Literature DB >> 18181228

Maternal characteristics associated with pregnancy exposure to FDA category C, D, and X drugs in a Canadian population.

Tubao Yang1, Mark C Walker, Daniel Krewski, Qiuying Yang, Carl Nimrod, Peter Garner, William Fraser, Olufemi Olatunbosun, Shi Wu Wen.   

Abstract

PURPOSE: To estimate the frequency of exposure to prescription Food and Drug Administration (FDA) category C, D, and X drugs in pregnant women, and to analyze the maternal characteristics associated with such an exposure.
METHODS: A 50% random sample of women who gave a birth in Saskatchewan between January 1, 1997 and December 31, 2000 was chosen for the study. The rate of exposure to FDA category C, D, or X drugs recorded in the pharmacist database was estimated. Associations of exposure to FDA category C, D, and X drugs with maternal characteristics were evaluated using multiple logistical regression, with adjusted odds ratios (ORs) and its 95% confidence intervals (CIs) as the association measures.
RESULTS: A total of 18 575 women were included in this study. Among them, 3604 (19.4%) had exposure to one or more FDA category C, D, and X drugs during pregnancy. Category C drugs were the most frequently used drugs (15.8%), followed by D drugs (5.2%), and X drugs (3.9%). Women with chronic health conditions had fourfold at increased risk of exposure than women without. Regardless of health status, women who were <20 years of age, who had a parity > or =3, and who were on social assistance plan were at increased risk of pregnancy exposure to these drugs.
CONCLUSIONS: About 19.4% pregnant women are exposed to FDA C, D or X drugs during pregnancy. Women with chronic diseases, younger age, increased parity, and under social assistance are at increased risk of exposure to FDA C, D, or X drugs. Copyright 2008 John Wiley & Sons, Ltd.

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Year:  2008        PMID: 18181228     DOI: 10.1002/pds.1538

Source DB:  PubMed          Journal:  Pharmacoepidemiol Drug Saf        ISSN: 1053-8569            Impact factor:   2.890


  21 in total

1.  Drug exposure and pregnancy outcome in Mozambique.

Authors:  Esperança Sevene; Azucena Bardají; Alda Mariano; Sónia Machevo; Edgar Ayala; Betuel Sigaúque; John J Aponte; Xavier Carné; Pedro L Alonso; Clara Menendez
Journal:  Paediatr Drugs       Date:  2012-02-01       Impact factor: 3.022

2.  Detecting pregnancy use of non-hormonal category X medications in electronic medical records.

Authors:  Brian L Strom; Rita Schinnar; Joshua Jones; Warren B Bilker; Mark G Weiner; Sean Hennessy; Charles E Leonard; Peter F Cronholm; Eric Pifer
Journal:  J Am Med Inform Assoc       Date:  2011-11-09       Impact factor: 4.497

3.  Predictors of the use of medications before and during pregnancy.

Authors:  Marina Odalovic; Sandra Vezmar Kovacevic; Hedvig Nordeng; Katarina Ilic; Ana Sabo; Ljiljana Tasic
Journal:  Int J Clin Pharm       Date:  2013-02-07

4.  Drug use before and during pregnancy in Serbia.

Authors:  Marina Odalovic; Sandra Vezmar Kovacevic; Katarina Ilic; Ana Sabo; Ljiljana Tasic
Journal:  Int J Clin Pharm       Date:  2012-06-29

5.  Prescription drug use during and immediately before pregnancy in Hawai'i—findings from the Hawai'i Pregnancy Risk Assessment Monitoring System, 2009-2011.

Authors:  Emily K Roberson; Eric L Hurwitz
Journal:  Hawaii J Med Public Health       Date:  2014-12

6.  Association Between Self-reported Prenatal Cannabis Use and Maternal, Perinatal, and Neonatal Outcomes.

Authors:  Daniel J Corsi; Laura Walsh; Deborah Weiss; Helen Hsu; Darine El-Chaar; Steven Hawken; Deshayne B Fell; Mark Walker
Journal:  JAMA       Date:  2019-07-09       Impact factor: 56.272

7.  Pamidronate Administration During Pregnancy and Lactation Induces Temporal Preservation of Maternal Bone Mass in a Mouse Model of Osteogenesis Imperfecta.

Authors:  Diana Olvera; Rachel Stolzenfeld; Emily Fisher; Bonnie Nolan; Michelle S Caird; Kenneth M Kozloff
Journal:  J Bone Miner Res       Date:  2019-10-09       Impact factor: 6.741

8.  The perils of protection: vulnerability and women in clinical research.

Authors:  Toby Schonfeld
Journal:  Theor Med Bioeth       Date:  2013-06

9.  Antibiotic Prescriptions among China Ambulatory Care Visits of Pregnant Women: A Nationwide Cross-Sectional Study.

Authors:  Houyu Zhao; Mei Zhang; Jiaming Bian; Siyan Zhan
Journal:  Antibiotics (Basel)       Date:  2021-05-19

10.  Use of medicines with unknown fetal risk among parturient women from the 2004 Pelotas Birth Cohort (Brazil).

Authors:  Andréa Dâmaso Bertoldi; Tatiane da Silva Dal Pizzol; Aline Lins Camargo; Aluísio J D Barros; Alicia Matijasevich; Iná S Santos
Journal:  J Pregnancy       Date:  2012-12-31
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