Serotonin Reuptake Inhibitor Use During Pregnancy: Perinatal Outcomes

dc.contributor.advisorDashe, Jodi S.en
dc.creatorJordan, Allison E.en
dc.date.accessioned2010-07-12T18:50:27Z
dc.date.available2010-07-12T18:50:27Z
dc.date.issued2008-04-10
dc.description.abstractOBJECTIVE: To assess severity of neonatal behavioral syndrome (NBS) in infants of serotonin reuptake inhibitor (SRI)-treated pregnancies, compared with infants of women with psychiatric illness not treated with medication. METHODS: Retrospective cohort study of pregnancies followed in a prenatal clinic for women with psychiatric illness. Infants of women who received SRI medication through delivery (SRI-treated) were compared with those who did not receive treatment or discontinued medication before the last month of pregnancy (SRI-untreated). NBS was defined as one or more of the following: jitteriness, irritability, lethargy, hypotonia, hypertonia, hyperreflexia, apnea, respiratory distress, vomiting, poor feeding, or hypoglycemia. RESULTS: Findings of NBS were identified in 28% of 46 SRI-treated pregnancies and 17% of 59 untreated pregnancies. There were no differences in rates of prematurity (4% vs. 7%), fetal growth restriction (6% vs. 2%), transfer to a higher nursery for NBS (11% vs. 10%), respiratory abnormality (7% vs. 5%), or hospitalization duration among infants with NBS findings (2 vs. 6 days). CONCLUSIONS: Findings of NBS were identified in 28% of SRI-exposed neonates. However, these infants were not more likely than unexposed infants to be admitted to a higher nursery, experience respiratory abnormalities, or have prolonged hospitalization.en
dc.format.digitalOriginborn digitalen
dc.format.mediumElectronicen
dc.format.mimetypeapplication/pdfen
dc.identifier.oclc664111290
dc.identifier.urihttps://hdl.handle.net/2152.5/688
dc.language.isoenen
dc.subjectSerotonin Uptake Inhibitorsen
dc.subjectDepressive Disorderen
dc.subjectInfant Behavioren
dc.titleSerotonin Reuptake Inhibitor Use During Pregnancy: Perinatal Outcomesen
dc.typeThesisen
dc.type.genrethesisen
dc.type.materialTexten
thesis.date.available2009-04-10
thesis.degree.departmentUT Southwestern Medical Schoolen
thesis.degree.disciplineResearchen
thesis.degree.grantorUT Southwestern Medical Centeren
thesis.degree.levelDoctoralen
thesis.degree.nameM.D. with Distinctionen

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