Table 2. Observational studies on cranberry supplementation for UTI prophylaxis during pregnancy.
MBRN: Medical Birth Registry of Norway; WG: weeks of gestation; VB: vaginal bleeding; BW: birth weight; LBW: low birth weight; SGA: small for gestational age; ICD: International Classification of Diseases; w/o: without; SCM: sternocleidomastoid muscle
*MoBa is the Norwegian mother and child population-based prospective cohort study
| Study | Design/sample size | Entry criteria | Exposure/regimen | Data collection | Selected outcomes | Results |
| Heitmann et al. (2013) [52] | Nested prospective cohort study | Inclusion criteria | Cranberry use | 1st questionnaire at 13-17WG PLUS routine fetal US at 17-18WG | VB <17WG & ≥17WG | 919 exposed subjects |
| Sample size: 68.522 | 1. MoBa study's participants (available MBRN records plus 1st questionnaire results) | 1. Overall | 2nd questionnaire at 30WG | Hospitalization due to VB <17WG & ≥17WG | 566 exposed subjects <17WG (≥80% of statistical power to rule out all malformations, serious malformations, LBW, low Apgar score, preterm birth, neonatal infections, cardiac malformations, or stillbirth/neonatal death) | |
| Exclusion criteria | 2. Early pregnancy (<17WG) | 3rd questionnaire at six months postpartum | VB more than spotting after 17WG | 122 exposed women during the first trimester revealed no increased risk of defects | ||
| 1. Multiple pregnancies | 3. Late pregnancy (≥17WG) | All malformations | 11 infants had malformations w/o specific pattern | |||
| 2. Delivered infants had multiple birth defects | Unknown daily dose, duration of treatment, total dose, and adjunct herbals | Stillbirth (≥22WG or BW of ≥425 gram) | 1) two cases of hypospadias | |||
| LBW (<2500 grams) | 2) two cases of macrocephaly | |||||
| SGA (<10th percentile) | 3) four cases of hip or feet dislocation/deformity | |||||
| Preterm birth (<37WG) | 4) one case of SCM deformity | |||||
| Apgar score <7 at 5 minutes | 5) one case of ankyloglossia | |||||
| Neonatal infections (ICD-10 P35-39) | 6) one case of undescended testicles | |||||
| Cranberry users more frequently experienced vaginal spotting after 17WG, but no association was found after adjustments for confounders |