Table 3.
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)