Reference | Gestational exposure | Children with congenital malformation(number born to women with asthma/without asthma) | Multivariate analysis | Increased risk† |
Schatz et al7 | Inhaled bronchodilators | <50/<50* | Yes | No |
Stenius-Aarniala et al11 | Theophylline | 10/2 | No | No |
Schatz et al8 | β agonists, theophylline, cromolyn, CS, antihistamines, decongestants | <50/<50* | No | No |
Alexandre et al10 | β agonists, CS | 88/981 | Yes | No |
Schatz et al39 | β agonist, ICS, OCS, theophylline, cromoglicates | 42/0* | No | No |
Tamasi et al13 | SABA, ICS, LABA, OCS, xanthines, sodium cromoglicate | 511/22322‡ | No | Yes with fenoterol, no with other medications |
Blais et al38 | ICS | 418/0 | Yes | No |
Bakhireva et al37 | β agonists, leucotriene receptor antagonists | 9/1 | Yes | Yes |
Kallen et al14 | SABA, ICS, LABA, other bronchodilators¶, other anti-inflammatories** | 1263/41223 | Yes | Yes§ |
Current publication | SABA, ICS, LABA, OCS, other bronchodilators¶, other anti-inflammatories** | 704/4420 | Yes | No |
*Numbers estimated from published percentages (no numbers presented in paper).
†Statistically significant increase in malformation with gestational drug exposure (at 5% level).
‡Mostly major malformations but included some minor (clubfoot, pyloric stenosis, undescended testis).
§Although system-specific malformations had no generally consistent pattern and statistically significant associations found only for severe cardiac defects, orofacial clefts, anal atresia.
¶Other bronchodilators: aminophylline, theophylline, ephedrine, orciprenaline, tiotropium or ipratropium.
**Other anti-inflammatories: cromoglicate, nedocromil, montelukast or zafirlukast.
CS, corticosteroid (unspecified formula); ICS, inhaled corticosteroid; LABA, long-acting β agonist; OCS, oral corticosteroid; SABA, short-acting β agonist.