Utilisation d’antidépresseurs en période de conception, dépression pré-grossesse et risque de grossesse ectopique

Translated title of the contribution: Antidepressant Use around Conception, Prepregnancy Depression, and Risk of Ectopic Pregnancy

Elizabeth Wall-Wieler, Thalia K. Robakis, Carolyn E. Cesta, Reem Masarwa, Deirdre J. Lyell, Can Liu, Robert W. Platt, Suzan L. Carmichael

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To compare the risk of ectopic pregnancy among women with and women without antidepressant prescriptions around conception and examine whether this risk differs by prepregnancy depression status. Methods: We conducted a cohort study of all pregnancies between November 1, 2008, and September 30, 2015, identified in the nationwide (American) IBM® MarketScan® Databases. At least one day’s supply of antidepressants in the 3 weeks after a woman’s last menstrual period defined active antidepressant use around conception. At least one depression diagnosis in the year before the last menstrual period defined prepregnancy depression. Relative risk (RR) of ectopic pregnancy was estimated using unadjusted and inverse probability of treatment (IPT)-weighted log-binomial models. Results: Of the 1,703,245 pregnancies, 106,788 (6.3%) women had a prepregnancy depression diagnosis. Among women with a depression diagnosis, 40,287 (37.7%) had an active antidepressant prescription around conception; the IPT-weighted risk of ectopic pregnancy was similar among women who did and did not fill an antidepressant prescription around conception (IPT-weighted RR = 1.01; 95% CI, 0.93 to 1.10). Overall, the risk of ectopic pregnancy was higher among women who had a prepregnancy depression diagnosis than women who did not have a prepregnancy depression diagnosis (IPT-weighted RR = 1.09; 95% CI, 1.04 to 1.15). Conclusions: This study’s findings suggest that women who have a prepregnancy depression diagnosis are at a slightly increased risk of ectopic pregnancy, and among women who have a prepregnancy depression diagnosis, the use of antidepressants around conception does not increase the risk of ectopic pregnancy.

Translated title of the contributionAntidepressant Use around Conception, Prepregnancy Depression, and Risk of Ectopic Pregnancy
Original languageFrench
Pages (from-to)845-853
Number of pages9
JournalCanadian Journal of Psychiatry
Volume65
Issue number12
DOIs
StatePublished - Dec 2020

Keywords

  • antidepressants
  • cohort
  • depression
  • ectopic pregnancy

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