Selective Serotonin Reuptake Inhibitor (SSRI)


Study Exclusion reasons Rmk Reference
Hernandez-Nieto, 2017 EXCLUDED: Study on the efficacy of infertility treatments (with or without SSRIs) including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one. => Not reported here.

Hernandez-Nieto C Fertil Steril 2017;108:973-979 10.1016/j.fertnstert.2017.08.040

Croen (Controls unexposed, sick), 2011

Croen LA Arch Gen Psychiatry 2011;68:1104-12 10.1001/archgenpsychiatry.2011.73

Evans-Hoeker, 2018 EXCLUDED: Study on the efficacy of infertility treatments (with or without SSRIs) including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one. => Not reported here.

Evans-Hoeker Fertil Steril 2018; 109:879-887 10.1016/j.fertnstert.2018.01.029

Evans-Hoeker, E.A. Fertil. Steril. 2017; 108:e298-. 10.1016/j.fertnstert.2017.07.882

Joseph, 2015

Joseph Paediatr Perinat Epidemiol 2015; 29:220-31 10.1111/ppe.12190

Friedman, 2009 EXCLUDED: Study on the efficacy of infertility treatments (with or without SSRIs) including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one. => Not reported here.

Friedman Fertil Steril 2009; 92:1312-1314 10.1016/j.fertnstert.2009.03.060

Zhou, 2018
Shah, 2020 EXCLUDED: antidepressant studied as a whole without distinction between class/substances (and SSRI < 90% of all antidepressants).

Shah J Perinatol 2020; 40:1025-1030 10.1038/s41372-020-0644-y

Ramos, 2010 inadequate or absent control group EXCLUDED: analysis according to trimester of pregnancy, thus a woman not exposed during the trimester of interest could be exposed during an other trimester of pregnancy. => Inadequate control group.

Ramos The Canadian Journal of Psychiatry 2010; 55:643-652 10.1177/1756283X10363751

Cole, 2007 inadequate or absent control group EXCLUDED: control group was exposed to other antidepressants (NOS), probably with Selective serotonin reuptake inhibitors (SSRIs), which are not an adequate comparison group for Paroxetine which is also a SSRI. Overlapping of Cole 2006 with Cole 2007.

Cole Pharmacoepidemiol Drug Sa F 2006;15(51):S6.Abstract.

Cole JA Pharmacoepidemiol Drug Saf 2007;16:1075-85 10.1002/pds.1463

Bérard (Controls exposed to SNRI or SSRI other than Paroxetine), 2007 inadequate or absent control group EXCLUDED: non exposed group: exposed to i) SSRI other than Paroxetine; ii) or non-SSRI antidepressants (venlafaxine (37%) or amitriptyline (33%)), which are not considered as relevant control groups. Overlapping: Bérard 2016: abstract of Bérard 2017.

Bérard Birth Defects Res A Clin Mol Teratol. 2006;76:335. Abstract

Bérard A Birth Defects Res B Dev Reprod Toxicol 2007;80:18-27 10.1002/bdrb.20099

Bérard (Controls exposed to SNRI or SSRI other than Paroxetine), 2007 inadequate or absent control group EXCLUDED: non exposed group: exposed to i) SSRI other than Paroxetine; ii) or non-SSRI antidepressants (mainly venlafaxine (37%) or amitriptyline (33%)), which are not considered as relevant control groups.

Bérard A Birth Defects Res B Dev Reprod Toxicol 2007;80:18-27 10.1002/bdrb.20099

Molenaar, 2020 inadequate or absent control group EXCLUDED: study of Dose-effect of maternal serotonin reuptake inhibitor (SSRI and Venlafaxine). All pregnant women exposed to SRI. No adequate control group.

Molenaar J Affect Disord 2020; 267:57-62 10.1016/j.jad.2020.02.003

Warburton, 2010 inadequate or absent control group EXCLUDED: ‘Neonates SSRI-exposed in the last 14 days (L14) of gestation were compared with infants who had gestational exposure, but not during the last 14 days (NL14)’ => all pregnancies exposed to SSRI. => No adequate control group.

Warburton Acta Psychiatr Scand 2010; 121:471-9 10.1111/j.1600-0447.2009.01490.x

Goldstein, 1997 inadequate or absent control group EXCLUDED: no control group (authors only mentioned 'These rates are consistent with those found in historic assessment' without other details).

Goldstein Obstet Gynecol 1997; 89:713-8 10.1016/s0029-7844(97)00070-7

Goldstein, 1995 inadequate or absent control group EXCLUDED: all pregnant women exposed to fluoxetine => no control group.

Goldstein J Clin Psychopharmacol 1995; 15:417-20 10.1097/00004714-199512000-00005

Sit, 2011 inadequate or absent control group EXCLUDED: all pregnant women received SRI therapy (sertraline-9, venlafaxine-2, escitalopram-2, citalopram-1, nortriptyline-1, fluvoxamine-1 and fluoxetine-5) => no adequate control group.

Sit J Clin Psychiatry 2011; 72:994-1001 10.4088/JCP.10m06461

Huybrechts, 2020 inadequate or absent control group EXCLUDED: potential control groups are exposed to 1) Venlafaxine, or 2) Duloxetine or 3) Unexposed to Dulotexine (but it could be exposed to SSRI) => no adequate control group.

Huybrechts BMJ 2020; 368:m237 10.1136/bmj.m237

Casper, 2011 inadequate or absent control group EXCLUDED: all infants prenatally exposed to selective serotonin reuptake inhibitor (SSRI) antidepressants, during specific trimesters of pregnancy => No adequate control group.

Casper Psychopharmacology (Berl) 2011; 217:211-9 10.1007/s00213-011-2270-z

Klinger, 2011 inadequate or absent control group EXCLUDED: all infants prenatally exposed to selective serotonin reuptake inhibitor (SSRI) antidepressants, with analysis according to neonatal abstinence symptoms at birth or not => No adequate control group.

Klinger J Perinatol 2011; 31:615-20 10.1038/jp.2010.211

Park, 2016 inadequate or absent control group EXCLUDED: incidence of QTcB prolongation not reported for healthy control group. No adequate control group.

Park Expert Opin Drug Saf 2016; 15:1013-9 10.1080/14740338.2016.1199681

Hendrick, 2003 inadequate or absent control group EXCLUDED: all pregnancies exposed to Selective serotonin reuptake inhibitors (SSRIs).

Hendrick Am J Obstet Gynecol 2003; 188:812-5 10.1067/mob.2003.172

Forsberg, 2014 inadequate or absent control group EXCLUDED: all pregnancies exposed to antidepressants (>90% of selective serotonin reuptake inhibitors (SSRI)).

Forsberg PLoS One 2014; 9:e111327 10.1371/journal.pone.0111327

Kieviet, 2015 inadequate or absent control group EXCLUDED: all pregnancies exposed to a selective serotonin reuptake inhibitors (SSRIs), serotonin noradrenaline reuptake inhibitor (SNRI) or noradrenergic and specific serotonergic antidepressant (NaSSA) => No adequate control group.

Kieviet Acta Paediatr 2015; 104:384-91 10.1111/apa.12921

Cavusoglu, 2021 inadequate or absent control group EXCLUDED: all pregnant women exposed to antidepressants. Authors did not considered a comparator group (unexposed) => No adequate control group.

Cavusoglu, T. J. Pak. Med. Assoc. 2021; 71:281-. 10.47391/JPMA.805

Newport - SSRI, 2016 inadequate or absent control group Most study participants were treated with at least 1 psychotropic agent during pregnancy (n = 607, 88.5%) with antidepressant exposure the most frequent (n=489, 71.3%) => Non exposed women included a large part of SNRI exposures.

Newport J Clin Psychiatry 2016; 77:1538-1545 10.4088/JCP.15m10506

Kalin, 2019 inadequate or absent control group EXCLUDED: all pregnancies exposed to antidepressant (SSRI or SNRI or Bupropion), but data on safety outcomes (admission in neonate intensive care unit) only available for fluoxetine => No adequate control group.

Kalin, M. Biol. Psychiatry 2019; 85:S319-. 10.1016/j.biopsych.2019.03.809

Tokariev, 2022 inadequate or absent control group EXCLUDED: cognitive development only assessed for the serotonin reuptake inhibitors (SRI) babies => No adequate control group.

Tokariev Front Neurosci 2022; 16:803708 10.3389/fnins.2022.803708

Giorgetti, 2020 inadequate or absent control group EXCLUDED: all pregnancies treated with SSRIs/SNRIs => No adequate control group.

Giorgetti, F. Eur. Neuropsychopharmacol. 2020; 40:S60-. 10.1016/j.euroneuro.2020.09.083

Kelly,, 2015 inadequate or absent control group EXCLUDED: 'All patients using SSRIs at time of delivery' => No adequate control group.

Kelly, J. Am. J. Obstet. Gynecol. 2015; 212:S321-. 10.1016/j.ajog.2014.10.857

Dao, 2023 inadequate or absent control group EXCLUDED: comparison of outcomes after prenatal exposure to SSRIs versus Trazodone (for which little data is available on the safety) => No adequate control group.

Dao J Clin Psychopharmacol 2023; 43:12-19 10.1097/JCP.0000000000001630

Esen, 2022 inadequate or absent control group EXCLUDED: Data only available for SSRI versus active treatment (SNRI or TCA or other antidepressants).

Esen Epidemiology 2022; 33:581-592 10.1097/EDE.0000000000001494

Damer, 2024 inadequate or absent control group EXCLUDED: All pregnant women exposed to psychotropics (atypical antipsychotic drugs, SSRI, Tricyclic Antidepressants (TCA), benzodiazepines, and different combinations) => No adequate control group.

Damer Gen Hosp Psychiatry 2024; 90:76-83 10.1016/j.genhosppsych.2024.06.015

Jovin, 2023 inadequate or absent control group EXCLUDED: Case-series of neonatal abstinence syndrome (NAS) without adequate control group (no control group without exposure nor control group without NAS).

Jovin, V.M. Heroin Addict. Relat. Clin. Probl. 2023; 25:21-.

Oberlander, 2008 inadequate or absent control group EXCLUDED: Analysis of late versus early exposure to serotonin reuptake inhibitor (SRI) or effects of duration of gestational exposure => All pregnancies exposed to SRI => No adequate control group.

Oberlander Br J Psychiatry 2008; 192:338-43 10.1192/bjp.bp.107.037101

Gram, 2024 inadequate or absent control group EXCLUDED: Study on pattern of exposure, with continuation or discontinuation before or during pregnancy => Discontinuation group cannot be considered as unexposed because a % of exposed pregnancies => No adequate control group.

Gram Psychiatry Res 2024; 342:116274 10.1016/j.psychres.2024.116274

McElhatton, 1996 case report or case series EXCLUDED: This is a descriptive large case series, not an epidemiology study. Authors did not perform comparison with untreated controls.

McElhatton Reprod Toxicol 1996; 10:285-94 10.1016/0890-6238(96)00057-3

Wide, 2019 other reason EXCLUDED: 'As it is an ongoing randomized trial that has no preliminary results. Seventeen women are recruited. One child has been followed up at two years of age.'

Wide, K. Reprod. Toxicol. 2019; 88:137-. 10.1016/j.reprotox.2019.05.023

Andersson, 2004 not relevant exposure EXCLUDED: analysis according to illness. Medication use not assessed.

Andersson Am. J. Epidemiol. 2004; 159:872-81 10.1093/aje/kwh122

Hedegaard, 1993 not relevant exposure EXCLUDED: analysis of impact of psychological distress during pregnancy on the risk of preterm delivery, without analysis of medications.

Hedegaard BMJ 1993; 307:234-9 10.1136/bmj.307.6898.234

Hoffman, 2000 not relevant exposure EXCLUDED: analysis according to illness statut without data about treatment.

Hoffman Health Psychol 2000; 19:535-43

Zimmer-Gembeck, 1996 not relevant exposure EXCLUDED: no data about antidepressants and SSRI.

Zimmer-Gembeck Soc Sci Med 1996; 43:187-97 10.1016/0277-9536(95)00361-4

Diego, 2009 not relevant exposure EXCLUDED: Women did not report taking antidepressants or other psychotropic medications during pregnancy.

Diego Early Hum. Dev. 2009; 85:65-70 10.1016/j.earlhumdev.2008.07.002

Heinonen, 1977 not relevant exposure EXCLUDED: not related to Selective serotonin reuptake inhibitor (SSRI) but older antidepressants.

Heinonen OP, Slone D, Shapiro S. Littleton: Publishing Sciences Group, Inc; 1977.

Grieve, 2019 not relevant exposure EXCLUDED: analysis of 4 parameters of delta brushes (rate per minute (rate), amplitude of high frequency component (ampl), burst duration, i.e. width (width), and frequency of the high frequency oscillation), not relevant for metaPreg.

Grieve Clin Neurophysiol 2019; 130:2019-2025 10.1016/j.clinph.2019.08.021

van Wattum, 2023 not relevant exposure EXCLUDED: Analysis of SSRI and/or SNRI during pregnancy, without distinction between class or substances.

van Wattum, J.J. Pharmaceutisch Weekblad 2023; 158:17-22.

Carter, 2012 not in pregnancy EXCLUDED: not related to pregnancy.

Carter Int J Clin Pharm 2012; 34:658-66 10.1007/s11096-012-9661-z

Yang, 2018 not about fetal exposure EXCLUDED: Analysis related to paternal exposure ('we restricted the analyses to the children whose mothers neither received antidepressants during pregnancy nor had affective disorders').

Yang F Pediatrics 2018;141: 10.1542/peds.2017-1081

Dayan, 2006 not about fetal exposure EXCLUDED: no analysis of treatments.

Dayan Psychosom Med 2006; 68:938-46 10.1097/01.psy.0000244025.20549.bd

Orr, 2002 not about fetal exposure EXCLUDED: analysis according to illness. Medication use not assessed.

Orr Am J Epidemiol 2002; 156:797-802 10.1093/aje/kwf131

Neggers, 2006 not about fetal exposure EXCLUDED: analysis according to illness. Medication use not assessed.

Neggers Acta Obstet Gynecol Scand 2006; 85:277-85 10.1080/00016340600566121

Rahman, 2004 not about fetal exposure EXCLUDED: analysis according to Maternal Depression and Disability, without consideration of treatments.

Rahman Arch. Gen. Psychiatry 2004; 61:946-52 10.1001/archpsyc.61.9.946

Steer, 1992 not about fetal exposure EXCLUDED: analysis according to illness. Medication use not assessed.

Steer J Clin Epidemiol 1992; 45:1093-9 10.1016/0895-4356(92)90149-h

Copper, 1996 not about fetal exposure EXCLUDED: no analysis of treatments.

Copper Am. J. Obstet. Gynecol. 1996; 175:1286-92 10.1016/s0002-9378(96)70042-x

Chung, 2001 not about fetal exposure EXCLUDED: no analysis of treatments.

Chung Psychosom Med ; 63:830-4 10.1097/00006842-200109000-00017

Dayan, 1999 not about fetal exposure EXCLUDED: no analysis of treatments.

Dayan Presse Med 1999; 28:1698

Dole, 2003 not about fetal exposure EXCLUDED: no analysis of treatments.

Dole Am J Epidemiol 2003; 157:14-24 10.1093/aje/kwf176

Elsenbruch, 2007 not about fetal exposure EXCLUDED: no analysis of treatments.

Elsenbruch Hum Reprod 2007; 22:869-77 10.1093/humrep/del432

Evans, 2007 not about fetal exposure EXCLUDED: no analysis of treatments.

Evans Br J Psychiatry 2007; 191:84-5 10.1192/bjp.bp.105.016568

Li, 2009 not about fetal exposure EXCLUDED: analysis according to illness. Medication use not assessed.

Li Hum Reprod 2009; 24:146-53 10.1093/humrep/den342

Paarlberg, 1999 not about fetal exposure EXCLUDED: analysis according to illness. Medication use not assessed.

Paarlberg Br J Obstet Gynaecol 1999; 106:834-41 10.1111/j.1471-0528.1999.tb08406.x

Patel, 2006 not about fetal exposure EXCLUDED: analysis according to illness. Medication use not assessed.

Patel Br J Psychiatry 2006; 188:284-5 10.1192/bjp.bp.105.012096

Cliver, 1992 not about fetal exposure EXCLUDED: no analysis of treatments.

Cliver Obstet Gynecol 1992; 80:262-7

Jesse, 2003 not about fetal exposure EXCLUDED: analysis of preterm according to Biophysical risk measures, psychosocial profile, without analysis of medications.

Jesse Midwifery 2003; 19:191-202 10.1016/s0266-6138(03)00031-7

Perkin, 1993 not about fetal exposure EXCLUDED: no analysis of treatments.

Perkin Br J Obstet Gynaecol 1993; 100:629-34 10.1111/j.1471-0528.1993.tb14228.x

Rondó, 2003 not about fetal exposure EXCLUDED: analysis according to illness. Medication use not assessed.

Rondo Eur J Clin Nutr 2003; 57:266-72 10.1038/sj.ejcn.1601526

Unwin, 2013 not relevant study design EXCLUDED: 'The study compared the behavioral and developmental phenotype of children with ASD whose mothers used SSRIs during pregnancy with the phenotype for a tightly matched group of children with ASD whose mothers did not use SSRIs during pregnancy.'

Unwin Front Hum Neurosci 2013; 7:606 10.3389/fnhum.2013.00606

Oberlander b, 2008 not relevant outcome EXCLUDED: continuous variables (cortisol levels).

Oberlander TF Early Hum Dev 2008;84:689-97 10.1016/j.earlhumdev.2008.06.008

Hermansen, 2017 not relevant outcome EXCLUDED: continuous and inadequate variables (N2 amplitude, late slow wave, speeded/slow response times...).

Hermansen TK Psychopharmacology (Berl) 2017;234:339-351 10.1007/s00213-016-4467-7

Nezvalova-Henriksen, 2016 not relevant outcome EXCLUDED: continuous variables (birthweight and gestational age). Women using non-SSRI antidepressants (n=62) were excluded from the study.

Nezvalova-Henriksen K Int J Epidemiol 2016;45:2018-2029 10.1093/ije/dyw049

Ansah, 2019 not relevant outcome EXCLUDED: study of continuous variables (left ventricular dimensions and cardiac function parameters).

Ansah Neonatology 2019; 115:320-327 10.1159/000496451

Laine, 2003 not relevant outcome EXCLUDED: all outcomes are continuous (Apgar score, serotonergic symptom scores, umbilical vein monamine and metabolite concentrations, prolactin concentrations, ...).

Laine Arch Gen Psychiatry 2003; 60:720-6 10.1001/archpsyc.60.7.720

Maayan-Metzger, 2006 not relevant outcome EXCLUDED: all outcomes are continuous (Apgar score, hematocrit, platelet function, i.e parameters of surface coverage (SC) and average size (AS) evaluated with using a cone and platelet analyzer (CPA) device, ...).

Maayan-Metzger Acta Haematol 2006; 115:157-61 10.1159/000090929

Dubnov-Raz, 2012 not relevant outcome EXCLUDED: outcomes are continuous variables (weight, length, head circumference, tibia speed of sound, bone density, ...).

Dubnov-Raz Early Hum Dev 2012; 88:191-4 10.1016/j.earlhumdev.2011.08.005

de Jonge, 2015 not relevant outcome EXCLUDED: methodological publication without analysis related to the link between malformations and in utero exposure to medicines.

de Jonge Drug Saf 2015; 38:1083-93 10.1007/s40264-015-0321-9

Pawluski, 2009 not relevant outcome EXCLUDED: continuous variables (Apgar scores at 1 and 5 minutes, birth weight, head circumference, body length, gestational age, serum S100B levels, ...) and symptoms of poor neonatal adaptation reported but not by neonates.

Pawluski Pediatrics 2009; 124:e662-70 10.1542/peds.2009-0442

Ansah, 2018 not relevant outcome EXCLUDED: continuous variable (left and right ventricular diameter and length).

Ansah, D.A. J. Am. Soc. Echocardiogr. 2018; 31:B36-. 10.1016/j.echo.2018.04.010

Bar-Yosef, 2023 not relevant outcome EXCLUDED: Result expressed as a continuous variable ('Time to first void was longer in infants exposed to SSRI treatment (10.9 vs 9.4 hours, p=0.007)').

Bar-Yosef, Y. Eur. Urol. 2023; 83:S892-. 10.1016/S0302-2838(23)00673-5

Oberlander, 2006 data not abstractable EXCLUDED: results not exploitable: raw data not provided (only incidence rate, without the numerator nor the denominator (number of neonates)) and no odd ratio or relative risk provided (only difference of incidence).

Oberlander TF Arch Gen Psychiatry 2006;63:898-906 10.1001/archpsyc.63.8.898

Lupattelli, 2018 data not abstractable EXCLUDED: results not extractable.

Lupattelli J Am Acad Child Adolesc Psychiatry 2018; 57:200-208 10.1016/j.jaac.2017.12.010

Vajda, 2020 data not abstractable EXCLUDED: data on citalopram and escitalopram not abstractable.

Vajda Epilepsy Behav 2020; 103:106481 10.1016/j.yebeh.2019.106481

El Marroun, 2017 data not abstractable EXCLUDED: data not extractable (authors provided B (Betas)).

El Marroun J Psychopharmacol 2017; 31:346-355 10.1177/0269881116665335

Weikum, 2013 data not abstractable Overlapping of some outcomes (Mental and Psychomotor Development Index) with Oberlander 2004 which include a little more pregnancies, thus these outcomes not reported for Weikum 2013. Results on mother–infant interactions not extractable.

Oberlander J Clin Psychiatry 2004; 65:230-7 10.4088/jcp.v65n0214

Weikum Infant Behav Dev 2013; 36:485-93 10.1016/j.infbeh.2013.04.001

Rotem-Kohavi b, 2019 data not abstractable EXCLUDED: data not extractable (resting-state functional magnetic resonance imaging).

Rotem-Kohavi Biol Psychiatry Cogn Neurosci Neuroimaging 2019; 4:39-49 10.1016/j.bpsc.2018.08.004

Podrebarac, 2017 data not abstractable EXCLUDED: data not extractable.

Podrebarac Neuroscience 2017; 342:252-262 10.1016/j.neuroscience.2016.11.025

Misri, 2010 data not abstractable EXCLUDED: Authors mentioned 'exposure to prenatal SSRIs and SNRIs was not a significant predictor in any of the models (allPs > 0.200)' but no extractable data.

Misri Can J Psychiatry 2010; 55:222-8 10.1177/070674371005500405

Richardson, 2020 data not abstractable EXCLUDED: no OR provided and insufficient raw data (number of exposure to citalopram (n=93), sertraline (n=51), and fluoxetine (n=45) reported in neural tube defect (NTD) cases but not in controls).

Richardson, J.L. Reprod. Toxicol. 2020; 97:11-. 10.1016/j.reprotox.2020.04.047

Moreau, 2023 data not abstractable EXCLUDED: Results not usable here because authors provided coefficients of continuous variables, without sufficient data to express an OR. Use of SSRIs: sertraline n = 118, fluoxetine n = 68, escitalopram n = 54.

Moreau, A.L. Biol. Psychiatry Glob. Open Sci. 2023; 3:243-. 10.1016/j.bpsgos.2022.02.005

Kaltenbach, 2012 data not abstractable EXCLUDED: Data not extractable (correlation coefficient).

Kaltenbach Addiction 2012; 107 Suppl 1:45-52 10.1111/j.1360-0443.2012.04038.x

Christensen, 2021 data not abstractable EXCLUDED: Aberrant values obtained using conversion of continuous values to OR (due to unmet assumptions of continuous distribution) => additional analyses of the study (including breaking down by type of antidepressants) not available (author's reply).

Christensen JAMA 2021; 326:1725-1735 10.1001/jama.2021.17380

Burian, 2016 data not abstractable EXCLUDED: Data not abstractable ('The offspring of SSRI had higher rate of LBW (p<0.05 respect to healthy controls)').

Burian, I Eur. Neuropsychopharmacol. 2016; 26:S475-.

Selmer, 2016 same data already obtained by other studies EXCLUDED: Reanalyze of the dataset used by Furu 2015 (the original study).

Selmer Pharmacoepidemiol Drug Saf 2016; 25:1160-1169 10.1002/pds.4033

Berard, 2006 same data already obtained by other studies EXCLUDED: an entire publication, more detailed that this abstract was published by Cole 2007.

Bérard Birth Defects Res A Clin Mol Teratol. 2006;76:335. Abstract

Handal b, 2016 same data already obtained by other studies EXCLUDED: sub-analysis of data published by Skurtveit 2014.

Handal J Clin Psychopharmacol 2016; 36:333-9 10.1097/JCP.0000000000000519

Skurtveit, 2013 same data already obtained by other studies EXCLUDED: re-analysis of data published by Kieler 2012.

Skurtveit J Clin Epidemiol 2013; 66:964-72 10.1016/j.jclinepi.2013.02.011

Almeida, 2016 same data already obtained by other studies Overlapping: same databases, outcomes and study period that data published by Nakhai-Pour 2010, which included more pregnancies than Almeida 2016 and analyzed individual SSRI. Thus Nakhai-Pour 2010 reported rather than Almeida 2016.

Almeida Epidemiology 2016; 27:538-46 10.1097/EDE.0000000000000484

Reis, 2013 same data already obtained by other studies EXCLUDED: Totally overlapped by Reis 2010 (1995 - 2007) and Furu 2015 (2006-2010 with other countries).

Reis BMJ Open 2013; 3: 10.1136/bmjopen-2012-002166

Malm, 2012 no specific data EXCLUDED: publication on the protocol of a study (without results).

Malm BMC Psychiatry 2012; 12:217 10.1186/1471-244X-12-217

Hayes, 2012 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis performed for antidepressants as a whole without distinction between SSRI and non SSRI.

Hayes RM Am J Obstet Gynecol 2012;207:49.e1-9 10.1016/j.ajog.2012.04.028

Nulman, 2015 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of women were exposed to selective serotonin reuptake inhibitor (citalopram, paroxetine, sertraline, fluoxetine) and/or serotonin-norepinephrine reuptake (venlafaxine) without distinction (the % of venlafaxine not available).

Nulman I J Clin Psychiatry 2015;76:e842-7 10.4088/JCP.14m09240

Partridge, 2016 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of serotonin reuptake inhibitor (SRI) as a whole (selective SRIs and serotonin/norepinephrine reuptake inhibitors), without distinction of SSRIs.

Partridge MC J Pediatr 2016;175:144-149.e1 10.1016/j.jpeds.2016.04.065

Ogunyemi, 2018 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: treatments analyses as a whole without distinction between treatments (SSRIs, benzodiazepines, other antidepressants (10.3%) and other medications including serotonin–norepinephrine reuptake inhibitors, antiepileptics and antipsychotics).

Ogunyemi AJP Rep 2018; 8:e146-e157 10.1055/s-0038-1661379

Boucher, 2008 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressants as a whole (including 78% (57/73) of selective serotonin reuptake inhibitor) without distinction between classes of antidepressants.

Boucher J Clin Psychopharmacol 2008; 28:334-9 10.1097/JCP.0b013e318173aa2e

Chun-Fai-Chan, 2005 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of 'buproprion' and 'other antidepressants', without distinction between antidepressants.

Chun-Fai-Chan Am. J. Obstet. Gynecol. 2005; 192:932-6 10.1016/j.ajog.2004.09.027

Djulus, 2006 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of 'other antidepressants' (such as selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, or tricyclic antidepressants) as a whole.

Djulus J Clin Psychiatry 2006; 67:1280-4 10.4088/jcp.v67n0817

Einarson, 2003 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of 'Trazodone and Nefazodone' and 'other nonteratogenic antidepressants' without distinction between class of antidepressants.

Einarson Can J Psychiatry 2003; 48:106-10 10.1177/070674370304800207

Hammad, 2009 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Assessment of the risk of PPHN in association with maternal exposure to SSRIs and non-SSRI antidepressant, without specific result for SSRI.

Hammad Pharmacoepidemiol Drug Saf 2009;18:S91–2.

Berle, 2005 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of anxiolytic and antidepressant medication as a whole, without distinction between substances or class of substances.

Berle Arch Womens Ment Health 2005; 8:181-9 10.1007/s00737-005-0090-z

Gavin, 2010 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of psychotropic medications as a whole, without distinction of selective serotonin reuptake inhibitors (SSRI).

Gavin Womens Health Issues ; 19:325-34 10.1016/j.whi.2009.05.004

Haas, 2005 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis according illness without data on treatment.

Haas Arch Pediatr Adolesc Med 2005; 159:58-63 10.1001/archpedi.159.1.58

Bandoli, 2020 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or class of substances (69.9% had SSRI monotherapy, 6.6% had SNRI monotherapy, and 8.9% had bupropion monotherapy).

Bandoli Pediatrics 2020; 146: 10.1542/peds.2019-2493

Wolgast, 2021 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or class of substances.

Wolgast Eur J Obstet Gynecol Reprod Biol 2021; 257:42-50 10.1016/j.ejogrb.2020.11.062

Heller, 2017 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of serotonergic antidepressants (SSRIs, TCAs or SNRIs) as a whole, without distinction between substances or class of substances.

Heller BMC Pregnancy Childbirth 2017; 17:166 10.1186/s12884-017-1334-4

Singal, 2020 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or class of substances (SSRI or SNRI).

Singal Pediatrics 2020; 145: 10.1542/peds.2019-1157

Grzeskowiak, 2016 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or class of substances.

Grzeskowiak BJOG 2016; 123:1919-1928 10.1111/1471-0528.13611

Sivathamboo, 2018 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or class of substances (SSRI, SNRIs, TCAs, other atypical ADDs). Some analysis of specific SSRI (co-exposed to AED) without adequate control group.

Sivathamboo Epilepsia 2018; 59:1696-1704 10.1111/epi.14539

Grzeskowiak, 2016 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or class of substances (SSRI, SNRI monotherapy, TCA, other antidepressants).

Grzeskowiak BJOG 2016; 123:1929-1936 10.1111/1471-0528.13612

Frayne, 2017 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or class of substances (SSRI or SNRI).

Frayne Aust N Z J Obstet Gynaecol 2017; 57:526-532 10.1111/ajo.12621

Venkatesh, 2017 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or class of substances.

Venkatesh J Perinatol 2017; 37:1003-1009 10.1038/jp.2017.92

Yonkers, 2012 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of SRIs as a whole without distinction between class or substance (dulotexine and venlafaxine (non-SSRI) represents more than 10% of SRI: 37/320).

Yonkers Epidemiology 2012; 23:677-85 10.1097/EDE.0b013e31825838e9

Einarson, 2010 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or class of substances.

Einarson Depress Anxiety 2010; 27:35-8 10.1002/da.20598

Einarson, 2011 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or class of substances.

Einarson J Popul Ther Clin Pharmacol 2011; 18:e390-6

Yonkers, 2017 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of serotonin reuptake inhibitor (SRI) as a whole, without distinction between substances or class of substances.

Yonkers JAMA Psychiatry 2017; 74:1145-1152 10.1001/jamapsychiatry.2017.2733

Laine, 2019 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or class of substances (N06A or N06C).

Laine Ann Med 2019; 51:51-57 10.1080/07853890.2018.1534265

Kim, 2016 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of serotonin reuptake inhibitor (SRI) as a whole, without distinction of substances or selective serotonin reuptake inhibitor (SSRI) class.

Kim J Psychiatr Res 2016; 73:79-85 10.1016/j.jpsychires.2015.11.005

Lindqvist, 2014 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: SSRI exposed group included SSRI and other non-SSRI substances (alaproclate, citalopram, escitalopram, etoperidon, fluoxetin, fluvoxamin, paroxetin, sertralin or zimelidin), without distinction between substances.

Lindqvist J Thromb Haemost 2014; 12:1986-92 10.1111/jth.12757

Castro, 2016 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or class of substances. No overlapping with Clements 2014: 'Mother − child pairs included in our previous report were excluded'.

Castro Transl Psychiatry 2016; 6:e708 10.1038/tp.2015.190

Pedersen, 2013 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressants as a whole, without distinction between substance or class (antidepressants included > 10% of non-SSRI). Data not shown for SSRI.

Pedersen Acta Psychiatr Scand 2013; 127:126-35 10.1111/acps.12032

Suri, 2011 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or class of substances (36% sertraline, 38%fluoxetine, and other antidepressants).

Suri J Clin Psychiatry 2011; 72:1002-7 10.4088/JCP.10m06135

Hurault-Delarue, 2016 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or class of substances (n=173: amitriptyline (n=32), paroxetine (n=32), fluoxetine (n=30), venlafaxine...).

Hurault-Delarue Fundam Clin Pharmacol 2016; 30:476-82 10.1111/fcp.12209

Santucci, 2014 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Serotonin Reuptake Inhibitors group (n=41) included more than 10% of the nonSSRI venlafaxine (sertraline (n = 15), fluoxetine (n = 11), escitalopram (n = 7), citalopram (n = 5), fluvoxamine (n = 1), paroxetine (n = 1), and venlafaxine (n = 5)).

Santucci J Clin Psychiatry 2014; 75:1088-95 10.4088/JCP.13m08902

Mortensen, 2003 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or subclass of substances.

Mortensen Eur J Epidemiol 2003; 18:769-71 10.1023/a:1025306304635

Austin, 2013 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: The exposed group included 26 SSRI, 5 Dothiepin and 4 Venlafaxine among 35 exposures. Non SSRI represents 25% of the exposed group.

Austin Acta Paediatr 2013; 102:1054-9 10.1111/apa.12379

Hanley, 2013 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of serotonin reuptake inhibitor (SRI) (paroxetine (n = 4), fluoxetine (n = 3), sertraline (n = 5), venlafaxine (n = 12; 39%), and citalopram (n=7)) as a whole without distinction between substances or SSRI class.

Hanley Early Hum Dev 2013; 89:519-24 10.1016/j.earlhumdev.2012.12.012

Johnson, 2012 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressants as a whole, without distinction between substance or subclass of Selective serotonin reuptake inhibitors (SSRIs).

Johnson Arch Gen Psychiatry 2012; 69:787-94 10.1001/archgenpsychiatry.2012.160

Galbally, 2017 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or class of substances (40 (78%) women used an SSRI, whereas 11 (22%) women used a SNRI).

Galbally Pediatr Res 2017; 82:806-813 10.1038/pr.2017.156

Galbally, 2015 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or subclass of substances (32 antidepressants: 27 SSRIs (84%), 3 SNRIs, 1 TCA and 1 noradrenergic and specific serotonergic antidepressant (NaSSA)).

Galbally Aust N Z J Psychiatry. 2015;49(7):642–650 10.1177/0004867415569800

Hermansen, 2016 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or subclass of substances (20/28 SSRI, 7/28 SNRI and 1/28 mirtazapine).

Hermansen Psychopharmacology (Berl) 2016; 233:1523-35 10.1007/s00213-016-4248-3

Galbally, 2011 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or subclass of substances (15 SSRI, 4 SNRI and 2 NaSSA).

Galbally Aust N Z J Psychiatry. 2011;45(5):393–399

Weikum, 2012 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of serotonin reuptake inhibitors (SRIs) as a whole, without distinction between substances or subclass of substances (19SSRI ; 13 SNRI).

Weikum Proc Natl Acad Sci U S A 2012; 109 Suppl 2:17221-7 10.1073/pnas.1121263109

Johnson, 2016 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of serotonin reuptake inhibitors (SRIs) as a whole, without distinction between substances or subclass of substances (83SSRI ; 23 SNRI).

Johnson J Clin Psychiatry 2016; 77:e176-82 10.4088/JCP.14m09348

Bandoli, 2018 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or subclass of substances (SSRI and other antidepressants).

Bandoli Arch Womens Ment Health 2018; 21:411-419 10.1007/s00737-018-0809-2

Rotem-Kohavi a, 2019 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of SRI medication as a whole, without distinction between substances or subclass of substances ('Women treated with SSRIs and also with SNRIs were included... we will not differentiate between these two pharmacological treatments.').

Rotem-Kohavi Depress Anxiety 2019; 36:753-765 10.1002/da.22906

Salzwedel, 2020 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: data not extractable or without distinction between substances or subclass of substances.

Salzwedel Hum Brain Mapp 2020; 41:4789-4803 10.1002/hbm.25158

Kieviet, 2017 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medications as a whole, without distinction between substances or subclass of substances (paroxetine, fluoxetine, citalopram, sertraline, velanfaxine, fluvoxamine, mirtazapine, bupropion).

Kieviet BMC Pregnancy Childbirth 2017; 17:23 10.1186/s12884-016-1184-5

Weikum b, 2013 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of serotonin reuptake inhibitor (SRI) antidepressant as a whole, without distinction between substances or subclass of substances (SSRI in particular).

Weikum Front Cell Neurosci 2013; 7:180 10.3389/fncel.2013.00180

Eriksen, 2015 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressants or anxiolytics (N06A or N05B) as a whole, without distinction between substances or subclass of substances (SSRI and other antidepressants).

Eriksen Acta Obstet Gynecol Scand 2015; 94:501-7 10.1111/aogs.12611

De Las Cuevas, 2007 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis according illness without analysis according treatment.

De Las Cuevas Pharmacoepidemiol Drug Saf 2007; 16:1018-23 10.1002/pds.1401

Yamamoto-Sasaki, 2019 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of antidepressant medication as a whole, without distinction between substances or subclass of substances (77.9% had SSRI, 5.6% had SNRI monotherapy, and 25.6% had antidepressants of other classes).

Yamamoto-Sasaki Matern Health Neonatol Perinatol 2019; 5:1 10.1186/s40748-018-0096-y

Ferreira, 2007 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Forty-six (60.5%) were taking paroxetine, 10 (13.2%) fluoxetine, 9 (11.8%) venlafaxine, 6 (8%) citalopram, 3 (3.9%) sertraline, and 2 (2.6%) fluvoxamine => More than 10% of SNRI => Not considered as SSRI.

Ferreira Pediatrics 2007; 119:52-9 10.1542/peds.2006-2133

Campbell, 2021 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: In this study, SRI antidepressants included any selective serotonin reuptake inhibitor (SSRI) or serotonin-norepinephrine reuptakeinhibitor (SNRI) were studied as a whole without distinction between SSRI and SNRI.

Campbell Front Psychiatry 2021; 12:680177 10.3389/fpsyt.2021.680177

Lupattelli, 2021 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: SSRIs (sertraline, fluoxetine, paroxetine, citalopram, escitalopram, fluvoxamine) and SNRIs (venlafaxine, duloxetine) analyzed together without distinction between SSRI and SNRI.

Lupattelli BJOG 2021; 128:1917-1927 10.1111/1471-0528.16743

Melov, 2021 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: SSRIs (fluoxetine, sertraline, paroxetine, escitalopram, fluvoxamine) and SNRIs (desvenlafaxine, duloxetine) analyzed together without distinction between SSRI and SNRI.

Melov Prenat Diagn 2021; 41:35-42 10.1002/pd.5846

Dolk, 2020 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of SSRIs (Citalopram, Escitalopram, Fluoxetine, and Sertraline) and SNRI (Mirtazapine and Venlafaxine) as a whole, without distinction between subclass or treatments.

Dolk PLoS One 2020; 15:e0227908 10.1371/journal.pone.0227908

Chouchana, 2021 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant as a whole, without distinction between class/substances.

Chouchana, L. Fundam. Clin. Pharmacol. 2021; 35:179-. 10.1111/fcp.12670

Sjaarda, 2019 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressant medication as a whole, without distinction between substances or subclass of substances (SSRI and other antidepressants).

Sjaarda, L.A. Fertil. Steril. 2019; 112:e2-. 10.1016/j.fertnstert.2019.07.139

Bakhireva, 2022 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of serotonin reuptake inhibitors (SRIs) as a whole, without distinction between SSRIs and SNRIs (sertraline (44.4%), fluoxetine (40.7%) and duloxetine (37.0%)).

Bakhireva Pediatr Res 2022; 91:867-873 10.1038/s41390-021-01756-4

Gustafsson, 2018 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of serotonin reuptake inhibitors (SRIs) as a whole, without distinction between SSRIs and SNRIs (no details on the proportion of SSRI and SNRIs).

Gustafsson Dev Psychopathol 2018; 30:773-785 10.1017/S0954579418000639

Videman, 2017 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of serotonin reuptake inhibitors (SRIs) as a whole, without distinction between SSRIs and SNRIs (22 SRI exposures: 20 SSRI and/or 4 SNRIs).

Videman Cereb Cortex 2017; 27:3208-3216 10.1093/cercor/bhw153

Hanley, 2015 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of serotonin reuptake inhibitors (SRIs) as a whole, without distinction between SSRIs and SNRIs (44 SRI exposures: 34 SSRI and 10 SNRIs).

Hanley Pediatr Res 2015; 78:174-80 10.1038/pr.2015.77

Smearman, 2020 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of serotonin reuptake inhibitors (SRIs) as a whole, without distinction between SSRIs and SNRIs (sertraline and fluoxetine the most common, but no other details).

Smearman Dev Psychopathol 2020; 32:21-30 10.1017/S0954579418001372

Singh, 2022 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Antidepressants analysed as a whole, without distinction between classes (52 exposed to Sertaline, 25 to Venlafexine, 19 to Paroxetine,18 to Fluoxetine, 18 to the combination of Venlafexine and Mirtazepie and 18 to Escitalopram).

Singh, P. NeuroQuantology 2022; 20:4718-. 10.14704/nq.2022.20.8.NQ44499

Chouchana, 2022 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of antidepressants as a whole, without distinction between classes (abstract).

Chouchana, L. Fundam. Clin. Pharmacol. 2022; 36:31-. 10.1111/fcp.12786

Parpinel, 2022 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of pharmacological treatments as a whole (SSRI, SNRI, benzodiazepines, ...) without distinction between classes.

Parpinel, G. J. Clin. Med. 2022; 11:153-. 10.3390/jcm11061486

Viguera, 2023 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: analysis of mothers who had taken an SSRI and/or SNRI during their pregnancy, as a whole, without distinction between SSRI and SNRI.

Viguera J Clin Psychiatry 2023; 84: 10.4088/JCP.22m14492

Michel, 2023 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: OR based on dichotomized variable only provided for maternal QT-prolonging drugs as a whole without distinction between treatments. Results for PPIs, SSRIs, and dimenhydrinate, only provided as a continuous variable (mean postnatal QTc).

Michel Front Pharmacol 2023; 14:1193317 10.3389/fphar.2023.1193317

Michielsen, 2014 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of Medications (SSRI, non-SSRI antidepressants, antipsychotics and mood stabilizers) as a whole without distinction between subclass or treatments.

Michielsen Neuropsychiatr Dis Treat 2014; 10:13-8 10.2147/NDT.S53430

Zusman, 2023 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of serotonin reuptake inhibitors (SRIs) as a whole, without distinction between SSRIs and SNRIs (paroxetine (31%), venlafaxine (27%), citalopram (17%), fluoxetine (15%), ...

Zusman Dev Psychobiol 2023; 65:e22425 10.1002/dev.22425

Leibovitch, 2013 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of serotonin reuptake inhibitors (SRIs) as a whole, without distinction between SSRIs and SNRIs (fluoxetine, paroxetine or citalopram, sertaline, fluvoxamine or venlafaxine).

Leibovitch Neonatology 2013; 104:65-70 10.1159/000350506

Rommel, 2024 Studies without separate analysis of the considered drug/class from other drugs/class EXCLUDED: Analysis of antidepressant medication as a whole, without distinction between substances or subclass of substances (SSRI and other antidepressants).

Rommel Acta Psychiatr Scand 2024; 150:344-354 10.1111/acps.13636

Einarson, 2006 Review articles, letter to editor, editorial, comments EXCLUDED: commentary and analysis of published studied.

Einarson A Can Fam Physician 2006;52:593-4

Williams, 2005 Review articles, letter to editor, editorial, comments EXCLUDED: Comments on a published study.

Williams CMAJ 2005; 173:1320-1 10.1503/cmaj.051421

Clark, 2016 Review articles, letter to editor, editorial, comments EXCLUDED: Mini commentary.

Clark BJOG 2016; 123:1937 10.1111/1471-0528.13834

Furu b, 2015 Review articles, letter to editor, editorial, comments EXCLUDED: Erratum of the article of Furu 2015 (erratum did not concern data implemented in Metapreg).

Furu BMJ 2015; 350:h2235 10.1136/bmj.h2235

Kowalik, 2016 Review articles, letter to editor, editorial, comments EXCLUDED: Meta-analysis without quantitative data ('The results of the analysis showed a significant association between the use of SSRIs in pregnancy and the development of CHD in children.')

Kowalik, E. Pharmacotherapy 2016; 36:e302-. 10.1002/phar.1877

Cesta, 2016 efficacy rather than safety aims EXCLUDED: Study on the efficacy of treatment, including the miscarriage outcome that is studied as an efficacy criteria rather than a safety one.

Cesta Fertil Steril 2016; 105:1594-1602.e3 10.1016/j.fertnstert.2016.01.036