Taipei Medical University Institutional Repository:Item 987654321/44732
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    Title: No increase in adverse pregnancy outcomes for women receiving antiepileptic drugs
    Authors: Lin,Hsiu-Li;Chen,Yi-Hua;林秀真;Lin,Herng-Ching
    Contributors: 臺北醫學大學附設醫院小兒學科
    Keywords: Epilepsy;Pregnancy outcome;Preterm birth
    Date: 2009-06-30
    Issue Date: 2012-01-31 09:56:55 (UTC+8)
    Abstract: Abstract The objectives of this study were (1) to investigate
    the incidence of adverse pregnancy outcomes among
    the epileptic and general populations, including small for
    gestational age (SGA), low birth weight (LBW) and preterm
    delivery, using two large-scale nationwide population-
    based databases, and (2) to compare the risk of these
    adverse pregnancy outcomes between epileptic women
    who did and who did not receive antiepileptic drug (AED)
    treatment during pregnancy. This study used two national
    datasets: the National Health Insurance Research Dataset
    and birth certificate registry. We identified a total of 1,182
    women who gave birth from 2001 to 2003 in Taiwan who
    had been diagnosed with epilepsy within the 2 years preceding
    the index delivery, together with 5,910 matched
    women as a comparison cohort. Multivariate logistic
    regression analyses were performed for estimation of risk.
    We found that approximately 14% of women with epilepsy received AED treatment during gestation. The adjusted
    odds of LBW, preterm births and SGA for epileptic women
    not receiving AED treatment during pregnancy were 1.31
    (95% CI, 1.02–1.68), 1.35 (95% CI, 1.07–1.71) and 1.23
    (95% CI, 1.03–1.46) times that of women without epilepsy,
    respectively. In contrast, no significant difference in the
    risk of LBW infants, preterm births and SGA babies was
    observed between epileptic mothers receiving AED treatment
    during pregnancy and women without epilepsy. Our
    study documents an increased risk of adverse pregnancy
    outcomes for epileptic women who do not receive AED
    treatment during pregnancy, but none for epileptic women
    who do receive treatment.
    Relation: Journal of neurology. 256(10): 1742–1749.
    Appears in Collections:[Department of Pediatrics] Original Paper

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