怀孕期间的药物暴露:来自初级保健数据库的病例对照研究
Ainhoa Gomez-Lumbreras1, Marta Leston Vazquez2,3, Carles Vilaplana-Carnerero3,4,5
1Department of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, Utah, USA.
Women's health reports (New Rochelle, N.Y.)
|January 22, 2024
概括
在怀孕早期暴露于药物是常见的,某些药物如NSAID和抗抑郁药与更高的堕胎风险有关. 这凸显了对有生育能力的妇女进行知情处方的必要性.
科学领域:
- 产科和妇科 产科和妇科
- 药物监督 药物监督 药物监督
- 生殖健康 生殖健康
背景情况:
- 在怀孕的第一季度经常接触药物,通常在怀孕被认定之前发生.
- 了解药物使用模式对于评估怀孕结果至关重要.
研究的目的:
- 描述在怀孕第一季度使用药物的情况.
- 为了比较堕胎和活产妇女之间的药物暴露.
主要方法:
- 2012年至2020年使用加泰罗尼亚初级卫生电子健康记录 (EHR) 的病例控制研究.
- 匹配了60,350个堕胎事件与118,085个活产事件.
- 使用条件后勤回归来评估药物暴露与堕胎的相关性,调整为健康状况和其他药物使用.
主要成果:
- 经历堕胎的女性的酒精摄入量,吸烟率和以前的堕胎率都更高.
- 在堕胎组中,焦虑,呼吸系统疾病和偏头痛更频繁.
- 特定的药物类别,包括全身抗组胺剂,抗抑郁药,抗焦虑药和非类固醇抗炎药 (NSAIDs),与堕胎风险增加有关.
结论:
- 第一个三个月的药物暴露是显著的,并与堕胎风险相关.
- 为孕期妇女提供知情的处方实践对于减轻风险至关重要.
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