Evidence map›Paper›PMID 37319236›Full record

ReviewPloS one2023

Monitoring medicine prescriptions before, during and after pregnancy in Italy.

Filomena Fortinguerra, Valeria Belleudi, Francesca Romana Poggi, Serena Perna, Renata Bortolus, Serena Donati, Paola D'Aloja, Roberto Da Cas, Antonio Clavenna, Anna Locatelli and 4 more

Open access · goldAbstract readReview
In one paragraph

Review in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Antidiabetic Therapy during Pregnancy: The Prescription Pattern in Italy.International journal of environmental research and public health · 2023
    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

14 authors at 5 institutions in 2 countries.

Filomena FortinguerraItalian Medicines Agency (AIFA), Rome, Italy.ORCID 0000-0002-6587-9808
Valeria BelleudiDepartment of Epidemiology, Lazio Regional Health Service, Rome, Italy.
Francesca Romana PoggiDepartment of Epidemiology, Lazio Regional Health Service, Rome, Italy.
Serena PernaItalian Medicines Agency (AIFA), Rome, Italy.
Renata BortolusDirectorate General for Preventive Health-Office 9, Ministry of Health, Rome, Italy.
Serena DonatiNational Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità -Italian National Institute of Health, Rome, Italy.
Paola D'AlojaNational Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità -Italian National Institute of Health, Rome, Italy.
Roberto Da CasPharmacoepidemiology Unit, National Centre for Drug Research and Evaluation, Istituto Superiore di Sanità -Italian National Institute of Health, Rome, Italy.
Antonio ClavennaLaboratory for Pharmacoepidemiology, Department of Public Health, IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Anna LocatelliDepartment of Obstetrics and Gynecology, University of Milano-Bicocca, Monza, Italy.ORCID 0000-0002-3919-4776
Antonio AddisDepartment of Epidemiology, Lazio Regional Health Service, Rome, Italy.
Marina DavoliDepartment of Epidemiology, Lazio Regional Health Service, Rome, Italy.
Francesco TrottaItalian Medicines Agency (AIFA), Rome, Italy.
MoM-Net group
Istituto Superiore di Sanità · ITItalian Medicines Agency · ITMario Negri Institute for Pharmacological Research · ITMinistero della Salute · ITUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of medications during pregnancy is a common event worldwide. Monitoring medicine prescriptions in clinical practice is a necessary step in assessing the impact of therapeutic choices in pregnant women as well as the adherence to clinical guidelines. The aim of this study was to provide prevalence data on medication use before, during and after pregnancy in the Italian population.

methodsA retrospective prevalence study using administrative healthcare databases was conducted. A cohort of 449,012 pregnant women (15-49 years) residing in eight Italian regions (59% of national population), who delivered in 2016-2018, were enrolled. The prevalence of medication use was estimated as the proportion (%) of pregnant women with any prescription.

resultsAbout 73.1% of enrolled women received at least one drug prescription during pregnancy, 57.1% in pre-pregnancy and 59.3% in postpartum period. The prevalence of drug prescriptions increased with maternal age, especially during the 1st trimester of pregnancy. The most prescribed medicine was folic acid (34.6%), followed by progesterone (19%), both concentrated in 1st trimester of pregnancy (29.2% and 14.8%, respectively). Eight of the top 30 most prescribed medications were antibiotics, whose prevalence was higher during 2nd trimester of pregnancy in women ≥ 40 years (21.6%). An increase in prescriptions of anti-hypertensives, antidiabetics, thyroid hormone and heparin preparations was observed during pregnancy; on the contrary, a decrease was found for chronic therapies, such as anti-epileptics or lipid-modifying agents.

conclusionsThis study represents the largest and most representative population-based study illustrating the medication prescription patterns before, during and after pregnancy in Italy. The observed prescriptive trends were comparable to those reported in other European countries. Given the limited information on medication use in Italian pregnant women, the performed analyses provide an updated overview of drug prescribing in this population, which can help to identify critical aspects in clinical practice and to improve the medical care of pregnant and childbearing women in Italy.

Indexed as

Drug PrescriptionsPregnant PeopleEuropeFemaleHumansItalyPregnancyRetrospective Studies

Identifiers

PMID37319236
PMCPMC10270638
OpenAlexW4380854267

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.