Table 2

Maternal characteristics at the start of pregnancy, by ASM exposure status

VariableTotalUnexposed to ASMs in first trimester, n (%)First-trimester ASM exposure, n (%)
1 023 787 (100.0)1 015 955 (100.0)7832 (100.0)
Age in years<1838 216 (3.7)38 055 (3.7)161 (2.1)
18–24231 835 (22.6)230 299 (22.7)1536 (19.6)
25–29265 563 (25.9)263 527 (25.9)2036 (26.0)
30–34285 357 (27.9)283 181 (27.9)2176 (27.8)
≥35202 816 (19.8)200 893 (19.8)1923 (24.6)
ASM indication* (women could have multiple indications, thus contribute to several groups)Epilepsy13 234 (1.3)8509 (64.3)4725 (35.70)
Bipolar and other psychiatric370 043 (36.1)365 041 (98.7)5002 (1.3)
Other somatic134 475 (13.1)132 162 (98.3)2313 (1.7)
No recorded indication587 261 (57.4)587 053 (99.9)208 (0.1)
IMD quintile1 (least deprived)194 057 (19.0)192 854 (19.0)1203 (15.4)
2178 762 (17.5)177 569 (17.5)1193 (15.2)
3196 900 (19.2)195 515 (19.2)1385 (17.7)
4208 567 (20.4)206 804 (20.4)1763 (22.5)
5 (most deprived)245 501 (24.0)243 213 (23.9)2288 (29.2)
EthnicityWhite645 744 (63.1)640 775 (63.1)4969 (63.4)
South Asian32 858 (3.2)32 708 (3.2)150 (1.9)
Black17 869 (1.7)17 792 (1.8)77 (1.0)
Other11 580 (1.1)11 514 (1.1)66 (0.8)
Mixed6950 (0.7)6911 (0.7)39 (0.5)
Not stated308 786 (30.2)306 255 (30.1)2531 (32.3)
Year of pregnancy start1995–2000136 079 (13.3)135 396 (13.3)683 (8.7)
2001–2005245 206 (24.0)243 880 (24.0)1326 (16.9)
2006–2010305 563 (29.8)303 521 (29.9)2042 (26.1)
2011–2015249 123 (24.3)246 697 (24.3)2426 (31.0)
2016–201887 816 (8.6)86 461 (8.5)1355 (17.3)
Smoking statusNon-smoker415 837 (40.6)413 174 (40.7)2663 (34.0)
Current smoker307 607 (30.0)304 712 (30.0)2895 (37.0)
Ex-smoker245 838 (24.0)243 786 (24.0)2052 (26.2)
Not stated54 505 (5.3)54 283 (5.3)222 (2.8)
BMIUnderweight32 972 (3.2)32 729 (3.2)243 (3.1)
Normal weight463 975 (45.3)461 062 (45.4)2913 (37.2)
Overweight239 081 (23.4)237 260 (23.4)1821 (23.3)
Obese182 915 (17.9)180 703 (17.8)2212 (28.2)
Not stated104 844 (10.2)104 201 (10.3)643 (8.2)
Problem drinking10 176 (1.0)10 017 (1.0)159 (2.0)
Illicit drug use2294 (0.2)2182 (0.2)112 (1.4)
Primary care consultations†083 181 (8.1)82 986 (8.2)195 (2.5)
1–3271 949 (26.6)271 424 (26.7)525 (6.7)
4–10439 136 (42.9)436 788 (43.0)2348 (30.0)
>10229 521 (22.4)224 757 (22.1)4764 (60.8)
Other prescriptions†Antipsychotics808 (0.1)754 (0.1)54 (0.7)
Antidepressants114 288 (11.2)111 534 (11.0)2754 (35.2)
Multivitamins603 (0.1)591 (0.1)12 (0.2)
Folic acid268 760 (26.3)263 859 (26.0)4901 (62.6)
Previous miscarriage100 302 (9.8)99 482 (9.8)820 (10.5)
  • *Bipolar disorder and other psychiatric conditions (generalised anxiety disorder, depression and schizophrenia), other somatic conditions (neuropathic pain, restless leg syndrome and migraine).

  • †In year before pregnancy.

  • ASM, antiseizure medication; BMI, body mass index; IMD, Index of Multiple Deprivation.