Maternal demographic patterns in medication use in pregnancy: a Danish
nationwide register study
Abstract
Aim More women than ever before use medication during pregnancy. This
use of medications is associated with maternal demographic
characteristics, but the nature of the associations is not well
documented, especially in relation to polypharmacy. This study describes
the medication use during pregnancy in relation to maternal age, Body
Mass Index (BMI), smoking, parity, ethnic origin, and socioeconomic
classification. Methods This was a Danish nationwide registry study
comprising 698,447 clinically recognised pregnancies with gestational
age ≥ 10 weeks. This study was conducted in the 2008-2018 period.
Medication use was estimated based on the prescription redemption during
pregnancy and stratified by maternal demographic characteristics.
Results Overall, 60.3% of all pregnant women redeemed at least one
prescription during pregnancy, and 28.9% redeemed multiple medications.
When stratified by maternal demographic characteristics, use of
medication was higher among women aged ≥35 years (65.1%), those with a
BMI ≥ 30 kg/m2 (68.6%), smokers (66.0%), multipara (62.4%), Black
women (64.5%), and those on early retirement (78.8%). A similar
pattern was seen for polypharmacy. Anti-infectives were the most
frequently used medication in all subgroups. The types of medications
used in combination differed with maternal age, BMI, ethnicity, and
socioeconomic classification; especially women on early retirement had a
different combination pattern. Conclusion Use of one or multiple
medications during pregnancy was highest among women above 35 years of
age, women with obesity, smokers, Black women, and early retirees. Early
retirees had a distinct prescription pattern, which potentially
increased their risk of teratogenicity and maternal adverse effects.