{"id":"https://openalex.org/W7225254740","doi":"https://doi.org/10.30773/pi.2026.0216","title":"Pregnancy Risk Information Systems for Psychotropic Medications: A Practical Review for Clinical Decision-Making","display_name":"Pregnancy Risk Information Systems for Psychotropic Medications: A Practical Review for Clinical Decision-Making","publication_year":2026,"publication_date":"2026-11-05","ids":{"openalex":"https://openalex.org/W7225254740","doi":"https://doi.org/10.30773/pi.2026.0216"},"language":"en","primary_location":{"id":"doi:10.30773/pi.2026.0216","doi":"https://doi.org/10.30773/pi.2026.0216","is_oa":true,"landing_page_url":"https://doi.org/10.30773/pi.2026.0216","pdf_url":null,"source":{"id":"https://openalex.org/S121704485","display_name":"Psychiatry Investigation","issn_l":"1738-3684","issn":["1738-3684","1976-3026"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","kci-registered","ki-jl-1","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4365920587","host_organization_name":"Korean Neuropsychiatric Association","host_organization_lineage":["https://openalex.org/P4365920587"],"host_organization_lineage_names":["Korean Neuropsychiatric Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psychiatry Investigation","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.30773/pi.2026.0216","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103040251","display_name":"Jin Ho Kim","orcid":"https://orcid.org/0000-0002-8771-2179","observed_orcids":["https://orcid.org/0000-0002-8771-2179"]},"institutions":[{"id":"https://openalex.org/I139264467","display_name":"Seoul National University","ror":"https://ror.org/04h9pn542","country_code":"KR","type":"education","lineage":["https://openalex.org/I139264467"]},{"id":"https://openalex.org/I2802835388","display_name":"Seoul National University Hospital","ror":"https://ror.org/01z4nnt86","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I139264467","https://openalex.org/I2802835388"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Jin Ho Kim","raw_affiliation_strings":["Department of Psychiatry, Seoul National University Hospital, Seoul, Republic of Korea"],"raw_orcid":"https://orcid.org/0000-0002-8771-2179","affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Seoul National University Hospital, Seoul, Republic of Korea","institution_ids":["https://openalex.org/I139264467","https://openalex.org/I2802835388"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101833483","display_name":"Se Hyun Kim","orcid":"https://orcid.org/0000-0001-7078-2835","observed_orcids":["https://orcid.org/0000-0001-7078-2835","https://orcid.org/0000-0002-8845-5186"]},"institutions":[{"id":"https://openalex.org/I139264467","display_name":"Seoul National University","ror":"https://ror.org/04h9pn542","country_code":"KR","type":"education","lineage":["https://openalex.org/I139264467"]},{"id":"https://openalex.org/I2802835388","display_name":"Seoul National University Hospital","ror":"https://ror.org/01z4nnt86","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I139264467","https://openalex.org/I2802835388"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Se Hyun Kim","raw_affiliation_strings":["Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea","Department of Psychiatry, Seoul National University Hospital, Seoul, Republic of Korea"],"raw_orcid":"https://orcid.org/0000-0001-7078-2835","affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea","institution_ids":["https://openalex.org/I139264467"]},{"raw_affiliation_string":"Department of Psychiatry, Seoul National University Hospital, Seoul, Republic of Korea","institution_ids":["https://openalex.org/I139264467","https://openalex.org/I2802835388"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.8820951,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"23","issue":"11","first_page":"1367","last_page":"1379"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11964","display_name":"Pregnancy and Medication Impact","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11964","display_name":"Pregnancy and Medication Impact","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10786","display_name":"Maternal Mental Health During Pregnancy and Postpartum","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12229","display_name":"Pharmacological Effects and Toxicity Studies","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7631000280380249},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.6909999847412109},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.5436999797821045},{"id":"https://openalex.org/C2780733359","wikidata":"https://www.wikidata.org/wiki/Q331769","display_name":"Mood","level":2,"score":0.525600016117096},{"id":"https://openalex.org/C2777134132","wikidata":"https://www.wikidata.org/wiki/Q188638","display_name":"Mood disorders","level":3,"score":0.4375999867916107},{"id":"https://openalex.org/C2777688143","wikidata":"https://www.wikidata.org/wiki/Q179399","display_name":"Infertility","level":3,"score":0.42730000615119934},{"id":"https://openalex.org/C518429986","wikidata":"https://www.wikidata.org/wiki/Q964401","display_name":"Fertility","level":3,"score":0.3813999891281128},{"id":"https://openalex.org/C3017736306","wikidata":"https://www.wikidata.org/wiki/Q3706669","display_name":"Psychotropic medication","level":3,"score":0.3644999861717224},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3328000009059906},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3296000063419342},{"id":"https://openalex.org/C2993714069","wikidata":"https://www.wikidata.org/wiki/Q3706669","display_name":"Psychotropic drug","level":3,"score":0.3149999976158142},{"id":"https://openalex.org/C2780616385","wikidata":"https://www.wikidata.org/wiki/Q1385411","display_name":"Extrapyramidal symptoms","level":4,"score":0.313400000333786},{"id":"https://openalex.org/C2779083892","wikidata":"https://www.wikidata.org/wiki/Q6692979","display_name":"Low birth weight","level":3,"score":0.3050000071525574},{"id":"https://openalex.org/C2775887326","wikidata":"https://www.wikidata.org/wiki/Q3308829","display_name":"Prenatal care","level":3,"score":0.28529998660087585},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.28200000524520874},{"id":"https://openalex.org/C2992232542","wikidata":"https://www.wikidata.org/wiki/Q20862341","display_name":"Maternity care","level":3,"score":0.26510000228881836},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.2612999975681305},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.257099986076355},{"id":"https://openalex.org/C3019607859","wikidata":"https://www.wikidata.org/wiki/Q727096","display_name":"Congenital malformations","level":3,"score":0.2565999925136566},{"id":"https://openalex.org/C2776674806","wikidata":"https://www.wikidata.org/wiki/Q12135","display_name":"Mental illness","level":3,"score":0.2529999911785126}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.30773/pi.2026.0216","doi":"https://doi.org/10.30773/pi.2026.0216","is_oa":true,"landing_page_url":"https://doi.org/10.30773/pi.2026.0216","pdf_url":null,"source":{"id":"https://openalex.org/S121704485","display_name":"Psychiatry Investigation","issn_l":"1738-3684","issn":["1738-3684","1976-3026"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","kci-registered","ki-jl-1","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4365920587","host_organization_name":"Korean Neuropsychiatric Association","host_organization_lineage":["https://openalex.org/P4365920587"],"host_organization_lineage_names":["Korean Neuropsychiatric Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psychiatry Investigation","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.30773/pi.2026.0216","doi":"https://doi.org/10.30773/pi.2026.0216","is_oa":true,"landing_page_url":"https://doi.org/10.30773/pi.2026.0216","pdf_url":null,"source":{"id":"https://openalex.org/S121704485","display_name":"Psychiatry Investigation","issn_l":"1738-3684","issn":["1738-3684","1976-3026"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","kci-registered","ki-jl-1","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4365920587","host_organization_name":"Korean Neuropsychiatric Association","host_organization_lineage":["https://openalex.org/P4365920587"],"host_organization_lineage_names":["Korean Neuropsychiatric Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psychiatry Investigation","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Objective":[0],"This":[1],"review":[2],"aimed":[3],"to":[4,31],"summarize":[5],"pregnancy":[6,202],"risk":[7,28,125],"information":[8,29,50],"systems":[9,84],"for":[10,127],"psychotropic":[11,69],"medications":[12],"and":[13,59,88,92,104,123,132,141,145,158,179,219,222],"recent":[14,65],"evidence":[15,67,184,214],"on":[16,68,75],"reproductive":[17,42,48],"safety,":[18],"with":[19,38,64,117,138,150,169],"the":[20,56,60,101,105,177,223],"goal":[21],"of":[22,26,41,176,196,225],"improving":[23],"clinicians\u2019":[24],"awareness":[25],"drug-specific":[27,211],"relevant":[30],"individualized":[32,207],"clinical":[33,89],"decision-":[34],"making":[35],"in":[36,86],"women":[37],"psychiatric":[39,227],"disorders":[40],"age.Methods":[43],"We":[44],"narratively":[45],"reviewed":[46],"official":[47],"safety":[49,71,212],"resources":[51],"from":[52,99],"Australia,":[53],"Europe,":[54,100],"Korea,":[55],"United":[57,61,102,106],"Kingdom,":[58,103],"States,":[62],"together":[63],"umbrella-review":[66,183],"medication":[70,199],"during":[72,201],"pregnancy.":[73],"Information":[74],"selected":[76,128],"agents":[77],"was":[78],"organized":[79],"by":[80,206],"drug":[81],"class.Results":[82],"National":[83],"differed":[85],"structure":[87],"utility.":[90],"Australia":[91],"Korea":[93],"retain":[94],"category-based":[95],"elements,":[96],"whereas":[97],"sources":[98],"States":[107],"provide":[108],"more":[109,135],"descriptive,":[110],"context-based":[111],"information.":[112],"Antipsychotics":[113],"were":[114,134,147,167],"mainly":[115,148],"associated":[116,137,149,168],"neonatal":[118,151,170],"extrapyramidal":[119],"or":[120,163,193],"withdrawal":[121,159],"symptoms":[122,160],"metabolic":[124],"signals":[126],"agents.":[129],"Mood":[130],"stabilizers":[131],"anticonvulsants":[133],"strongly":[136],"congenital":[139],"malformations":[140],"neurodevelopmental":[142],"disorders.":[143],"Benzodiazepines":[144],"hypnotics":[146],"sedation,":[152],"respiratory":[153],"depression,":[154],"hypotonia,":[155],"feeding":[156],"difficulties,":[157],"after":[161],"late-pregnancy":[162],"labor":[164],"exposure.":[165],"Antidepressants":[166],"adaptation":[171],"symptoms,":[172],"persistent":[173],"pulmonary":[174],"hypertension":[175],"newborn,":[178],"postpartum":[180],"hemorrhage.":[181],"Recent":[182],"showed":[185],"that":[186],"most":[187],"reported":[188],"associations":[189],"remained":[190],"at":[191],"suggestive":[192],"weak":[194],"levels":[195],"evidence.Conclusion":[197],"Psychotropic":[198],"use":[200],"should":[203],"be":[204],"guided":[205],"risk\u2013benefit":[208],"assessment,":[209],"integrating":[210],"signals,":[213],"quality,":[215],"exposure":[216],"timing,":[217],"lactation":[218],"fertility":[220],"considerations,":[221],"risks":[224],"untreated":[226],"illness.":[228]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-11-05T00:00:00"}
