Maternal use of bupropion and risk for congenital heart defects

被引:65
作者
Alwan, Sura [2 ]
Reefhuis, Jennita [1 ]
Botto, Lorenzo D. [3 ]
Rasmussen, Sonja A. [1 ]
Correa, Adolfo [1 ]
Friedman, Jan M. [2 ]
机构
[1] Ctr Dis Control & Prevent, Natl Ctr Birth Defects & Dev Disabil, Atlanta, GA 30333 USA
[2] Univ British Columbia, Dept Med Genet, Vancouver, BC, Canada
[3] Univ Utah, Div Med Genet, Dept Pediat, Salt Lake City, UT USA
关键词
birth defects; bupropion exposure; congenital heart defects; pregnancy; SEROTONIN-REUPTAKE INHIBITORS; BIRTH-DEFECTS; SMOKING-CESSATION; PREGNANCY; MALFORMATIONS; 1ST-TRIMESTER; PREVALENCE; PAROXETINE; ANOMALIES; WOMEN;
D O I
10.1016/j.ajog.2010.02.015
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: We sought to determine if maternal bupropion treatment in early pregnancy is associated with congenital heart defects in the infant. STUDY DESIGN: We conducted a retrospective case-control study of birth defects risk factors. Data on 6853 infants with major heart defects were compared with 5869 control infants born in 1997-2004. Bupropion exposure was defined as any reported use between 1 month before and 3 months after conception. RESULTS: Mothers of infants with left outflow tract heart defects were more likely to have reported taking bupropion than mothers of control infants (adjusted odds ratio, 2.6; 95% confidence interval, 1.2-5.7; P = .01). CONCLUSION: We identified a positive association between early pregnancy bupropion use and left outflow tract heart defects; however, the magnitude of the observed increased risk was small. Nevertheless, further studies are needed to confirm these results.
引用
收藏
页码:52.e1 / 52.e6
页数:6
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