Skip to main content

Table 1 Case-control studies reporting on the association of ARM and the maternal use of medical drugs

From: Maternal drug use and the risk of anorectal malformations: systematic review and meta-analysis

 

Study population

 

No. participants

Ref.

First author, year

Country

Cases

Controls

Age range

Setting, control type

Data acquisition (period)

Assessed medical drug(s)

[28]

Zwink, 2016

Germany

158

474a

< 18 - ≥30

population-based,

no major birth defects

Data from the German Network for congenital uro-rectal malformations and Malformation Monitoring Centre Saxony-Anhalt of the Otto-von-Guericke University in Magdeburg (2009–2011)

Folic acid, multivitamins

[52]

Furu, 2015

Norway

799

2,303,647

≤24 - ≥45

population-based, all births

Data from nationwide Nordic health registers (Denmark, Finland, Iceland, Norway, Sweden) (1996–2010)

Antidepressants (any SSRI, citalopram,

sertraline)

[73]

Garne, 2015

Denmark

772

265c

53,402

< 25 - ≥40

population-based,

non-chromosomal and

chromosol anomalies

Data from the EUROmediCAT registries

(1995–2010)

Anti-asthma medication (any asthma

medication, inhaled ß2-agonists, inhaled corticosteroids)

[50]

Wemakor, 2015

UK

392

2,177,977

N.A.

registry-based,

other congenital

malformations

Data from 12 EUROCAT congenital anomalies registries (1995–2009)

Antidepressants (any SSRI, fluoxetine,

paroxetine, citalopram, sertraline,

escitalopram)

[53]

Zwink and Choinitzki, 2015

Germany

123

140

< 18 - ≥30

population-based,

other congenital

malformationsa

Data from the German Network for congenital uro-rectal malformations (2009–2012) and Consortium of Genetic Risk for Esophageal Atresia (2011–2012)

Anti-asthma medication, thyroid hormone

supplementations, iron intake, folic acid,

multivitamins

[57]

Gilboa, 2014

USA

176

4525

< 20 - ≥35

population-based,

all births

Data from the National Birth Defects Prevention

Study (1997–2005)

Vitamin E

[75]

Källén and Wikner, 2014

Sweden

588

48,012

< 20 - ≥45

population-based,

all births

Data from the nationwide Swedish Medical Birth Register (1996–2011)

Thyroxin

[41]

Wijers, 2014

The Netherlands

643b

714

< 18 - ≥30

hospital-based,

no major birth defects

Questionnaire (1990–2012)

Folic acid

[76]

Källén, 2013

Sweden

590

69,749

< 20 - ≥45

population-based,

all births

Data from the nationwide Swedish Medical

Birth Register (1996–2011)

Opioids, anticonvulsants, neuroleptics

other than dixyrazine or prochloperazine,

dixyrazine or prochlorperazine,

sedatives or hypnotics, antidepressants

[49]

Pasternak, 2013

Denmark

52

1,222,503

N.A.

register-based,

all births

Data from the nationwide administrative and

health care registries in Denmark (1997–2011)

Metoclopramide

[54]

Polen, 2013

USA

741

8002

< 30 - ≥30

population-based,

no birth defects

Data from the National Birth Defects Prevention

Study (1997–2007)

Antidepressants, venlafaxine

[67]

Yau, 2013

USA

274

7606

< 25 - ≥34

population-based,

no birth defects

Data from the Slone Epidemiology Center

Birth Defects Study (1993–2010)

Decongestants (pseudoephedrine)

[59]

Lin, 2012

USA

285

6726

< 20 - ≥35

population-based,

no birth defects

Data from the National Birth Defects Prevention

Study (1997–2003)

Anti-asthma medication (bronchodilator use), anti-inflammatory use

[58]

Hernandez, 2012

USA

540

5546

< 20 - ≥35

population-based,

no birth defects

Data from the National Birth Defects Prevention

Study (1997–2004)

Non-steroidal anti-inflammatory drugs

(aspirin, ibuprofen, naproxen)

[60]

van Gelder, 2011

The Netherlands

16

65,287

< 20 - ≥40

population-based,

no major birth defects

Data from the Norwegian Mother and Child

Cohort Study (1999–2006)

Non-steroidal anti-inflammatory drugs

[55]

Reefhuis, 2011

USA

582

6406

< 25 - ≥40

population-based,

no birth defects

Data from the National Birth Defects Prevention

Study (1997–2005)

Clomiphene citrate

[56]

Reis and Källén, 2010

Sweden

428

1,062,190

< 20 - ≥45

population-based,

all births

Data from the nationwide Swedish Medical

Birth Register (1995–2007)

Antidepressants

[27]

van Rooij, 2010

The Netherlands

85

650

≥35

hospital-based,

no major birth defects

Questionnaire (cases 1996–2008, controls 1996–2004)

Folic acid, multivitamins

[61]

Browne, 2009

USA

534

5875

12 - ≥35

population-based,

no birth defects

Data from the National Birth Defects Prevention

Study (1997–2004)

Anti-thyroid medication

[63]

Crider, 2009

USA

470

5008

< 18–49

population-based,

no birth defects

Data from the National Birth Defects Prevention

Study (1997–2003)

Antibacterial medication (any antibacterial,

penicillins, erythromycins, nitrofurantoins,

sulfonamides, cephalosporins)

[62]

Carter, 2008

USA

209

4774

N.A.

population-based,

no birth defects

Data from the National Birth Defects Prevention

Study (1997–2003)

Antifungal drugs

[68]

Alwan, 2007

USA

418

4092

< 35 - ≥35

population-based,

no birth defects

Data from the National Birth Defects Prevention

Study (1997–2002)

Antidepressants

[42]

Källén and Otterblad

Olausson, 2007

Sweden

495

40,728

N.A.

population-based,

all births

Data from the nationwide Swedish Medical

Birth Register (1995–2004)

Anti-asthma medication (ß2-adrenergic

agonists, inhaled corticosteroids,

anticholinergic drugs, cromoglicic acid,

xanthines, leucotrien receptor antagonists)

[77]

Källén, 2007

Sweden

11

873,383

< 20 - ≥45

population-based,

all births

Data from the nationwide Swedish Medical

Birth Register (1995–2004)

Folic acid

[64]

Louik, 2007

USA

215

5860

N.A.

population-based,

no birth defects

Data from the Slone Epidemiology Center

Birth Defects Study (1993–2004)

Antidepressants (any SSRI, fluoxetine,

sertraline, paroxetine, citalopram,

non-SSRI antidepressant)

[66]

Czeizel, 2004

Hungary

220

38,151

< 25 - > 29

national-based,

no birth defects

Data from the Hungarian Congenital Abnormality

Registry (1980–1996) and National Birth Registry

of the Central Statistical Office (1996–1992)

Folic acid, multivitamins

[69]

Czeizel, 2004

Hungary

220

38,151

< 25 - > 29

national-based,

no birth defects

Data from the Hungarian Congenital Abnormality

Registry (1980–1996) and National Birth Registry

of the Central Statistical Office (1996–1992)

Multivitamins

[6]

Correa, 2003

USA

50

3029

< 20 - ≥30

population-based,

no birth defects

Data from the Atlanta Birth Defects Case-Control

Study (1968–1980)

Multivitamins

[65]

Czeizel, 2003

Hungary

220

38,151

< 25 - > 29

national-based,

no birth defects

Data from the Hungarian Congenital Abnormality

Registry (1980–1996) and National Birth Registry

of the Central Statistical Office (1996–1992)

Diazepam

[78]

Källén and Mottet,

2003

Sweden

8

504,660

< 19–45

population-based,

all births

Data from the nationwide Swedish Medical

Birth Register (1995–2001)

Meclozine

[43]

Bonnot, 2001

France

6

13,703

N.A.

population-based,

all births

Data from the French Central-East Registry of

congenital malformations (1976–1998)

Lorazepam

[70]

Czeizel, 2001

Hungary

220

38,151

< 25 - > 29

national-based,

no birth defects

Data from the Hungarian Congenital Abnormality

Registry (1980–1996) and National Birth Registry

of the Central Statistical Office (1996–1992)

Cephalosporin (cephalexin, cefuroxime)

[51]

Myers, 2001

USA

50

222,264

N.A.

provinces-based,

all births

Data from a public health campaign conducted

in China (1993–1995)

Folic acid

[71]

Czeizel, 2000

Hungary

220

38,151

< 25 - > 29

national-based,

no birth defects

Data from the Hungarian Congenital Abnormality

Registry (1980–1996) and National Birth Registry

of the Central Statistical Office (1996–1992)

Acetylsalicylic acid

[72]

Stoll, 1997

France

108,

51c

108

F: mean age 26.9,

M: mean age 29.9

hospital-based,

no birth defects

Interview (1979–1995)

Antibiotics, antispasmodics, estrogens and

other miscellaneous medication

[74]

Angerpointer, 1981

Germany

78

78

78

78

210d

169e

75f

53g

< 20 - > 40

hospital-based,

other malformed infants

Questionnaire (1970–1974)

Antiemetic, analgetic, laxative and

antihypotensive drugs, and iron preparations

[79]

Heinonen, 1977

USA

13

N.A.

N.A.

population-based,

no controls

Data from the Collaborative Perinatal Project

(1958–1965)

Aspirin

  1. N.A. not available, SSRI selective serotonin reuptake inhibitors, EA/TEF esophageal atresia with or without tracheoesophageal fistula, ARM anorectal malformation
  2. aControl group included n = 98 patients with isolated EA/TEF and n = 42 patients with the combined phenotype of EA/TEF and ARM
  3. bIncluded 493 cases from the Netherlands and 150 cases from Germany
  4. cARM infants with isolated (no additional major defects) anomaly
  5. dControl group includes 41 infants with esophageal atresia, 41 with stenosis/atresia of the small and large bowel, 75 with Hirschsprung’s disease, 28 with omphalocele and 25 with gastroschisis
  6. eControl group includes 41 infants with esophageal atresia, 75 with Hirschsprung’s disease, 28 with omphalocele and 25 with gastroschisis
  7. fControl group includes 75 infants with Hirschsprung’s disease
  8. gControl group includes 28 infants with omphalocele and 25 with gastroschisis