Table 4.
Association of Isolated Second- or Third-Degree Hypospadias with Maternal Periconceptional Use of Specific Medications, Excluding Low Birth Weight Infants and Multiple Births, National Birth Defects Prevention Study, October 1997 to December 2007.a
Medication/Herbal Exposure | Exposed Cases (Total cases=1108) | Exposed Controls (Total cases=3978) | aORb (95% CI) Sub-Analysis | aOR (95% CI) Primary Analysis |
---|---|---|---|---|
Acetaminophen | 701 | 2318 | 1.0 (0.8, 1.1) | 1.0 (0.8, 1.1) |
Aspirin | 61 | 164 | 1.2 (0.9, 1.7) | 1.3 (0.9, 1.7) |
Azithromycin | 18 | 66 | 0.7 (0.4, 1.3) | 0.6 (0.4, 1.1) |
Barley grass | 6 | 10 | 1.7 (0.6, 4.8) | 2.1 (0.8, 5.4) |
Butalbital | 5 | 8 | 1.5 (0.5, 4.8) | 2.1 (0.7, 5.8) |
Progesterone onlyc | 33 | 59 | 1.3 (0.8, 2.1) | 1.1 (0.7, 1.7) |
Clomiphene only | 20 | 34 | 1.6 (0.9, 2.9) | 1.9 (1.2, 3.0) |
FSH+HCG+LEU+PRO | 3 | 4 | --- | 2.2 (1.0, 4.8) |
CLO+PRO | 6 | 8 | 1.6 (0.5, 4.9) | 2.0 (0.8, 5.0) |
FSH+HCG+PRO | 5 | 3 | --- | 1.7 (0.6, 4.7) |
FSH+PRO | 2 | 5 | --- | 1.7 (0.5, 5.4) |
Herbal tea | 10 | 32 | 1.7 (0.8, 3.7) | 1.8 (1.0, 3.5) |
Ibuprofen | 309 | 873 | 1.2 (1.0, 1.4) | 1.2 (1.0, 1.3) |
Labetalol | 4 | 5 | --- | 2.6 (0.9, 7.7) |
Levothyroxine sodium | 31 | 61 | 1.4 (0.9, 2.2) | 1.3 (0.9, 2.0) |
Phenylpropanolamine | 7 | 13 | 2.0 (0.7, 5.4) | 2.0 (0.9, 4.8) |
Progestin-only oral contraceptives | 16 | 89 | 1.3 (0.7, 2.6) | 1.9 (1.1, 3.2) |
Venlafaxine | 9 | 9 | 3. 7 (1.4, 9.7) | 2.4 (1.0, 6.0) |
Abbreviations: OR, odds ratio; CI, confidence interval.
Medication exposure is reported for the period from 1 month before to 4 months after conception.
Odds ratios are adjusted for maternal age, race/ethnicity, education, pre-pregnancy BMI, previous live births, sub-fertility, study site, and year of due date. Fertility agents were not adjusted for sub-fertility.
--- Odds ratios were not estimated for medication components with fewer than 5 exposed cases.
Progesterone use was reported either for subfertility or for pregnancy complications