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Table 3 Top ten common medication pairs that were prescribed among all pregnancies and pregnancies of women with multimorbidity during first trimester and the entire pregnancy

From: Polypharmacy during pregnancy and associated risk factors: a retrospective analysis of 577 medication exposures among 1.5 million pregnancies in the UK, 2000-2019

Period

All pregnancies

Pregnancies of women with multimorbidity

Top 10 pairwise combinations prescribed

Top 10 pairwise combinations prescribed

Top 10 pairwise combinations prescribed for two different long-term conditions

Combinations of medication categories

% of pregnancies prescribed

Combinations of medication categories

% of pregnancies prescribed

Combinations of medication categories

% of pregnancies prescribed

First trimester

(n=812,354)

(n=139,471)

Corticosteroids (for respiratory conditions)

1.2%

Corticosteroids (for respiratory conditions)

3.4%

Selective serotonin re-uptake inhibitors (SSRIs)

1.8%

Selective beta 2 agonists

Selective beta 2 agonists

Selective beta 2 agonists

Broad-spectrum penicillins

0.8%

Selective serotonin re-uptake inhibitors (SSRIs)

2.2%

Topical corticosteroids

1.4%

Preparations for vaginal and vulval candidiasis

Non-opioid and compound analgesics

Selective beta 2 agonists

Broad-spectrum penicillins

0.8%

Broad-spectrum penicillins

2.1%

Corticosteroids used in nasal allergy

1.3%

Non-opioid and compound analgesics

Selective beta 2 agonists

Selective beta 2 agonists

Broad-spectrum penicillins

0.7%

Selective serotonin re-uptake inhibitors (SSRIs)

1.8%

Non-sedating antihistamines

1.3%

Selective beta 2 agonists

Selective beta 2 agonists

Selective beta 2 agonists

Emollient skin preparations

0.6%

Broad-spectrum penicillins

1.8%

Proton pump inhibitors

1.1%

Topical corticosteroids

Selective serotonin re-uptake inhibitors (SSRIs)

Selective serotonin re-uptake inhibitors (SSRIs)

Non-opioid and compound analgesics

0.5%

Broad-spectrum penicillins

1.7%

Selective serotonin re-uptake inhibitors (SSRIs)

1.0%

Non-steroidal anti-inflammatory drugs

Non-opioid and compound analgesics

Topical corticosteroids

Non-opioid and compound analgesics selective

0.5%

Non-opioid and compound analgesics

1.5%

Corticosteroids in chronic bowel problems

1.0%

Serotonin re-uptake inhibitors (SSRIs)

Selective beta 2 agonists

Selective beta 2 agonists

Compound alginate preparations

0.5%

Broad-spectrum penicillins

1.5%

Selective serotonin re-uptake inhibitors (SSRIs)

0.8%

Non-opioid and compound analgesics

Preparations for vaginal and vulval candidiasis

Thyroid hormones

Broad-spectrum penicillins

0.4%

Emollient skin preparations

1.4%

Non-sedating antihistamines

0.7%

Selective serotonin re-uptake inhibitors (SSRIs)

Topical corticosteroids

Selective serotonin re-uptake inhibitors (SSRIs)

Non-opioid and compound analgesics

0.4%

Selective beta 2 agonists

1.4%

Emollient skin preparations

0.7%

Preparations for vaginal and vulval candidiasis

Topical corticosteroids

Selective beta 2 agonists

Entire pregnancy

(n=774,247)

 

(n=132,391)

Compound alginate preparations

7.2%

Compound alginate preparations

9.7%

Selective beta 2 agonists

3.7%

Oral iron

Oral iron

Topical corticosteroids

Broad-spectrum penicillins

6.7%

Broad-spectrum penicillins

9.5%

Selective beta 2 agonists

3.2%

Oral iron

Oral iron

Selective serotonin re-uptake inhibitors (SSRIs)

Oral iron

6.4%

Oral iron

8.9%

Corticosteroids used in nasal allergy

3.1%

Preparations for vaginal and vulval candidiasis

Preparations for vaginal and vulval candidiasis

Selective beta 2 agonists

Broad-spectrum penicillins

5.2%

Broad-spectrum penicillins

8.5%

Selective serotonin re-uptake inhibitors (SSRIs)

2.3%

Preparations for vaginal and vulval candidiasis

Preparations for vaginal and vulval candidiasis

Topical corticosteroids

Compound alginate preparations

4.7%

Broad-spectrum penicillins

7.8%

Corticosteroids in chronic bowel problems

2.3%

Preparations for vaginal and vulval candidiasis

Compound alginate preparations

Selective beta 2 agonists

Broad-spectrum penicillins

4.7%

Non-opioid and compound analgesics

7.7%

Non-sedating antihistamines

2.2%

Compound alginate preparations

Oral iron

Selective beta 2 agonists

Non-opioid and compound analgesics

4.6%

Compound alginate preparations

7.5%

Emollient skin preparations

2.1%

Oral iron

Preparations for vaginal and vulval candidiasis

Selective beta 2 agonists

Broad-spectrum penicillins

3.9%

Broad-spectrum penicillins

7.4%

Proton pump inhibitors

1.8%

Non-opioid and compound analgesics

Non-opioid and compound analgesics

Selective serotonin re-uptake inhibitors (SSRIs)

Compound alginate preparations

3.7%

Broad-spectrum penicillins

7.1%

Corticosteroids (for respiratory conditions)

1.7%

Non-opioid and compound analgesics

Selective beta 2 agonists

Topical corticosteroids

Non-opioid and compound analgesics

3.2%

Compound alginate preparations

7.0%

Corticosteroids used in nasal allergy

1.6%

Preparations for vaginal and vulval candidiasis

Non-opioid and compound analgesics

Topical corticosteroids

  1. NB: Women with complete follow-up throughout the first trimester and through the entire pregnancy were included in the respective cohorts. Medications are presented as CPRD-specific BNF medication categories. Combinations of medications that were considered to be prescribed for multimorbidity are medications that were used for the long-term physical or mental health conditions defined in our list of 79 conditions