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European Journal of Obstetrics & Gynecology and Reproductive Biology
Article . 2020 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
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Outcomes of drug exposition during pregnancy: Analysis from a teratology information service

Analysis from a teratology information service
Authors: Lenoir, Camille; Boumaiza, Sabrina; Ing Lorenzini, Kuntheavy; Boulvain, Michel; Desmeules, Jules Alexandre; Rollason, Victoria;

Outcomes of drug exposition during pregnancy: Analysis from a teratology information service

Abstract

We aimed to characterize drug exposures during pregnancy where the outcome was known that had benefited from counselling through our Teratology Information Service (TIS) between 1994-2016.This observational study analysed data collected through the drug exposures during pregnancy counselling. Data was analysed descriptively.Data from a total of 1'374 pregnant women were collected. Mean age was of 32 years. These women were exposed to more than ten drugs in 1.4 % (N = 19) of cases, with a mean drug intake of two. Analysis of the drugs altogether (N = 3'129) showed that FDA Pregnancy Category C drugs represented 42.9 % (N = 1'342) of drugs and ATC code N (nervous system) represented 36.4 % (N = 1'138). The onset of drug exposure was during the first trimester of pregnancy in 95.1 % (N = 2'982) of patients. Regarding outcomes, the rate of induced abortion was 10.8 % (N = 151), of pregnancy complications was 11.2 % (N = 157) and of malformations was 4.5 % (N = 49).Pregnant women counselled by our TIS take a mean of two drugs, ranging from one to 17. Drugs are from FDA Pregnancy Category C and ATC N drugs in most cases, 42.9 % and 36.4 % respectively. The rate of malformation of our cohort was of 4.5 %, close to the estimated spontaneous rate of malformation. This data gives a reassuring aspect of drug exposure in pregnancy but takes into account the outcome at birth only.

Keywords

Adult, Counseling, Pregnancy Outcome/epidemiology, 618, Young Adult, Prenatal Exposure Delayed Effects/epidemiology, Pregnancy, Teratology/statistics & numerical data, 617, Abnormalities, Drug-Induced/epidemiology, Humans, Prospective Studies, Foetotoxicity, Malformation, Teratology, Pharmacoepidemiology, Pregnancy Outcome, Abnormalities, Drug-Induced, Abortion, Induced, counseling, Prenatal Exposure Delayed Effects, Drug Information Services, young adult, Female, pregnancy, Abortion, Induced/statistics & numerical data, ddc: ddc:618, ddc: ddc:617

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
7
Top 10%
Top 10%
Average
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