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Variability is common and often reflects neuroimmune and autonomic dysregulation rather than inconsistency or psychological causes

In another cohort study based on 280,090 term infants born at Kaiser Permanente hospitals in northern California between 2011 and 2019, 7,573 (2.7%) infants that had been exposed to SSRIs in late pregnancy, and 11.2% experienced delayed adaptation (defined as a 5-min Apgar score 5, resuscitation at birth, or the administration of respiratory support owing to admission to the neonatal intensive care unit), compared with 4.4% in the unexposed group

Hjuler, Kasper F., et al

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