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Medication use during pregnancy, with particular focus on prescription drugs: 1976-2008
Journal article   Peer reviewed

Medication use during pregnancy, with particular focus on prescription drugs: 1976-2008

Allen A Mitchell, Suzanne M Gilboa, Martha M Werler, Katherine E Kelley, Carol Louik, Sonia Hernández-Díaz and National Birth Defects Prevention Study
American journal of obstetrics and gynecology, Vol.205(1), pp.51.e1-51.e8
2011
DOI: 10.1016/j.ajog.2011.02.029
PMCID: PMC3793635
PMID: 21514558
url
https://www.ncbi.nlm.nih.gov/pmc/articles/3793635View
Open Access

Abstract

The objective of the study was to provide information on overall medication use throughout pregnancy, with particular focus on the first trimester and specific prescription medications. The study design included the Slone Epidemiology Center Birth Defects Study, 1976-2008, and the National Birth Defects Prevention Study, 1997-2003, which together interviewed more than 30,000 women about their antenatal medication use. Over the last 3 decades, first-trimester use of prescription medication increased by more than 60%, and the use of 4 or more medications more than tripled. By 2008, approximately 50% of women reported taking at least 1 medication. Use of some specific medications markedly decreased or increased. Prescription medication use increased with maternal age and education, was highest for non-Hispanic whites, and varied by state. These data reflect the widespread and growing use of medications by pregnant women and reinforce the need to study their respective fetal risks and safety.
Epidemiology Pregnancy medications over-the-counter medications prescription medications

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