Part IV: “Please don’t forget about me”: Antidepressants and birth defects
Last February, Dr. Bérard and her colleagues published an updated analysis of the Quebec Pregnancy Cohort data. Between 1998 and 2009, the rate of antidepressant use during pregnancy for the study population doubled, from 2.1% to 4.3%. During that same period, the rate of major congenital malformations increased by more than 50%, and the rate of maternal depression went up slightly as well.
In addition, the study once again confirmed the link between paroxetine and heart defects, finding that the drug was associated with a nearly 50% rise in the rate of major cardiac malformations. The study also showed that venlafaxine, the active ingredient in Effexor (the drug that Christiane took during her pregnancies) more than doubled the incidence of major respiratory defects (which two of Christiane and Amery’s children suffered from).
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