Major depression and antidepressant treatment: impact on pregnancy and neonatal outcomes. Export

@article{citeulike:5453905, abstract = {OBJECTIVE: Selective serotonin reuptake inhibitor (SSRI) use during pregnancy incurs a low absolute risk for major malformations; however, other adverse outcomes have been reported. Major depression also affects reproductive outcomes. This study examined whether 1) minor physical anomalies, 2) maternal weight gain and infant birth weight, 3) preterm birth, and 4) neonatal adaptation are affected by SSRI or depression exposure. METHOD: This prospective observational investigation included maternal assessments at 20, 30, and 36 weeks of gestation. Neonatal outcomes were obtained by blinded review of delivery records and infant examinations. Pregnant women (N=238) were categorized into three mutually exclusive exposure groups: 1) no SSRI, no depression (N=131); 2) SSRI exposure (N=71), either continuous (N=48) or partial (N=23); and 3) major depressive disorder (N=36), either continuous (N=14) or partial (N=22). The mean depressive symptom level of the group with continuous depression and no SSRI exposure was significantly greater than for all other groups, demonstrating the expected treatment effect of SSRIs. Main outcomes were minor physical anomalies, maternal weight gain, infant birth weight, pregnancy duration, and neonatal characteristics. RESULTS: Infants exposed to either SSRIs or depression continuously across gestation were more likely to be born preterm than infants with partial or no exposure. Neither SSRI nor depression exposure increased risk for minor physical anomalies or reduced maternal weight gain. Mean infant birth weights were equivalent. Other neonatal outcomes were similar, except 5-minute Apgar scores. CONCLUSIONS: For depressed pregnant women, both continuous SSRI exposure and continuous untreated depression were associated with preterm birth rates exceeding 20\%.}, author = {Wisner, Katherine L. and Sit, Dorothy K. and Hanusa, Barbara H. and Moses-Kolko, Eydie L. and Bogen, Debra L. and Hunker, Diane F. and Perel, James M. and Jones-Ivy, Sonya and Bodnar, Lisa M. and Singer, Lynn T.}, citeulike-article-id = {5453905}, citeulike-linkout-0 = {http://dx.doi.org/10.1176/appi.ajp.2008.08081170}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/19289451}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=19289451}, doi = {10.1176/appi.ajp.2008.08081170}, issn = {1535-7228}, journal = {The American journal of psychiatry}, keywords = {anti\_depressant, major\_depression, obgyn}, month = {May}, number = {5}, pages = {557--566}, posted-at = {2009-08-17 20:23:14}, priority = {0}, title = {Major depression and antidepressant treatment: impact on pregnancy and neonatal outcomes.}, url = {http://dx.doi.org/10.1176/appi.ajp.2008.08081170}, volume = {166}, year = {2009} }

TY - JOUR ID - citeulike:5453905 L3 - citeulike-article-id:5453905 N2 - OBJECTIVE: Selective serotonin reuptake inhibitor (SSRI) use during pregnancy incurs a low absolute risk for major malformations; however, other adverse outcomes have been reported. Major depression also affects reproductive outcomes. This study examined whether 1) minor physical anomalies, 2) maternal weight gain and infant birth weight, 3) preterm birth, and 4) neonatal adaptation are affected by SSRI or depression exposure. METHOD: This prospective observational investigation included maternal assessments at 20, 30, and 36 weeks of gestation. Neonatal outcomes were obtained by blinded review of delivery records and infant examinations. Pregnant women (N=238) were categorized into three mutually exclusive exposure groups: 1) no SSRI, no depression (N=131); 2) SSRI exposure (N=71), either continuous (N=48) or partial (N=23); and 3) major depressive disorder (N=36), either continuous (N=14) or partial (N=22). The mean depressive symptom level of the group with continuous depression and no SSRI exposure was significantly greater than for all other groups, demonstrating the expected treatment effect of SSRIs. Main outcomes were minor physical anomalies, maternal weight gain, infant birth weight, pregnancy duration, and neonatal characteristics. RESULTS: Infants exposed to either SSRIs or depression continuously across gestation were more likely to be born preterm than infants with partial or no exposure. Neither SSRI nor depression exposure increased risk for minor physical anomalies or reduced maternal weight gain. Mean infant birth weights were equivalent. Other neonatal outcomes were similar, except 5-minute Apgar scores. CONCLUSIONS: For depressed pregnant women, both continuous SSRI exposure and continuous untreated depression were associated with preterm birth rates exceeding 20%. IS - 5 JF - The American journal of psychiatry SN - 1535-7228 EP - 566 TI - Major depression and antidepressant treatment: impact on pregnancy and neonatal outcomes. VL - 166 SP - 557 KW - anti_depressant KW - major_depression KW - obgyn AU - Wisner, Katherine AU - Sit, Dorothy AU - Hanusa, Barbara AU - Moses-Kolko, Eydie AU - Bogen, Debra AU - Hunker, Diane AU - Perel, James AU - Jones-Ivy, Sonya AU - Bodnar, Lisa AU - Singer, Lynn PY - 2009/05// UR - http://dx.doi.org/10.1176/appi.ajp.2008.08081170 ER -