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Master Thesis

Prescription d’antidépresseurs pendant la grossesse : une revue des bénéfices et risques basée sur les méta-analyses, et caractérisation de l'hypotonie néonatale

Abstract : Anti-depressants prescription prevalence during pregnancy is steadily increasing, deemed 2.5% in France and more than 5% in the United States. Knowing the potential adverse effects of anti-depressants is a public health issue, for pregnant women, foetuses, newborns and developing children. The first part of this thesis presents a review of the literature based on meta-analyses about the risks and benefits of anti-depressants prescription during pregnancy. The meta-analyses include the results of several studies having the same objectives, which reinforces the statistical impact and the precision of a result. This is therefore a reference method to assess the safety of the prescription of medicines. This meta-review mainly identifies that: 1) the benefits for pregnant women are evident in case of a serious or recurring depression, 2) the most frequent risks affect the newborn and are minor, 3) when the biases are controlled, the risks attributed to antidepressants become non-significant. These results also suggest that the benefit/risk balance is all the better as the recommendations on indications and on the choice of molecules are respected. The second part of this thesis presents our contribution to a retrospective study describing the risks of neonatal hypotonia following in utero exposure to anti-depressants. This study is based on two pharmacovigilance databases: Vigibase® (the WHO database), and the BNPV (Base Nationale de PharmacoVigilance française – The National database for French pharmacovigilance).
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https://dumas.ccsd.cnrs.fr/dumas-03379855
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Submitted on : Friday, October 15, 2021 - 11:29:37 AM
Last modification on : Thursday, October 21, 2021 - 5:02:32 AM
Long-term archiving on: : Sunday, January 16, 2022 - 7:30:39 PM

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  • HAL Id : dumas-03379855, version 1

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Léa-Gabrielle Eude. Prescription d’antidépresseurs pendant la grossesse : une revue des bénéfices et risques basée sur les méta-analyses, et caractérisation de l'hypotonie néonatale. Médecine humaine et pathologie. 2021. ⟨dumas-03379855⟩

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