Disputation: Lene Maria Sundbakk

Doctoral candidate Lene Maria Sundbakk at the Department of Pharmacy, Faculty of Mathematics and Natural Sciences, is  defending the thesis "Benzodiazepines and z-hypnotics in pregnancy and child neurodevelopment - With focus on causal inference methods in perinatal pharmacoepidemiology" for the degree of Philosophiae Doctor.

Lene Maria Sundbakk

Trial lecture - time and place

02.06.2023, 10.15, Auditorium 2, Helga Eng

Nonadherence to and discontinuation of chronic psychotropic medications in pregnancy: prevalence and implications for mother and infants

Conferral summary

Denne avhandlingen undersøkte om mors bruk av angstdempende medisin og sovemedisin i svangerskapet kan påvirke barnets nevroutvikling. Resultatene antydet at barn som var eksponert for angstdempende medisin eller sovemedisin i svangerskapet hadde ingen økt risiko for atferdsproblemer, ADHD eller dårligere skoleprestasjoner, sammenlignet med barn som ikke var eksponert. Funnene i denne avhandlingen er betryggende for gravide kvinner med behov for disse medisinene.

Main research findings

Can treatment with benzodiazepines and z-hypnotics during pregnancy affect the unborn child’s brain development? Benzodiazepines and z-hypnotics are medications mainly prescribed to treat anxiety disorders and insomnia. Globally, around 2% of pregnant women are prescribed benzodiazepines and z-hypnotics. Yet, our knowledge about the long-term safety for the unborn child is limited. Therefore, this thesis focused on increasing our knowledge of the safety of benzodiazepine and z-hypnotic use during pregnancy on children’s behavior problems, ADHD and school performance. The results indicated no increased risk of behavior problems in 5-year-old children, and suggested that exposure according to timing and duration do not affect childhood ADHD. However, for the potential of an effect of long-term use, more studies are needed. Lastly, the findings did not suggest any effects of mothers starting treatment with benzodiazepines and z-hypnotics at different time points during pregnancy on the children’s performance in standardized 5th grade tests. Overall, the findings provide reassurance for pregnant women in need of benzodiazepines and z-hypnotics. However, the findings must be interpreted with caution due to low study samples, which limited the statistical precision.

Read more (in Norwegian)

 

Published May 16, 2023 10:00 AM - Last modified May 22, 2023 8:35 AM