Using insurance claims data to identify and estimate critical periods in pregnancy: An application to antidepressants.

ABSTRACT:

Background

Health insurance claims are a rich data source to examine medication use in pregnancy. Our objective was to identify pregnant women, their pregnancy outcomes, and date of their last menstrual period (LMP), and to estimate antidepressant dispensations in pregnancy.

Methods

From a literature search, we identified diagnosis and procedure codes indicating the end of a pregnancy. Using Truven Health MarketScan^® Commercial Claims and Encounters Databases, we identified all inpatient admissions and outpatient service claims with these codes. We developed an algorithm to assign: (1) pregnancy outcome (ectopic pregnancy, induced or spontaneous abortion, live birth, or stillbirth), and (2) estimated gestational age, to each inpatient or outpatient visit. For each

SUBMITTER: Ailes EC 

PROVIDER: S-EPMC5225464 | biostudies-literature | 2016 Nov

REPOSITORIES: biostudies-literature