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2017 ; 12
(1
): 116
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English Wikipedia
Maternal use of selective serotonin reuptake inhibitors during pregnancy is
associated with Hirschsprung s disease in newborns - a nationwide cohort study
#MMPMID28633635
Orphanet J Rare Dis
2017[Jun]; 12
(1
): 116
PMID28633635
show ga
BACKGROUND: Hirschsprung's disease is a rare condition caused by congenital
malformation of the gastrointestinal tract affecting 1:5000 children. Not much is
known about risk factors for development of Hirschsprung's disease. Two clinical
cases of hirschsprung's disease led to an investigation of the association
between maternal use of selective serotonin reuptake inhibitors (SSRIs) during
pregnancy and development of Hirschsprung's Disease in the newborn child. The
study examined a nationwide, unselected cohort of children born in Denmark from 1
January 1996 until 12 March 2016 (n = 1,256,317). We applied multivariate models
to register-based data to estimate the odds ratio of Hirschsprung's disease,
adjusting for possible confounders. The studied exposure period for SSRIs were
30 days prior to conception to the end of the first trimester. RESULTS: In the
main exposed cohort the prevalence of Hirschsprung's disease was 16/19.807
(0.08%) compared to 584/1.236.510 (0.05%) in the unexposed cohort. In women who
redeemed a minimum of one prescription of selective serotonin reuptake
inhibitors, the adjusted odds ratio for development of Hirschsprung's disease was
1.76 (95%CI: 1.07-2.92). In women who redeemed a minimum of two prescriptions,
the adjusted odds ratio for Hirschsprung's disease was 2.34 (95% CI: 1.21-4.55).
CONCLUSIONS: Our data suggest that early maternal use of selective serotonin
reuptake inhibitors is significantly associated with the development of
Hirschsprung's disease in the newborn child. Treatment of depression during
pregnancy always has to be weighed against the risks posed by untreated maternal
depression. Our results have to be confirmed in other studies.