Evidence map›Paper›PMID 36454900›Full record

ArticlePloS one2022

Patterns of antiemetic medication use during pregnancy: A multi-country retrospective cohort study.

Anat Fisher, J Michael Paterson, Brandace Winquist, Fangyun Wu, Pauline Reynier, Samy Suissa, Matthew Dahl, Zhihai Ma, Xinya Lu, Jianguo Zhang and 6 more

Abstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. A Scoping Review of 5-HTPharmacoepidemiology and drug safety · 2026
    Article
  3. Article
  4. Dispensing of Antiemetics During Pregnancy in Aotearoa New Zealand, 2005-2020.The Australian & New Zealand journal of obstetrics & gynaecology · 2026
    Article
  5. PregMedNet: Multifaceted Maternal Medication Impacts on Neonatal Complications.medRxiv : the preprint server for health sciences · 2025
    Article
  6. 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

16 authors.

Anat FisherFaculty of Medicine, Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0001-9730-5107
J Michael PatersonICES, Toronto, Ontario, Canada.ORCID 0000-0001-5995-1714
Brandace WinquistCollege of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Fangyun WuICES, Toronto, Ontario, Canada.
Pauline ReynierCenter for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montréal, Quebec, Canada.
Samy SuissaDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Quebec, Canada.
Matthew DahlManitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada.
Zhihai MaDepartment of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Xinya LuSaskatchewan Health Quality Council, Saskatoon, Saskatchewan, Canada.
Jianguo ZhangDepartment of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Colette B RaymondManitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada.
Kristian B FilionCenter for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montréal, Quebec, Canada.ORCID 0000-0001-6055-0088
Robert W PlattCenter for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montréal, Quebec, Canada.
Carolina MorielloCenter for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montréal, Quebec, Canada.
Colin R DormuthFaculty of Medicine, Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver, British Columbia, Canada.
Canadian Network for Observational Drug Effect Studies (CNODES) Investigators

Funding

CIHR DSE-146021
6 · The paper itself

Abstract

objectiveTo compare patterns in use of different antiemetics during pregnancy in Canada, the United Kingdom, and the United States, between 2002 and 2014.

methodsWe constructed population-based cohorts of pregnant women using administrative healthcare data from five Canadian provinces (Alberta, British Columbia, Manitoba, Ontario, and Saskatchewan), the Clinical Practice Research Datalink from the United Kingdom, and the IBM MarketScan Research Databases from the United States. We included pregnancies ending in live births, stillbirth, spontaneous abortion, or induced abortion. We determined maternal use of antiemetics from pharmacy claims in Canada and the United States and from prescriptions in the United Kingdom.

resultsThe most common outcome of 3 848 734 included pregnancies (started 2002-2014) was live birth (66.7% of all pregnancies) followed by spontaneous abortion (20.2%). Use of antiemetics during pregnancy increased over time in all three countries. Canada had the highest prevalence of use of prescription antiemetics during pregnancy (17.7% of pregnancies overall, 13.2% of pregnancies in 2002, and 18.9% in 2014), followed by the United States (14.0% overall, 8.9% in 2007, and 18.1% in 2014), and the United Kingdom (5.0% overall, 4.2% in 2002, and 6.5% in 2014). Besides use of antiemetic drugs being considerably lower in the United Kingdom, the increase in its use over time was more modest. The most commonly used antiemetic was combination doxylamine/pyridoxine in Canada (95.2% of pregnancies treated with antiemetics), ondansetron in the United States (72.2%), and prochlorperazine in the United Kingdom (63.5%).

conclusionsIn this large cohort study, we observed an overall increase in antiemetic use during pregnancy, and patterns of use varied across jurisdictions. Continued monitoring of antiemetic use and further research are warranted to better understand the reasons for differences in use of these medications and to assess their benefit-risk profile in this population.

Indexed as

Abortion, SpontaneousAntiemeticsAlbertaCohort StudiesFemaleGastrointestinal AgentsHumansPregnancyRetrospective StudiesAntiemeticsGastrointestinal Agents

Identifiers

PMID36454900
PMCPMC9714905

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Registered trials

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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.