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Table 2 Comparison of key newborn complication outcomes for the five selected antidepressants comparing exposure throughout pregnancy to no exposure in certain trimesters

From: Does lack of exposure to individual antidepressants at different points during pregnancy associate with reduced risk of adverse newborn outcomes?

Odds ratios for exposure timepoints – Adjusted for age, race, and insurance status

Drug

Outcome

All timepoints

Comparison 1: No third trimester exposure

Comparison 2: No early exposure

Comparison 3: mid-pregnancy exposure only

Bupropion

Adaptation syndrome

Reference

1.24 (0.28–5.41)

1.31 (0.33–5.16)

1.78 (0.32–10.08)

NICU admission

Reference

0.43 (0.21–0.91)a

0.75 (0.37–1.49)

0.49 (0.19–1.23)

Citalopram

Adaptation syndrome

Reference

0.79 (0.22–2.90)

2.54 (0.77–8.30)

0.87 (0.14–5.28)

NICU admission

Reference

0.97 (0.44–2.14)

1.09 (0.52–2.32)

1.06 (0.33–3.37)

Escitalopram

Adaptation syndrome

Reference

0.19 (0.07–0.48)a

0.54 (0.25–1.18)

0.12 (0.02–0.97)

NICU admission

Reference

0.49 (0.28–0.85)a

0.59 (0.35–1.02)

0.45 (0.20–1.01)

Fluoxetine

Adaptation syndrome

Reference

0.54 (0.16–1.87)

0.97 (0.35–2.69)

0.24 (0.03–2.10)

NICU admission

Reference

1.11 (0.62–2.00)

1.57 (0.89–2.78)

1.62 (0.78–3.37)

Sertraline

Adaptation syndrome

Reference

0.53 (0.25–1.11)

0.92 (0.48–1.74)

0.45 (0.16–1.22)

NICU admission

Reference

0.96 (0.69–1.37)

1.06 (0.75–1.49)

0.85 (0.54–1.34)

  1. Adjusted logistic regression controlled for maternal age, race, and insurance status
  2. Results reported as adjusted odds ratio (aOR) (95% confidence interval)
  3. aConfidence interval does not cross 1.0, indicating a statistically significant result
  4. All timepoints = pre-pregnancy, first, second, and third trimester prescriptions; Early pregnancy = pre-pregnancy, first and second trimester prescriptions; Late pregnancy = second and/or third trimester prescriptions; Mid-pregnancy = second trimester prescriptions; NICU = neonatal intensive care unit