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Bupropion (All indications except smoking cessation)
Overall results
Study description
Excluded studies
Table
Graphic
auto
during pregnancy (anytime or not specified)
1st trimester
2nd trimester
3rd trimester
2nd and/or 3rd trimester
throughout pregnancy
early pregnancy
days before delivery
late pregnancy
preconception-only
periconceptional
preconceptional for kinetic reason
at least 1st trimester
3 months (or more) before pregnancy or during pregnancy
1st and 2nd trimester
3 months or more before pregnancy or1st trimester
Paternal exp. genotoxic window only (0–3 months preconception)
Paternal exposure: epigenetic window only (3–xxx months preconception)
Paternal exposure: genotoxic/epigenetic window (0–xxx months preconception)
Paternal exposure: other window
Whatever the period exposition
individual studies
Outcome
TE
95% CI
n cases
n exposed
k
Pub. bias
Congenital malformations
All congenital malformations (majors, minors, majors and minors, or unspecified)
Chun-Fai-Chan (Controls unexposed, NOS), 2005 Cole, 2007 Einarson, 2009 Ozturk, 2016 Anderson, 2020
5
1.05
[
0.60
; 1.82]
30,798
1,626
not evaluable
Major congenital malformations
Chun-Fai-Chan (Controls unexposed, NOS), 2005 Cole, 2007 Einarson, 2009 Ozturk, 2016 Anderson, 2020
5
1.05
[
0.60
; 1.82]
30,798
1,626
not evaluable
Congenital heart defects
Cole, 2007 Huybrechts (Controls unexposed, sick), 2014 Anderson, 2020
3
1.03
[
0.83
; 1.28]
1,618
7,911
not evaluable
Ventricular septal defect
Cole, 2007 Louik, 2014 Huybrechts (Controls unexposed, sick), 2014 Anderson, 2020
4
1.17
[
0.69
; 1.97]
3,518
7,945
not evaluable
Atrial septal defect
Louik, 2014 Anderson, 2020
2
1.23
[
0.66
; 2.27]
1,142
21
not evaluable
Cleft lip with or without cleft palate
Anderson, 2020
1
1.10
[
0.59
; 2.05]
-
-
not evaluable
Cleft palate
Anderson, 2020
1
0.64
[
0.23
; 1.78]
-
-
not evaluable
Coarctation of aorta
Louik, 2014 Anderson, 2020
2
1.01
[
0.42
; 2.44]
471
19
not evaluable
Hypoplastic left heart (HLH/HLHS)
Louik, 2014 Anderson, 2020
2
2.07
[
0.89
; 4.79]
281
20
not evaluable
Limb defects
Cole, 2007 Anderson, 2020
2
1.13
[
0.50
; 2.56]
10
1,213
not evaluable
Oro-facial clefts
Anderson, 2020
1
0.94
[
0.53
; 1.66]
-
-
not evaluable
Ano-rectal atresia and stenosis
Anderson, 2020
1
1.69
[
0.72
; 3.98]
-
-
not evaluable
Atrioventricular septal defect
Louik, 2014
1
2.00
[
0.48
; 8.39]
521
21
not evaluable
Cardiac septal defects
Anderson, 2020
1
1.33
[
0.80
; 2.21]
-
-
not evaluable
Craniosynostosis
Anderson, 2020
1
0.98
[
0.44
; 2.19]
-
-
not evaluable
Diaphragmatic hernia
Anderson, 2020
1
2.77
[
1.34
; 5.72]
-
-
not evaluable
Ear malformations
Cole, 2007
1
3.91
[
0.08
; 197.23]
-
1,213
not evaluable
Eye defects
Cole, 2007
1
11.74
[
0.48
; 288.47]
1
1,213
not evaluable
Gastroschisis
Anderson, 2020
1
0.61
[
0.18
; 2.05]
-
-
not evaluable
Hypospadias
Anderson, 2020
1
1.45
[
0.74
; 2.84]
-
-
not evaluable
Nervous system anomalies
Cole, 2007
1
0.23
[
0.01
; 3.98]
8
1,213
not evaluable
Neural Tube Defects
Anderson, 2020
1
1.45
[
0.73
; 2.89]
-
-
not evaluable
Pulmonary valve stenosis
Anderson, 2020
1
1.19
[
0.53
; 2.66]
-
-
not evaluable
Respiratory system anomalies
Cole, 2007
1
1.30
[
0.05
; 32.02]
1
1,213
not evaluable
Spina bifida
Anderson, 2020
1
1.83
[
0.86
; 3.91]
-
-
not evaluable
Tetralogy of Fallot
Anderson, 2020
1
0.99
[
0.35
; 2.78]
-
-
not evaluable
Growth parameters and prematurity
Preterm (< 37 weeks)
Ozturk, 2016 Marks (Controls exposed to Sertraline), 2021
2
2.90
[
0.15
; 56.70]
307
407
not evaluable
Maternal consequences
Preeclampsia
Palmsten (Controls unexposed, sick), 2013 Newport, 2016
2
1.07
[
0.92
; 1.25]
3,454
2,695
not evaluable
Postpartum hemorrhage
Palmsten b, 2013 Jackson, 2024
2
1.33
[
0.99
; 1.78]
5,069
1,217
not evaluable
Neonatal disorders
Neonatal death (< 28 days of life)
Chun-Fai-Chan (Controls unexposed, NOS), 2005
1
3.64
[
0.15
; 90.25]
1
105
not evaluable
Withdrawal syndrome / Neonatal abstinence syndrome / Poor neonatal adaptation
Marks (Controls unexposed, sick), 2021
1
1.29
[
0.65
; 2.57]
-
172
not evaluable
Jaundice / Icterus
Marks (Controls exposed to Sertraline), 2021
1
1.15
[
0.85
; 1.55]
291
406
not evaluable
Low Apgar score (< 7) (at 5 min)
Marks (Controls exposed to Sertraline), 2021
1
0.95
[
0.68
; 1.32]
263
406
not evaluable
Neonatal medical care
Marks (Controls exposed to Sertraline), 2021
1
0.87
[
0.71
; 1.06]
475
406
not evaluable
Neonatal tachypnea
Marks (Controls exposed to Sertraline), 2021
1
0.81
[
0.56
; 1.19]
207
406
not evaluable
Persistent pulmonary hypertension
Marks (Controls exposed to Sertraline), 2021
1
0.58
[
0.03
; 11.27]
3
406
not evaluable
Intrauterine deaths
Early intrauterine deaths (< 22 weeks) / Spontaneous abortions
Chun-Fai-Chan (Controls unexposed, NOS), 2005 Yaris, 2005 Kjaersgaard, 2013 Ozturk, 2016
4
2.63
[
1.09
; 6.36]
50
138
not evaluable
Late intrauterine deaths (> 22 weeks) / Stillbirths
Chun-Fai-Chan (Controls unexposed, NOS), 2005
1
2.96
[
0.12
; 73.21]
1
136
not evaluable
Therapeutic terminations of pregnancy
Chun-Fai-Chan (Controls unexposed, NOS), 2005
1
10.48
[
1.32
; 83.03]
11
136
not evaluable
Elective/induced termination of pregnancy
Ozturk, 2016
1
17.97
[
0.34
; 938.20]
14
1
not evaluable
Neuro-developmental disorders
ADHD (Attention deficit hyperactivity disorder): Diagnosis
Figueroa, 2010 Yeh, 2021 Suarez (Controls unexposed, discontinuers), 2022
3
1.62
[
0.65
; 4.01]
1,081
19,462
not evaluable
ADHD (Attention deficit hyperactivity disorder): Diagnosis/Risk
Figueroa, 2010 Yeh, 2021 Suarez (Controls unexposed, discontinuers), 2022
3
1.62
[
0.65
; 4.01]
1,081
19,462
not evaluable
ASD (Autism spectrum disorder): Diagnosis
Suarez (Controls unexposed, discontinuers), 2022
1
0.96
[
0.64
; 1.44]
186
19,341
not evaluable
ASD (Autism spectrum disorder): Diagnosis/Risk
Suarez (Controls unexposed, discontinuers), 2022
1
0.96
[
0.64
; 1.44]
186
19,341
not evaluable
Cognitive developmental disorders/delay (3-6 years old)
Suarez (Controls unexposed, discontinuers), 2022
1
1.99
[
0.90
; 4.39]
21
12,756
not evaluable
Language disorders/delay
Suarez (Controls unexposed, discontinuers), 2022
1
1.10
[
0.91
; 1.33]
903
19,341
not evaluable
Learning disorders
Suarez (Controls unexposed, discontinuers), 2022
1
0.93
[
0.53
; 1.63]
82
19,341
not evaluable
Neuro-developmental disorders (as a whole)
Suarez (Controls unexposed, discontinuers), 2022
1
1.07
[
0.94
; 1.21]
2,003
19,341
not evaluable
Psychomotor developmental disorders/delay
Suarez (Controls unexposed, discontinuers), 2022
1
1.91
[
1.16
; 3.14]
131
19,341
not evaluable
Severe cognitive developmental delay (Mental retardation) (3-6 years old)
Suarez (Controls unexposed, discontinuers), 2022
1
1.99
[
0.90
; 4.39]
21
12,756
not evaluable
0.0
100.0
1.0