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Amitriptyline
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)
Ozturk, 2016 Anderson, 2020 Chan (Controls unexposed, general pop), 2024
3
1.36
[
0.74
; 2.49]
53,273
176
not evaluable
Major congenital malformations
Ozturk, 2016 Anderson, 2020 Chan (Controls unexposed, general pop), 2024
3
1.36
[
0.74
; 2.49]
53,273
176
not evaluable
Congenital heart defects
Chan (Controls unexposed, general pop), 2024
1
2.32
[
0.93
; 5.80]
8,112
148
not evaluable
Growth parameters and prematurity
Preterm (< 37 weeks)
Ozturk, 2016 Martin, 2024 Lee (Controls unexposed, general pop), 2025
3
1.31
[
1.12
; 1.53]
148,934
5,078
not evaluable
Small for gestational age (weight)
Martin, 2024 Lee (Controls unexposed, general pop), 2025
2
1.00
[
0.90
; 1.11]
236,492
4,160
not evaluable
Large for gestational age (weight)
Lee (Controls unexposed, general pop), 2025
1
0.13
[
0.02
; 0.87]
9,745
301
not evaluable
Low birth weight (< 2500g)
Lee (Controls unexposed, general pop), 2025
1
1.11
[
0.76
; 1.62]
31,378
301
not evaluable
Maternal consequences
Postpartum hemorrhage
Palmsten b, 2013 Lee (Controls unexposed, general pop), 2025
2
1.12
[
0.52
; 2.40]
21,655
477
not evaluable
Assisted deliveries (forceps, vacuum, ...)
Lee (Controls unexposed, general pop), 2025
1
0.78
[
0.51
; 1.20]
46,059
301
not evaluable
Caesarean
Lee (Controls unexposed, general pop), 2025
1
1.10
[
0.86
; 1.40]
111,735
301
not evaluable
Maternal consequences (as a whole)
Lee (Controls unexposed, general pop), 2025
1
1.15
[
0.88
; 1.50]
311,322
301
not evaluable
Preeclampsia
Palmsten a (Controls unexposed, sick), 2013
1
1.72
[
1.24
; 2.39]
3,246
271
not evaluable
Gestational diabetes
Dandjinou, 2019
1
1.52
[
1.25
; 1.84]
20,905
886
not evaluable
Neonatal disorders
Low Apgar score (< 7) (at 5 min)
Martin, 2024 Lee (Controls unexposed, general pop), 2025
2
1.35
[
0.54
; 3.40]
32,772
3,200
not evaluable
Low Apgar score (< 7) (at 1 min)
Lee (Controls unexposed, general pop), 2025
1
1.47
[
0.90
; 2.41]
14,900
301
not evaluable
Neonatal death (< 28 days of life)
Lee (Controls unexposed, general pop), 2025
1
1.23
[
0.08
; 19.69]
627
301
not evaluable
Neonatal disorders (as a whole)
Lee (Controls unexposed, general pop), 2025
1
1.36
[
1.08
; 1.71]
161,554
301
not evaluable
Neonatal medical care
Lee (Controls unexposed, general pop), 2025
1
0.95
[
0.47
; 1.92]
8,574
301
not evaluable
Long term consequences
Child/Infant death (> 28 days of life)
Lee (Controls unexposed, general pop), 2025
1
5.91
[
0.37
; 95.17]
130
301
not evaluable
Intrauterine deaths
Early intrauterine deaths (< 22 weeks) / Spontaneous abortions
Yaris, 2005 Kjaersgaard, 2013 Ozturk, 2016
3
1.65
[
1.37
; 2.00]
24
31
not evaluable
Elective/induced termination of pregnancy
Ozturk, 2016
1
2.57
[
0.13
; 52.07]
14
4
not evaluable
Neuro-developmental disorders
ADHD (Attention deficit hyperactivity disorder): Diagnosis
Heuvelman, 2023
1
1.74
[
1.00
; 3.03]
-
1,040
not evaluable
ADHD (Attention deficit hyperactivity disorder): Diagnosis/Risk
Heuvelman, 2023
1
1.74
[
1.00
; 3.03]
-
1,040
not evaluable
ASD (Autism spectrum disorder): Diagnosis
Heuvelman, 2023
1
2.02
[
1.32
; 3.10]
-
1,040
not evaluable
ASD (Autism spectrum disorder): Diagnosis/Risk
Heuvelman, 2023
1
2.02
[
1.32
; 3.10]
-
1,040
not evaluable
Cognitive developmental disorders/delay (> 6 years old)
Heuvelman, 2023
1
1.00
[
0.39
; 2.57]
-
1,040
not evaluable
Severe cognitive developmental delay (Mental retardation) (> 6 years old)
Heuvelman, 2023
1
1.00
[
0.39
; 2.57]
-
1,040
not evaluable
0.0
100.0
1.0