
pmid: 32058188
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.
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
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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