Patterns of pregnancy exposure to prescription FDA C, D and X drugs in a Canadian population

J Perinatol. 2008 May;28(5):324-9. doi: 10.1038/jp.2008.6. Epub 2008 Feb 21.

Abstract

Objective: To examine prescription Food and Drug Administration (FDA) C, D and X drugs in general obstetric population.

Study design: Historical cohort study.

Result: A total of 18 575 women who gave a birth in Saskatchewan between January 1997 and December 2000 were included. Among them, 3604 (19.4%) received FDA C, D or X drugs at least once during pregnancy. The pregnancy exposure rates were 15.8, 5.2 and 3.9%, respectively, for category C, D and X drugs, and were 11.2, 7.3 and 8.2%, respectively, in the first, second and third trimesters. Salbutamol (albuterol), trimethoprim/sulfamethoxazole (co-trimoxazole), ibuprofen, naproxen and oral contraceptives were the most common C, D, X drugs used during pregnancy.

Conclusion: About one in every five women uses FDA C, D and X drugs at least once during pregnancy, and the most common prescription drugs in pregnancy are antiasthmatic, antibiotics, nonsteroid anti-inflammation drugs, antianxiety or antidepressants and oral contraceptives.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Albuterol / administration & dosage
  • Albuterol / adverse effects
  • Contraceptives, Oral / administration & dosage
  • Cross-Sectional Studies
  • Drug Prescriptions*
  • Drug-Related Side Effects and Adverse Reactions*
  • Female
  • Gestational Age
  • Humans
  • Ibuprofen / administration & dosage
  • Ibuprofen / adverse effects
  • Infant, Newborn
  • Naproxen / administration & dosage
  • Naproxen / adverse effects
  • Population Surveillance
  • Pregnancy
  • Prenatal Exposure Delayed Effects / chemically induced
  • Prenatal Exposure Delayed Effects / epidemiology*
  • Saskatchewan
  • Trimethoprim, Sulfamethoxazole Drug Combination / administration & dosage
  • Trimethoprim, Sulfamethoxazole Drug Combination / adverse effects
  • United States
  • United States Food and Drug Administration*

Substances

  • Contraceptives, Oral
  • Naproxen
  • Trimethoprim, Sulfamethoxazole Drug Combination
  • Albuterol
  • Ibuprofen