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. 2017 Sep 6;358:j3668. doi: 10.1136/bmj.j3668

Table 3.

Hazard ratios of specific psychiatric disorders among children born to mothers with continuous antidepressant use, compared with mothers with discontinuous antidepressant use (n=47 639)

Antidepressant use during pregnancy* Cases No Person years Crude hazard ratio Adjusted hazard ratio (95% CI)
Autism spectrum disorder:
 Antidepressant discontinuation group 257 30 079 2.2×105 1 1 (reference)
 Antidepressant continuation group 165 17 560 1.2×105 1.32 1.23 (1.01 to 1.51)
Mood disorder:
 Antidepressant discontinuation group 26 30 079 2.2×105 1 1 (reference)
 Antidepressant continuation group 27 17 560 1.2×105 2.72 2.76 (1.59 to 4.78)
Neurotic, stress related, and somatoform disorder:
 Antidepressant discontinuation group 276 30 079 2.2×105 1 1 (reference)
 Antidepressant continuation group 249 17 560 1.2×105 1.92 1.62 (1.36 to 1.94)
Behavioural and emotional disorder:
 Antidepressant discontinuation group 789 30 079 2.2×105 1 1 (reference
 Antidepressant continuation group 470 17 560 1.2×105 1.24 1.13 (1.01 to 1.27)
Mental retardation:
 Antidepressant discontinuation group 53 30 079 2.2×105 1 1 (reference)
 Antidepressant continuation group 33 17 560 1.2×105 1.25 1.21 (0.78 to 1.90)

*Antidepressant discontinuation group=children whose mothers used antidepressants before but not during pregnancy; antidepressant continuation group=children whose mothers used antidepressants both before and during pregnancy.

†Adjusted for maternal age at delivery, primiparity, maternal psychiatric history at delivery, inpatient and outpatient psychiatric treatment from 2 years before pregnancy until delivery, dispensing of other psychotropic prescriptions during pregnancy, dispensing of antiepileptic prescriptions during pregnancy, number of non-psychiatric hospital visits during pregnancy, smoking during pregnancy, place of residence, marital status, highest education, income, calendar year of delivery, and paternal psychiatric history at time of delivery.