Asthma drugs and the risk of congenital anomalies

Pharmacotherapy. 2013 Apr;33(4):363-8. doi: 10.1002/phar.1213. Epub 2013 Feb 28.

Abstract

Study objective: To estimate the prevalence of congenital anomalies between the offspring of women exposed and unexposed to asthma drugs during early pregnancy.

Design: Matched cohort study.

Database: The United Kingdom's General Practice Research Database.

Patients: Women exposed to asthma drugs during early pregnancy and a sample of matched unexposed pregnant women.

Measurements and main results: The prevalence of any anomaly among unexposed and exposed women was 27.8 (95% confidence interval [CI] 25.4-30.6)/1000 pregnancies and 31.3 (95% CI 27.7-35.5)/1000 pregnancies, respectively (relative risk [RR] 1.1 95% CI 1.0-1.3).

Conclusion: Our findings suggest that asthma drugs, overall, do not increase the risk of congenital anomalies in the offspring when taken during the first trimester of pregnancy.

MeSH terms

  • Abnormalities, Drug-Induced / epidemiology*
  • Adolescent
  • Adult
  • Anti-Asthmatic Agents / adverse effects*
  • Case-Control Studies
  • Female
  • Humans
  • Middle Aged
  • Pregnancy
  • Pregnancy Complications / epidemiology*
  • Prenatal Exposure Delayed Effects / epidemiology*
  • Prevalence
  • United Kingdom / epidemiology

Substances

  • Anti-Asthmatic Agents