Risk of adverse birth outcome and miscarriage in pregnant users of non-steroidal anti-inflammatory drugs: population based observational study and case-control study

Abstract Objective: To estimate the risk of adverse birth outcome in women who take non-steroidal anti-inflammatory drugs during pregnancy. Design and setting: Population based cohort study and a case-control study, both based on data from a prescription registry, the Danish birth registry, and one...

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Veröffentlicht in:BMJ 2001-02, Vol.322 (7281), p.266-270
Hauptverfasser: Nielsen, Gunnar Lauge, Sørensen, Henrik Toft, Larsen, Helle, Pedersen, Lars
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creator Nielsen, Gunnar Lauge
Sørensen, Henrik Toft
Larsen, Helle
Pedersen, Lars
description Abstract Objective: To estimate the risk of adverse birth outcome in women who take non-steroidal anti-inflammatory drugs during pregnancy. Design and setting: Population based cohort study and a case-control study, both based on data from a prescription registry, the Danish birth registry, and one county's hospital discharge registry. Participants: Cohort study: 1462 pregnant women who had taken up prescriptions for non-steroidal anti-inflammatory drugs in the period from 30 days before conception to birth and 17 259 pregnant women who were not prescribed any drugs during pregnancy. Case-control study: 4268 women who had miscarriages, of whom 63 had taken non-steroidal anti-inflammatory drugs, and 29 750 primiparous controls who had live births. Main outcome measures: Incidences of congenital abnormality, low birth weight, preterm birth, and miscarriage. Results: Odds ratios for congenital abnormality, low birth weight, and preterm birth among women who took up prescriptions for non-steroidal anti-inflammatory drugs were 1.27 (95% confidence interval 0.93 to 1.75), 0.79 (0.45 to 1.38), and 1.05 (0.80 to 1.39) respectively. Odds ratios for the taking up of prescriptions in the weeks before miscarriage ranged from 6.99 (2.75 to 17.74) when prescriptions were taken up during the last week before the miscarriage to 2.69 (1.81 to 4.00) when taken up between 7 and 9 weeks before. The risk estimates were no different when the analysis was restricted to missed abortions. Conclusions: Use of non-steroidal anti-inflammatory drugs during pregnancy does not seem to increase the risk of adverse birth outcome but is associated with increased risk of miscarriage.
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Design and setting: Population based cohort study and a case-control study, both based on data from a prescription registry, the Danish birth registry, and one county's hospital discharge registry. Participants: Cohort study: 1462 pregnant women who had taken up prescriptions for non-steroidal anti-inflammatory drugs in the period from 30 days before conception to birth and 17 259 pregnant women who were not prescribed any drugs during pregnancy. Case-control study: 4268 women who had miscarriages, of whom 63 had taken non-steroidal anti-inflammatory drugs, and 29 750 primiparous controls who had live births. Main outcome measures: Incidences of congenital abnormality, low birth weight, preterm birth, and miscarriage. Results: Odds ratios for congenital abnormality, low birth weight, and preterm birth among women who took up prescriptions for non-steroidal anti-inflammatory drugs were 1.27 (95% confidence interval 0.93 to 1.75), 0.79 (0.45 to 1.38), and 1.05 (0.80 to 1.39) respectively. Odds ratios for the taking up of prescriptions in the weeks before miscarriage ranged from 6.99 (2.75 to 17.74) when prescriptions were taken up during the last week before the miscarriage to 2.69 (1.81 to 4.00) when taken up between 7 and 9 weeks before. The risk estimates were no different when the analysis was restricted to missed abortions. Conclusions: Use of non-steroidal anti-inflammatory drugs during pregnancy does not seem to increase the risk of adverse birth outcome but is associated with increased risk of miscarriage.</description><edition>International edition</edition><identifier>ISSN: 0959-8138</identifier><identifier>ISSN: 0959-8146</identifier><identifier>EISSN: 1468-5833</identifier><identifier>EISSN: 1756-1833</identifier><identifier>DOI: 10.1136/bmj.322.7281.266</identifier><identifier>PMID: 11157526</identifier><identifier>CODEN: BMJOAE</identifier><language>eng</language><publisher>London: British Medical Journal Publishing Group</publisher><subject>Abnormalities, Drug-Induced - etiology ; Abortion, Spontaneous - chemically induced ; Adolescent ; Adult ; Analytical estimating ; Anti-Inflammatory Agents, Non-Steroidal - adverse effects ; antiinflammatory agents ; Biological and medical sciences ; Birth defects ; birth weight ; Case control studies ; Cohort Studies ; Denmark ; Diseases of mother, fetus and pregnancy ; Drug prescriptions ; Drugs ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature ; Live births ; Low birth weight ; Medical research ; Medical sciences ; Miscarriage ; non-steroidal antiinflammatory agents ; Nonsteroidal antiinflammatory agents ; Odds Ratio ; Pregnancy ; Pregnancy. Fetus. Placenta ; Prescription drugs ; Registries ; Risk</subject><ispartof>BMJ, 2001-02, Vol.322 (7281), p.266-270</ispartof><rights>2001 BMJ Publishing Group Ltd.</rights><rights>Copyright 2001 BMJ</rights><rights>2001 INIST-CNRS</rights><rights>Copyright: 2001 (c) 2001 BMJ Publishing Group Ltd.</rights><rights>Copyright British Medical Association Feb 3, 2001</rights><rights>Copyright © 2001, BMJ 2001</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b666t-1313081ccff5c9080ecaefec77fc711ca9c30ab9584814c46e1d799a29c4291a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/25466078$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/25466078$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,777,781,800,882,27905,27906,30980,57998,58231</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=866668$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11157526$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nielsen, Gunnar Lauge</creatorcontrib><creatorcontrib>Sørensen, Henrik Toft</creatorcontrib><creatorcontrib>Larsen, Helle</creatorcontrib><creatorcontrib>Pedersen, Lars</creatorcontrib><title>Risk of adverse birth outcome and miscarriage in pregnant users of non-steroidal anti-inflammatory drugs: population based observational study and case-control study</title><title>BMJ</title><addtitle>BMJ</addtitle><description>Abstract Objective: To estimate the risk of adverse birth outcome in women who take non-steroidal anti-inflammatory drugs during pregnancy. Design and setting: Population based cohort study and a case-control study, both based on data from a prescription registry, the Danish birth registry, and one county's hospital discharge registry. Participants: Cohort study: 1462 pregnant women who had taken up prescriptions for non-steroidal anti-inflammatory drugs in the period from 30 days before conception to birth and 17 259 pregnant women who were not prescribed any drugs during pregnancy. Case-control study: 4268 women who had miscarriages, of whom 63 had taken non-steroidal anti-inflammatory drugs, and 29 750 primiparous controls who had live births. Main outcome measures: Incidences of congenital abnormality, low birth weight, preterm birth, and miscarriage. Results: Odds ratios for congenital abnormality, low birth weight, and preterm birth among women who took up prescriptions for non-steroidal anti-inflammatory drugs were 1.27 (95% confidence interval 0.93 to 1.75), 0.79 (0.45 to 1.38), and 1.05 (0.80 to 1.39) respectively. Odds ratios for the taking up of prescriptions in the weeks before miscarriage ranged from 6.99 (2.75 to 17.74) when prescriptions were taken up during the last week before the miscarriage to 2.69 (1.81 to 4.00) when taken up between 7 and 9 weeks before. The risk estimates were no different when the analysis was restricted to missed abortions. Conclusions: Use of non-steroidal anti-inflammatory drugs during pregnancy does not seem to increase the risk of adverse birth outcome but is associated with increased risk of miscarriage.</description><subject>Abnormalities, Drug-Induced - etiology</subject><subject>Abortion, Spontaneous - chemically induced</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Analytical estimating</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - adverse effects</subject><subject>antiinflammatory agents</subject><subject>Biological and medical sciences</subject><subject>Birth defects</subject><subject>birth weight</subject><subject>Case control studies</subject><subject>Cohort Studies</subject><subject>Denmark</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Drug prescriptions</subject><subject>Drugs</subject><subject>Female</subject><subject>Gynecology. Andrology. 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Design and setting: Population based cohort study and a case-control study, both based on data from a prescription registry, the Danish birth registry, and one county's hospital discharge registry. Participants: Cohort study: 1462 pregnant women who had taken up prescriptions for non-steroidal anti-inflammatory drugs in the period from 30 days before conception to birth and 17 259 pregnant women who were not prescribed any drugs during pregnancy. Case-control study: 4268 women who had miscarriages, of whom 63 had taken non-steroidal anti-inflammatory drugs, and 29 750 primiparous controls who had live births. Main outcome measures: Incidences of congenital abnormality, low birth weight, preterm birth, and miscarriage. Results: Odds ratios for congenital abnormality, low birth weight, and preterm birth among women who took up prescriptions for non-steroidal anti-inflammatory drugs were 1.27 (95% confidence interval 0.93 to 1.75), 0.79 (0.45 to 1.38), and 1.05 (0.80 to 1.39) respectively. Odds ratios for the taking up of prescriptions in the weeks before miscarriage ranged from 6.99 (2.75 to 17.74) when prescriptions were taken up during the last week before the miscarriage to 2.69 (1.81 to 4.00) when taken up between 7 and 9 weeks before. The risk estimates were no different when the analysis was restricted to missed abortions. Conclusions: Use of non-steroidal anti-inflammatory drugs during pregnancy does not seem to increase the risk of adverse birth outcome but is associated with increased risk of miscarriage.</abstract><cop>London</cop><pub>British Medical Journal Publishing Group</pub><pmid>11157526</pmid><doi>10.1136/bmj.322.7281.266</doi><tpages>5</tpages><edition>International edition</edition><oa>free_for_read</oa></addata></record>
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subjects Abnormalities, Drug-Induced - etiology
Abortion, Spontaneous - chemically induced
Adolescent
Adult
Analytical estimating
Anti-Inflammatory Agents, Non-Steroidal - adverse effects
antiinflammatory agents
Biological and medical sciences
Birth defects
birth weight
Case control studies
Cohort Studies
Denmark
Diseases of mother, fetus and pregnancy
Drug prescriptions
Drugs
Female
Gynecology. Andrology. Obstetrics
Humans
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Live births
Low birth weight
Medical research
Medical sciences
Miscarriage
non-steroidal antiinflammatory agents
Nonsteroidal antiinflammatory agents
Odds Ratio
Pregnancy
Pregnancy. Fetus. Placenta
Prescription drugs
Registries
Risk
title Risk of adverse birth outcome and miscarriage in pregnant users of non-steroidal anti-inflammatory drugs: population based observational study and case-control study
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