Evidence map›Paper›PMID 39259357›Full record

ArticleEuropean journal of clinical pharmacology2024

Beta-blockers and breastfeeding: a real-life prospective study.

Romane Freppel, Louise Gaboriau, Marjorie Richardson, Yasmine Ould, Olivia Domanski, Claire Pinçon, Louise Ghesquière, Sophie Gautier

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Article in European journal of clinical pharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

8 authors.

Romane FreppelCentre de Pharmacovigilance Et de Pharmacoépidémiologie, Service de Pharmacologie Médicale, CHU de Lille, Lille, France. romane.freppel@chu-dijon.fr.
Louise GaboriauCentre de Pharmacovigilance Et de Pharmacoépidémiologie, Service de Pharmacologie Médicale, CHU de Lille, Lille, France.
Marjorie RichardsonService d'explorations Fonctionnelles Cardiovasculaires, Institut Cœur Poumon, CHU Lille, Lille, France.
Yasmine OuldDepartment of Obstetrics, CHU Lille, 59000, Lille, France.
Olivia DomanskiService de Cardiologie Pédiatrique et Congénitale, CHU Lille, Lille, France.
Claire PinçonULR2694 (METRICS : Évaluation des Technologies de Santé et des Pratiques Médicales), Univ. Lille, CHU Lille, 59000, Lille, France.
Louise GhesquièreDepartment of Obstetrics, F-59000 Lille, France; Univ. Lille, ULR2694 - METRICS - Health Technology and Medical Practice Assessment, CHU Lille, F-59000, Lille, France.
Sophie GautierCentre de Pharmacovigilance Et de Pharmacoépidémiologie, Service de Pharmacologie Médicale, CHU de Lille, Lille, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAt Lille University Hospital, a pregnancy heart team including cardiologists, obstetricians, pediatricians, anesthetists, geneticists, and pharmacologists discusses about treatment compatibility taken during breastfeeding in pregnant women (or those wishing to be pregnant) with complex cardiovascular pathologies. Beta-blockers are among the drug most often used in these patients, and data are missing or suggest a risk to the breastfed child. The aim of this study was to evaluate the proportion of women treated with beta-blockers, identified during the multidisciplinary meeting, who breastfed and to monitor adverse effects (AEs) in newborns.

methodsA prospective descriptive study was conducted from 1 December 2017 to 1 December 2021. All pregnant patients followed up by the pregnancy heart team in Lille University Hospital, treated with beta-blockers and who gave birth, were contacted as part of the pharmacovigilance follow-up.

resultsThe proportion of women treated with beta-blockers intending to breastfeed was 69.8%. Among the 53 women interviewed, 49% did not breastfeed, including 10 because of the theoretical incompatibility of their beta-blocker with breastfeeding. Among the 27 women who breastfed, 30% breastfed while treated with a theoretically incompatible beta-blocker; 56% was changed from their initial beta-blocker to allow safe breastfeeding. No serious AE was observed.

conclusionTo our knowledge, our study is the largest series of patients treated with beta-blockers during breastfeeding. Taking a treatment can be an obstacle to breastfeeding, but for the particular case of beta-blockers, even if the available data are few and sometimes worrying, the data from this study are reassuring.

Indexed as

Adrenergic beta-AntagonistsBreast FeedingAdultFemaleHumansInfant, NewbornPharmacovigilancePregnancyPregnancy Complications, CardiovascularProspective StudiesAdrenergic beta-AntagonistsAdrenergic beta-Antagonists / pharmacologyBreastfeedingHuman milkMother-to-child transmissionPharmacovigilance

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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.