How Medicines Affect Pregnancy: At Last, a Study
FDA, HMOs to Analyze Medication Effects on 1 Million U.S. Births
Dec. 31, 2009 -- How do common medications affect pregnancy? To the chagrin of
women trying to decide whether they must forego helpful medicines during
pregnancy, nobody really knows.
Now -- at long last -- the FDA and a consortium of HMOs have launched a huge
set of studies to find out.
"These data will guide regulatory policy and influence medical practice,"
FDA Commissioner Margaret Hamburg, MD, says in a news release.
Two out of three pregnant women in the U.S. take some kind of medicine
during pregnancy. Yet very few drugs are tested in pregnant women.
What data now exists comes from two sources:
- Pregnancy registries, mostly maintained by drug makers, that collect
reports from pregnant women using various medications.
- Animal studies. However, drugs may be safer or more dangerous to humans
than to the animals used in the studies.
Now comes the Medication Exposure in Pregnancy Risk Evaluation Program
(MEPREP). The program is a collaboration between the FDA, Kaiser Permanente,
Vanderbilt University (using Tennessee Medicaid data), and a consortium of HMOs
called the HMO Research Network Center for Education and Research in
Therapeutics (managed by Harvard University).
The study will analyze health care data on about 1 million U.S. births from
2001 to 2007. The idea is to gather information on all medications prescribed
for pregnant women and to look for health effects and birth outcomes.
"Results of these studies will provide valuable information for patients and
physicians when making decisions about medication during pregnancy," Gerald Dal
Pan, MD, director of the Office of Surveillance and Epidemiology at the FDA’s
Center for Drug Evaluation and Research, says in the news release.
Until the data become available, women and their doctors will have to make
their own decisions on whether a drug provides enough of a benefit to pregnant
women to override concerns about possible risk.
To help women make these decisions, the Department of Health and Human
Services maintains a web site detailing what is and
isn't known about the use of medications during pregnancy.
The FDA maintains a list of
pregnancy registries for pregnant women to report their medication
WebMD maintains a list of medications generally considered safe to
take during pregnancy.