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. 2023 Jan 14;26(1):39–48. doi: 10.1007/s00737-023-01290-8

Table 3.

Comparisons in the exposure ratesa per 1000 singleton pregnancies of psychotropic drugs over the last two decades (decade 1 2000–2009; decade 2 2010–2019)

Psychotropic drugs exposed before and/or during pregnancy Decade 1 Decade 2 p valuef Decade 1 Decade 2 p value Decade 1 Decade 2 p value Decade 1 Decade 2 p value
n TERb n TER n CRc n CR n IRd n IR n DRe n DR
Combined of all five classes of psychotropics 1,574 57.9 2,585 80.8 *** 767 28.2 1,505 47.1 *** 807 29.7 1,080 33.8 ** 1,644 60.5 1,779 55.6 *
N05A antipsychotic (+ lithium) 89 3.3 217 6.8 *** 43 1.6 142 4.4 *** 46 1.7 75 2.3 43 1.6 95 3.0 **
  N05AD01 haloperidol 18 0.7 46 1.4 ** 11 0.4 14 0.4 7 0.3 32 1.0 *** 3 0.1 6 .2
  N05AH03 olanzapine 4 0.1 25 0.8 *** 2 0.1 16 0.5 ** 2 0.1 9 0.3 7 0.3 10 0.3
  N05AH04 quetiapine 10 0.4 94 3.1 *** 7 0.3 70 2.2 *** 3 0.1 24 0.8 *** 9 0.3 50 1.6 ***
  N05AX08 risperidone 9 0.3 15 0.5 7 0.3 13 0.4 2 0.1 2 0.1 7 0.3 10 0.3
  N05AN01 lithium 12 0.4 16 0.5 9 0.3 13 0.4 3 0.1 3 0.1 5 0.2 3 0.1
  Others 36 1.3 21 0.7 ** 7 0.3 16 0.5 29 1.1 5 0.2 *** 12 0.4 16 0.5
N05B anxiolytic 468 17.2 466 14.6 * 164 6.0 181 5.7 304 11.2 285 8.9 ** 686 25.2 586 18.3 ***
  N05BA01 diazepam 135 5.0 67 2.1 *** 38 1.4 29 0.9 97 3.6 38 1.2 *** 293 10.8 143 4.5 ***
  N05BA04 oxazepam 257 9.5 313 9.8 93 3.4 100 3.1 164 6.0 213 6.7 306 11.3 367 11.5
  N05BA06 lorazepam 16 0.6 27 0.8 2 0.1 13 0.4 * 14 0.5 14 0.4 10 0.4 28 0.9 *
  N05BA12 alprazolam 25 0.9 32 1.0 15 0.6 26 0.8 10 0.4 6 0.2 45 1.7 27 0.8 **
  Others 35 1.3 27 0.8 16 0.6 13 0.4 19 0.7 14 0.4 32 1.2 21 0.7 *
N05C sedative/hypnotic 379 13.9 527 16.5 * 68 2.5 117 3.7 * 311 11.4 410 12.8 312 11.5 384 12.0
  N05CD06 lormetazepam 13 0.5 7 0.2 7 0.3 4 0.1 6 0.2 3 0.1 29 1.1 15 0.5 **
  N05CD07 temazepam 320 11.8 439 13.7 * 42 1.5 79 2.5 * 278 10.2 360 11.3 207 7.6 249 7.8
  N05CF01 zopiclone 9 0.3 21 0.7 7 0.3 11 0.3 2 0.1 10 0.3 * 15 0.6 33 1.0 *
  N05CF02 zolpidem 10 0.4 37 1.2 ** 5 0.2 13 0.4 5 0.2 24 0.8 ** 28 1.0 29 0.9
  Others 27 1.0 23 0.7 7 0.3 10 0.3 20 0.7 13 0.4 33 1.2 58 1.8
N06A antidepressant 624 23.0 1,298 40.6 *** 482 17.7 998 31.2 *** 142 5.2 300 9.4 *** 592 21.8 608 19.0 *
  N06AA04 clomipramine 33 1.2 33 1.0 21 0.8 31 1.0 12 0.4 2 0.1 ** 16 0.6 6 0.2 *
  N06AA09 amitriptyline 63 2.3 97 3.0 42 1.5 69 2.2 21 0.8 28 0.9 93 3.4 127 4.0
  N06AB03 fluoxetine 88 3.2 96 3.0 59 2.2 79 2.5 29 1.1 17 0.5 * 56 2.1 38 1.2 **
  N06AB04 citalopram 62 2.3 319 10.0 *** 48 1.8 250 7.8 *** 14 0.5 69 2.2 *** 61 2.2 110 3.4 **
  N06AB05 paroxetine 220 8.1 210 6.6 * 181 6.7 184 5.8 39 1.4 26 0.8 * 193 7.1 79 2.5 ***
  N06AB06 sertraline 17 0.6 210 6.6 *** 15 0.6 118 3.7 *** 2 0.1 92 2.9 *** 30 1.1 44 1.4
  N06AB08 fluvoxamine 36 1.3 19 0.6 ** 31 1.1 16 0.5 ** 5 0.2 3 0.1 11 0.4 7 0.2
  N06AB10 escitalopram 6 0.2 86 2.7 *** 5 0.2 72 2.3 *** 1 0.04 14 0.4 ** 9 0.3 38 1.2 ***
  N06AX11 mirtazapine 21 0.8 49 1.5 ** 17 0.6 32 1.0 4 0.1 17 0.5 * 34 1.3 45 1.4
  Others 78 2.9 179 5.6 *** 63 2.3 147 4.6 *** 15 0.6 32 1.0 89 3.3 114 3.6
N06B psychostimulant 14 0.5 77 2.4 *** 10 0.4 67 2.1 *** 4 0.1 10 0.3 11 0.4 106 3.3 ***
  N06BA04 methylphenidate 13 0.5 58 1.8 *** 9 0.3 52 1.6 *** 4 0.1 6 0.2 8 0.3 88 2.8 ***
  Others 1 0.04 19 0.6 *** 1 0.04 15 0.5 ** 0 0 4 0.1 3 0.1 18 0.6 **

aOnly psychotropic drugs with exposure rates ≥ 0.10 in both decades were displayed; btotal exposure rate per 1000 singleton pregnancies; cCR, continuation rate per 1000 singleton pregnancies; dIR, initiation rate per 1000 singleton pregnancy population; eDR, discontinuation rate per 1000 singleton pregnancies; fPearson’s X2 test, significant at *p < 0.05; **p < 0.01; ***p < 0.001. Total population of singleton pregnancies in decade 1 (n = 27,185) and decade 2 (n = 31,986)