Neurodevelopment of children exposed in utero to lamotrigine, sodium valproate and carbamazepine.
Arch Dis Child
; 96(7): 643-7, 2011 Jul.
Article
em En
| MEDLINE
| ID: mdl-21415043
ABSTRACT
OBJECTIVE:
To establish the relative risks of in utero exposure to lamotrigine (LTG), sodium valproate (NaV) and carbamazepine (CBZ) monotherapy for neurodevelopment.DESIGN:
Observational cohort study. PATIENTS ANDMETHODS:
The study group consisted of children in Northern Ireland aged 9-60 months born to mothers who had enrolled with the UK Epilepsy and Pregnancy Register. The control group consisted of children identified from the Child Health System database across Northern Ireland. Data were gathered on covariates recognised as influencing child development. MAIN OUTCOMEMEASURES:
Neurodevelopment assessed using either the Bayley Scales of Infant Development or the Griffiths Mental Development Scales.RESULTS:
210 children underwent assessment by a single researcher blinded to antiepileptic drug exposure. 23 (39.6%) children exposed in utero to NaV, 10 (20.4%) exposed to CBZ and one (2.9%) exposed to LTG had evidence of mild or significant developmental delay, compared to two (4.5%) children in the control group. Multivariable analysis demonstrated that in utero exposure to NaV (OR 26.1, 95% CI 4.9 to 139; p<0.001) and to CBZ (OR 7.7, 95% CI 1.4 to 43.1; p<0.01) but not to LTG had a significant detrimental effect on neurodevelopment.CONCLUSION:
In utero exposure to LTG did not have the detrimental effect on child development that was seen with NaV and with CBZ.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Efeitos Tardios da Exposição Pré-Natal
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Deficiências do Desenvolvimento
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Anticonvulsivantes
Tipo de estudo:
Observational_studies
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Risk_factors_studies
Limite:
Child, preschool
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Female
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Humans
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Infant
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Male
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Newborn
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Pregnancy
Idioma:
En
Revista:
Arch Dis Child
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Reino Unido