436, Faculté de Médecine de l'Université Paul-Sabatier et Centre Hospitalier Universitaire, 37 allées Jules Guesde, 31000, Toulouse, France.
Antoine ParienteUniversité Bordeaux, Inserm, CHU Bordeaux, Service de Pharmacologie Médicale, Bordeaux Population Health Research Center, Team Pharmacoepidemiology, UMR 1219, Bordeaux, France.
Christine Damase-MichelLaboratoire de Pharmacologie Médicale et Clinique, Centre Midi-Pyrénées de PharmacoVigilance, de Pharmacoépidémiologie et d'Information sur le Médicament, INSERM/UPS UMR 1027, CIC INSERM 1436, Faculté de Médecine de l'Université Paul-Sabatier et Centre Hospitalier Universitaire, 37 allées Jules Guesde, 31000, Toulouse, France.
Inserm · FRBordeaux Population Health · FRUniversité Toulouse III - Paul Sabatier · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have suggested that exposure to some antidepressants (AD) during pregnancy could be associated with an increased risk of congenital malformations and neurodevelopment disorders for the child. We conducted a study to describe the use of AD during pregnancy in France.

methodsWe performed a drug utilisation study in EFEMERIS, a French cohort of pregnant women. At the time of the present study, 89,170 pregnant women, who were pregnant from 2005 to 2014 in Haute-Garonne were included. Prevalence and incidence of AD prescriptions during pregnancy, characteristics of AD users, and trends in AD use over the 10-year period were studied.

resultsDuring the 10-year study period, 1620 women registered in EFEMERIS (1.8%) received at least one prescription and dispensation for AD during pregnancy: 1363 during the first (1.5%), 591 during the second (0.7%), and 412 during the third (0.5%) trimester. A total of 2874 women (3.2%) got a prescription for an AD during the 3 months before and/or during pregnancy; 2187 of them (76.1%) stopped AD before pregnancy or during the first trimester. Selective serotonin reuptake inhibitors represented the most prescribed class during pregnancy (1.3%). A very slight decrease in the prevalence of AD prescriptions in pregnant women over time (1.7% in 2014 vs 2% in 2005) and some variations within classes were observed.

conclusionsNearly, 2% of women received antidepressant drugs during pregnancy. This assessment encourages following research on these drugs including the potential risk of neurodevelopmental disorders in children after an exposure to antidepressants during pregnancy.

Indexed as

AdultAntidepressive AgentsCohort StudiesDepressive DisorderDrug PrescriptionsDrug UtilizationFemaleFranceHumansIncidencePregnancyPregnancy ComplicationsPrevalenceSelective Serotonin Reuptake InhibitorsAntidepressive AgentsSelective Serotonin Reuptake InhibitorsAntidepressant drugsDrug utilisation studyPregnancyPsychotropic drugs

Identifiers

PMID29804133
OpenAlexW2804108533

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Registered trials

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.