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Venlafaxine
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)
Oberlander, 2008 Einarson, 2009 Furu, 2015 Te Winkel, 2016 Ozturk, 2016 Bérard b (Controls unexposed, sick), 2017 Richardson, 2019 Anderson, 2020 Chan (Controls unexposed, general pop), 2024
9
1.15
[
0.93
; 1.42]
129,964
4,889
not evaluable
Major congenital malformations
Oberlander, 2008 Einarson, 2009 Furu, 2015 Te Winkel, 2016 Ozturk, 2016 Bérard b (Controls unexposed, sick), 2017 Richardson, 2019 Anderson, 2020 Chan (Controls unexposed, general pop), 2024
9
1.17
[
0.97
; 1.41]
129,933
4,889
not evaluable
Congenital heart defects
Oberlander, 2008 Furu, 2015 Bérard b (Controls unexposed, sick), 2017 Anderson, 2020 Chan (Controls unexposed, general pop), 2024
5
1.29
[
0.85
; 1.96]
35,407
3,798
not evaluable
Cardiac septal defects
Furu, 2015 Bérard b (Controls unexposed, sick), 2017 Anderson, 2020
3
1.21
[
0.68
; 2.14]
17,528
3,501
not evaluable
Cleft lip with or without cleft palate
Anderson, 2020
1
1.98
[
0.95
; 4.12]
-
-
not evaluable
Cleft palate
Anderson, 2020
1
3.39
[
1.59
; 7.22]
-
-
not evaluable
Craniosynostosis
Bérard b (Controls unexposed, sick), 2017 Anderson, 2020
2
1.33
[
0.66
; 2.67]
-
738
not evaluable
Hypoplastic left heart (HLH/HLHS)
Anderson, 2020 Kolding (Controls unexposed, disease free), 2021
2
7.95
[
1.67
; 37.85]
-
-
not evaluable
Hypospadias
Furu, 2015 Anderson, 2020
2
1.29
[
0.71
; 2.31]
4,533
2,763
not evaluable
Oro-facial clefts
Anderson, 2020
1
2.44
[
1.33
; 4.48]
-
-
not evaluable
Severe congenital heart defect
Kolding (Controls unexposed, sick), 2021
1
1.78
[
0.67
; 4.71]
26
847
not evaluable
Atrial septal defect
Anderson, 2020
1
2.26
[
1.03
; 4.96]
-
-
not evaluable
Coarctation of aorta
Anderson, 2020
1
3.54
[
1.56
; 8.05]
-
-
not evaluable
Digestive system anomalies
Bérard b (Controls unexposed, sick), 2017
1
0.89
[
0.44
; 1.82]
-
738
not evaluable
Eye, ear, face and neck malformations
Bérard b (Controls unexposed, sick), 2017
1
0.70
[
0.22
; 2.21]
-
738
not evaluable
Gastroschisis
Anderson, 2020
1
4.71
[
1.89
; 11.75]
-
-
not evaluable
Genital anomalies
Bérard b (Controls unexposed, sick), 2017
1
0.69
[
0.29
; 1.66]
-
738
not evaluable
Limb defects
Bérard b (Controls unexposed, sick), 2017
1
1.30
[
0.93
; 1.81]
-
738
not evaluable
Minor congenital malformations
Richardson, 2019
1
0.55
[
0.17
; 1.82]
31
270
not evaluable
Nervous system anomalies
Bérard b (Controls unexposed, sick), 2017
1
1.19
[
0.55
; 2.58]
-
738
not evaluable
Neural Tube Defects
Anderson, 2020
1
2.62
[
1.19
; 5.76]
-
-
not evaluable
Pulmonary valve stenosis
Anderson, 2020
1
2.46
[
1.04
; 5.81]
-
-
not evaluable
Respiratory system anomalies
Bérard b (Controls unexposed, sick), 2017
1
2.17
[
1.07
; 4.39]
-
738
not evaluable
Spina bifida
Anderson, 2020
1
1.85
[
0.63
; 5.43]
-
-
not evaluable
Urinary malformations
Bérard b (Controls unexposed, sick), 2017
1
1.43
[
0.75
; 2.73]
-
738
not evaluable
Ventricular septal defect
Anderson, 2020
1
2.09
[
0.84
; 5.20]
-
-
not evaluable
Growth parameters and prematurity
Preterm (< 37 weeks)
Calderon-Margalit, 2009 Te Winkel, 2016 Ozturk, 2016 Richardson, 2019 Marks (Controls exposed to Bupropion), 2021 Martin, 2024
6
1.64
[
1.33
; 2.02]
121,210
7,381
not evaluable
Small for gestational age (weight)
Richardson, 2019 Martin, 2024
2
0.91
[
0.83
; 1.00]
229,707
5,628
not evaluable
Low birth weight (< 2500g)
Calderon-Margalit, 2009
1
2.14
[
0.35
; 13.19]
-
9
not evaluable
Maternal consequences
Postpartum hemorrhage
Palmsten b, 2013 Hanley, 2016
2
1.88
[
1.39
; 2.54]
23,841
2,153
not evaluable
Preeclampsia
Palmsten (Controls unexposed, sick), 2013
1
1.57
[
1.29
; 1.91]
3,315
1,113
not evaluable
Gestational diabetes
Dandjinou, 2019
1
1.27
[
1.09
; 1.48]
20,905
1,885
not evaluable
Neonatal disorders
Low Apgar score (< 7) (at 5 min)
Calderon-Margalit, 2009 Marks (Controls exposed to Bupropion), 2021 Martin, 2024
3
1.99
[
1.10
; 3.61]
31,275
5,910
not evaluable
Neonatal medical care
Calderon-Margalit, 2009 Marks (Controls exposed to Bupropion), 2021
2
1.61
[
0.59
; 4.41]
124
141
not evaluable
Persistent pulmonary hypertension
Bérard a, 2017 Marks (Controls exposed to Bupropion), 2021
2
0.89
[
0.13
; 6.37]
249
551
not evaluable
Withdrawal syndrome / Neonatal abstinence syndrome / Poor neonatal adaptation
Marks (Controls unexposed, sick), 2021
1
3.95
[
1.74
; 8.97]
-
57
not evaluable
Jaundice / Icterus
Marks (Controls exposed to Bupropion), 2021
1
0.86
[
0.49
; 1.51]
81
132
not evaluable
Neonatal tachypnea
Marks (Controls exposed to Bupropion), 2021
1
2.36
[
1.34
; 4.13]
59
132
not evaluable
Intrauterine deaths
Early intrauterine deaths (< 22 weeks) / Spontaneous abortions
Einarson, 2001 Yaris, 2005 Nakhai-Pour, 2010 Kjaersgaard (Controls unexposed, sick), 2013 Te Winkel, 2016 Ozturk, 2016 Richardson, 2019
7
1.73
[
1.42
; 2.11]
5,494
1,147
not evaluable
Elective/induced termination of pregnancy
Kieler, 2015 Ozturk, 2016 Te Winkel, 2016 Richardson, 2019
4
1.97
[
1.19
; 3.26]
15,124
1,026
not evaluable
Late intrauterine deaths (> 22 weeks) / Stillbirths
Te Winkel, 2016 Richardson, 2019
2
1.51
[
0.53
; 4.28]
23
946
not evaluable
Therapeutic terminations of pregnancy
Einarson, 2001 Kieler, 2015
2
2.39
[
1.25
; 4.55]
9
150
not evaluable
Neuro-developmental disorders
ASD (Autism spectrum disorder): Diagnosis
Rai (Controls unexposed, sick), 2017 Heuvelman, 2023
2
1.60
[
1.00
; 2.57]
364
1,031
not evaluable
ASD (Autism spectrum disorder): Diagnosis/Risk
Rai (Controls unexposed, sick), 2017 Heuvelman, 2023
2
1.60
[
1.00
; 2.57]
364
1,031
not evaluable
Cognitive developmental disorders/delay (3-6 years old)
Nulman (Controls unexposed, sick), 2012
1
1.47
[
0.76
; 2.85]
-
62
not evaluable
Language disorders/delay
Nulman (Controls unexposed, sick), 2012
1
1.49
[
0.77
; 2.89]
-
62
not evaluable
ADHD (Attention deficit hyperactivity disorder): Diagnosis
Heuvelman, 2023
1
0.97
[
0.48
; 1.96]
-
818
not evaluable
ADHD (Attention deficit hyperactivity disorder): Diagnosis/Risk
Heuvelman, 2023
1
0.97
[
0.48
; 1.96]
-
818
not evaluable
Cognitive developmental disorders/delay (> 6 years old)
Heuvelman, 2023
1
0.99
[
0.33
; 2.95]
-
818
not evaluable
Severe cognitive developmental delay (Mental retardation) (> 6 years old)
Heuvelman, 2023
1
0.99
[
0.33
; 2.95]
-
818
not evaluable
0.0
50.0
1.0