Maternal and Neonatal Outcomes Following Exposure to Benzodiazepines During Pregnancy

NCT ID: NCT04856436

Last Updated: 2022-03-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

3094227 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-12-01

Study Completion Date

2021-07-30

Brief Summary

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This is a nationwide cohort study to assess maternal and neonatal outcomes following exposure to benzodiazepines during pregnancy.

Detailed Description

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Benzodiazepines are widely used in pregnant women; however, their safety on congenital malformations in a real-world setting is still uncertain. We aimed to assess the association between benzodiazepine use in early pregnancy and the risk of congenital malformations. We will conduct a retrospective nationwide cohort study using the Health Insurance Review and Assessment (HIRA) database of South Korea, which covers the entire South Korean population.

Conditions

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Pregnancy Related Benzodiazepines Causing Adverse Effects in Therapeutic Use Congenital Anomaly

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Pregnant women with exposure to benzodiazepines

Women who gave birth during 2011-2018, were aged 20-45 years and were filled at least one benzodiazepine prescription during the first trimester (first 90 days of pregnancy).

Benzodiazepine

Intervention Type DRUG

Exposure to benzodiazepine during early pregnancy

Pregnant women without exposure to benzodiazepines

Women who gave birth during 2011-2018, were aged 20-45 years and did not fill a benzodiazepine prescription during the 3 months before the pregnancy onset through the end of the first trimester

Benzodiazepine

Intervention Type DRUG

Exposure to benzodiazepine during early pregnancy

Interventions

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Benzodiazepine

Exposure to benzodiazepine during early pregnancy

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Pregnancies with live birth, 2011-2018
* Pregnancies linked to liveborn infants
* Pregnancies aged 20-45 years at delivery

Exclusion Criteria

* Pregnancies with a chromosomal abnormality
* Pregnancies with exposure to known teratogenic drugs (e.g. antineoplastic agent, warfarin, lithium, isotretinoin, misoprostol, thalidomide) during the first trimester
* Pregnancies with no benzodiazepine prescription during the first trimester, but with at least one benzodiazepine prescription during the 3 months before the pregnancy onset
Minimum Eligible Age

20 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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National Research Foundation of Korea

OTHER

Sponsor Role collaborator

Sungkyunkwan University

OTHER

Sponsor Role lead

Responsible Party

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Ju-Young Shin

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ju-Young Shin, PhD

Role: PRINCIPAL_INVESTIGATOR

Sungkyunkwan University

Locations

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Sungkyunkwan University

Suwon, Gyeonggi-do, South Korea

Site Status

Countries

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South Korea

References

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Bellantuono C, Tofani S, Di Sciascio G, Santone G. Benzodiazepine exposure in pregnancy and risk of major malformations: a critical overview. Gen Hosp Psychiatry. 2013 Jan-Feb;35(1):3-8. doi: 10.1016/j.genhosppsych.2012.09.003. Epub 2012 Oct 6.

Reference Type BACKGROUND
PMID: 23044244 (View on PubMed)

Grigoriadis S, Graves L, Peer M, Mamisashvili L, Dennis CL, Vigod SN, Steiner M, Brown C, Cheung A, Dawson H, Rector N, Guenette M, Richter M. Benzodiazepine Use During Pregnancy Alone or in Combination With an Antidepressant and Congenital Malformations: Systematic Review and Meta-Analysis. J Clin Psychiatry. 2019 Jul 9;80(4):18r12412. doi: 10.4088/JCP.18r12412.

Reference Type BACKGROUND
PMID: 31294935 (View on PubMed)

Bais B, Molenaar NM, Bijma HH, Hoogendijk WJG, Mulder CL, Luik AI, Lambregtse-van den Berg MP, Kamperman AM. Prevalence of benzodiazepines and benzodiazepine-related drugs exposure before, during and after pregnancy: A systematic review and meta-analysis. J Affect Disord. 2020 May 15;269:18-27. doi: 10.1016/j.jad.2020.03.014. Epub 2020 Mar 5.

Reference Type BACKGROUND
PMID: 32217339 (View on PubMed)

Iqbal MM, Sobhan T, Ryals T. Effects of commonly used benzodiazepines on the fetus, the neonate, and the nursing infant. Psychiatr Serv. 2002 Jan;53(1):39-49. doi: 10.1176/appi.ps.53.1.39.

Reference Type BACKGROUND
PMID: 11773648 (View on PubMed)

Shyken JM, Babbar S, Babbar S, Forinash A. Benzodiazepines in Pregnancy. Clin Obstet Gynecol. 2019 Mar;62(1):156-167. doi: 10.1097/GRF.0000000000000417.

Reference Type BACKGROUND
PMID: 30628916 (View on PubMed)

Noh Y, Lee H, Choi A, Kwon JS, Choe SA, Chae J, Kim DS, Shin JY. First-trimester exposure to benzodiazepines and risk of congenital malformations in offspring: A population-based cohort study in South Korea. PLoS Med. 2022 Mar 2;19(3):e1003945. doi: 10.1371/journal.pmed.1003945. eCollection 2022 Mar.

Reference Type DERIVED
PMID: 35235572 (View on PubMed)

Other Identifiers

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SKKU-2021-PREG-BZ

Identifier Type: -

Identifier Source: org_study_id

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