Antidepressants during pregnancy: Guideline adherence and current practice amongst Dutch gynaecologists and midwives.

摘要: Background and objectives: prescription rates of antidepressants during pregnancy range from 2–3% in The Netherlands to 6.2% the USA. Inconclusive evidence about harms benefits leads variation advice given by gynaecologists midwives. objective was investigate familiarity with, adherence Dutch multidisciplinary guideline on Selective Serotonin Reuptake Inhibitor (SSRI) use midwives Netherlands. Methods: an online survey developed send consisted mainly multiple-choice questions addressing current practice respondent. Also, caregiver characteristics associated with were investigated. Findings: a total 178 139 responded. Overall 92.7%. However, patients caregivers differed substantially, both between as well within professions. 13.9%. Multivariable logistic regression showed that solely profession adherence, having higher rate (OR 2.10, 95%CI 1.02–4.33) than Key conclusion: although reported is high, low, possibly resulting inconsistent guidelines unwanted practice. Implications for practice: further implementation recommendations should be stimulated. Additional research needed examine how can facilitated follow clinical SSRI pregnancy.