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Is fluoxetine (Prozac) safe for pregnant women? These researchers compared birth outcomes among 228 women who took this antidepressant during pregnancy with those in 254 pregnant controls who had no obvious teratogenic exposures. All the women had called a teratogen information service in California; 30% of fluoxetine users were taking other psychotherapeutic drugs.
Rates of major structural anomalies in infants were similar for the fluoxetine and control groups (5.5% vs. 4%). However, fluoxetine users were significantly more likely to have an infant with three or more minor structural abnormalities (15.5% vs. 6.5%). Infants whose mothers used fluoxetine during the third trimester had a significantly increased risk for premature delivery, ad…