[PMID]: | 27770542 |
[Au] Autor: | Shen ZQ; Gao SY; Li SX; Zhang TN; Liu CX; Lv HC; Zhang Y; Gong TT; Xu X; Ji C; Wu QJ; Li D |
[Ad] Endereço: | Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China. |
[Ti] Título: | Sertraline use in the first trimester and risk of congenital anomalies: a systemic review and meta-analysis of cohort studies. |
[So] Source: | Br J Clin Pharmacol;83(4):909-922, 2017 04. |
[Is] ISSN: | 1365-2125 |
[Cp] País de publicação: | England |
[La] Idioma: | eng |
[Ab] Resumo: | AIM: To perform a meta-analysis of available cohort studies on the association between sertraline use by pregnant women in the first trimester and the findings of congenital anomalies in infants. METHODS: A comprehensive search of articles published from the index date up to 31 December 2015 investigating the aforementioned associations was conducted on PubMed and Web of Science. Mesh headings used included the terms "serotonin reuptake inhibitor," "sertraline," "congenital anomalies" and "obstetrical outcome." RESULTS: Twelve cohort studies that involved 6 468 241 pregnant women were identified. We summarized odds ratios (ORs) and 95% confidence intervals (CIs) of congenital anomalies using the random-effects model. Pregnant women who used sertraline in the first trimester had a statistically significant increased risk of infant cardiovascular-related malformations (OR = 1.36; 95% CI = 1.06-1.74; I = 64.4%; n = 12) as well as atrial and/or ventricular septal defects (OR = 1.36, 95% CI = 1.06-1.76; I = 62.2%; n = 8). Additionally, positive but nonsignificant associations between sertraline use and congenital anomalies of the nervous system (OR = 1.39; 95% CI = 0.83-2.32; I = 0%; n = 5), digestive system (OR = 1.23; 95% CI = 0.76-1.98; I = 0%; n = 5), eye, ear, face and neck (OR = 1.08; 95% CI = 0.33-3.55; I = 32.1%; n = 3), urogenital system (OR = 1.03; 95% CI = 0.73-1.46; I = 0%; n = 5), and musculoskeletal system (OR = 0.97; 95% CI = 0.69-1.36; I = 0%; n = 5) were observed. CONCLUSION: This meta-analysis suggested that the use of sertraline use by pregnant women in the first trimester had an increased risk of cardiovascular-related malformations as well as atrial and/or ventricular septal defects in infants. Meanwhile, nonsignificant associations between sertraline use and other congenital anomalies were found. More cohort studies are warranted to provide detailed results of other congenital anomalies. |
[Mh] Termos MeSH primário: |
Anormalidades Induzidas por Medicamentos/etiologia Inibidores da Captação de Serotonina/administração & dosagem Sertralina/administração & dosagem
|
[Mh] Termos MeSH secundário: |
Anormalidades Induzidas por Medicamentos/epidemiologia Estudos de Coortes Feminino Seres Humanos Lactente Gravidez Primeiro Trimestre da Gravidez Risco Inibidores da Captação de Serotonina/efeitos adversos Sertralina/efeitos adversos
|
[Pt] Tipo de publicação: | JOURNAL ARTICLE; META-ANALYSIS; REVIEW; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T |
[Nm] Nome de substância:
| 0 (Serotonin Uptake Inhibitors); QUC7NX6WMB (Sertraline) |
[Em] Mês de entrada: | 1711 |
[Cu] Atualização por classe: | 180228 |
[Lr] Data última revisão:
| 180228 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 161023 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1111/bcp.13161 |
|
|