Evidence map›Paper›PMID 38491733›Full record

ArticleActa obstetricia et gynecologica Scandinavica2024

Use of medication in pregnancy on the rise: Study on 1.4 million Danish pregnancies from 1998 to 2018.

Mette Østergaard Thunbo, Julie Hauer Vendelbo, Daniel R Witte, Agnete Larsen, Lars Henning Pedersen

Open access · diamondAbstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
10.3field-weighted citation impact, top 1% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Mette Østergaard ThunboDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-7180-3180
Julie Hauer VendelboDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0009-0007-9329-7905
Daniel R WitteDepartment of Public Health, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-0769-2922
Agnete LarsenDepartment of Biomedicine, Aarhus University, Aarhus, Denmark.ORCID 0000-0001-8765-8443
Lars Henning PedersenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0000-0001-6726-1991
Aarhus University · DKSteno Diabetes Centers · DK

Funding

Novo Nordisk Fonden NNF18OC0054457
6 · The paper itself

Abstract

introductionMaternal demographics have evolved, and more women than ever enter pregnancy with preexisting comorbidity and with potentially complex medication exposure, including polypharmacy (concomitant intake of multiple medications). This study aims to describe the evolution of medication use in pregnancy in Denmark from 1998 to 2018 with special focus on polypharmacy, patterns of use, and underlying demographics. MATERIAL AND

methodsA Danish nationwide historical registry study based on all clinically recognized pregnancies with a gestation ≥10 weeks between 1998 and 2018. Medication use was estimated by redemption of prescriptions during pregnancy.

resultsAmong a total of 1 402 327 clinically recognized pregnancies, redemption of at least one prescription medication during pregnancy increased from 56.9% in 1998 to 63.3% in 2018, coinciding with an increased use of polypharmacy (from 24.8% in 1998 to 35.2% in 2018). The prevalence of pregnant women who used medications for chronic conditions increased more than the prevalence of women treated for occasional or short-time conditions. Redemption of one or multiple prescription medications during pregnancy was mostly seen among pregnant women ≥35 years of age. However, pregnant women <25 years old exhibited the largest increase in medication use during the study period.

conclusionsMedication use in general, and polypharmacy in particular, increased from 1998 to 2008, possibly as the result of an increased prevalence of pregnant women with chronic conditions requiring pharmacological treatment. Notably, a marked maternal age-based discrepancy in usage pattern was observed, highlighting the need for further research in this area. The rise in the prevalence of polypharmacy during pregnancy underscores the need for pharmacovigilance to monitor adverse effects. Future studies should investigate the patterns of polypharmacy and the accompanying maternal and fetal risks.

Indexed as

PolypharmacyRegistriesAdultDenmarkFemaleHumansPregnancyPregnancy ComplicationsPrescription DrugsYoung AdultPrescription Drugsdrug utilizationmaternal agepolypharmacypregnancypregnancy trimestersprescription drugs

Identifiers

PMID38491733
PMCPMC11103131
OpenAlexW4392882782

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.