Table 2.
Association between use of venlafaxine just before and during early pregnancy and the occurrence of certain birth defects, National Birth Defects Prevention Study, 1997–2007
| Birth Defects | Total | Exposed | Crude Odds Ratio 95% Exact CI |
Adjusted Odds Ratio1 95% Exact CI |
|---|---|---|---|---|
| No Major Birth Defects (Control Infants) | 8002 | 14 | 1.0 (ref) | 1.0 (ref) |
| Anencephaly | 411 | 4 | 5.6 (1.3–18.0) | 6.3 (1.5–20.2) |
| SpinaBifida | 874 | 3 | 2.0 (0.4–7.1) | 2.1 (0.4–7.6) |
| Anotia or Microtia | 470 | 1 | § | § |
| Conotruncal Heart Defects | 1754 | 6 | 2.0 (0.6–5.4) | 1.9 (0.6–5.3) |
| D-Transposition of the Great Arteries | 545 | 2 | § | § |
| Tetralogy of Fallot | 799 | 1 | § | § |
| Septal Heart Defects | 3621 | 18 | 2.9 (1.3–6.2) | 3.0 (1.4–6.4) |
| Perimembranous Ventricular Septal Defect | 1410 | 6 | 2.4 (0.8–6.8) | 2.4 (0.8–6.7) |
| Atrial Septal Defect, type 2 or not otherwise specified | 2181 | 11 | 2.9 (1.2–6.9) | 3.1 (1.3–7.4) |
| Ventricular Septal Defect-Atrial Septal Defect Association | 576 | 3 | 3.0 (0.5–10.8) | 3.1 (0.6–11.3) |
| Right Ventricular Outflow Tract Obstruction Defects2 | 1250 | 5 | 2.3 (0.6–6.7) | 2.3 (0.6–6.6) |
| Pulmonary Valve Stenosis | 985 | 5 | 2.7 (0.8–8.1) | 2.7 (0.8–7.9) |
| Left Ventricular Outflow Tract Obstruction Defects | 1444 | 9 | 3.6 (1.4–8.9) | 3.3 (1.2–8.2) |
| Hypoplastic Left Heart Syndrome | 425 | 2 | § | § |
| Coarctation of the Aorta | 768 | 6 | 4.5 (1.4–12.5) | 4.1 (1.3–11.5) |
| Cleft Lip with or without Cleft Palate | 2134 | 6 | 1.6 (0.5–4.4) | 1.5 (0.5–4.3) |
| Cleft Palate alone | 1123 | 7 | 3.5 (1.2–9.3) | 3.3 (1.1–8.8) |
| AnorectalAtresia | 741 | 1 | § | § |
| Esophageal Atresia | 499 | 0 | § | § |
| Hypospadias, 2nd/3rd degree3 | 1571 | 7 | 2.6 (0.8–8.7) | 2.3 (0.7–7.9) |
| Any Limb Reduction Defect | 847 | 3 | 2.0 (0.4–7.3) | 2.1 (0.4–7.6) |
| Craniosynostosis | 982 | 3 | 1.7 (0.3–6.3) | 1.5 (0.3–5.4) |
| Diaphragmatic Hernia | 594 | 2 | § | § |
| Gastroschisis | 911 | 6 | 3.8 (1.2–10.5) | 5.7 (1.8–15.9)4 |
Two or fewer exposed cases; No odds ratios calculated.
Adjusted for age (<30, ≥30 years) and race (NH White, Other)
Excluding Ebstein’s Anomaly
Hypospadias among male infants only; 4063 control male infants
Association with gastroschisis adjusted for age (<20, ≥20 years) and race (NH White, Other)