TABLE 1.
Characteristics of control mothers by report of benzodiazepine medication use any time during the month before through the end of pregnancy, National Birth Defects Prevention Study, 1997–2011
No benzodiazepine exposure |
Any benzodiazepinea |
Alprazolam |
Clonazepam |
Diazepam |
Lorazepam |
||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
N | % | N | % | p-value | N | % | p-value | N | % | p-value | N | % | p-value | N | % | p-value | |
Totalb | 11,521 | 93 | 0.8 | 43 | 0.4 | 22 | 0.2 | 21 | 0.2 | 10 | 0.1 | ||||||
Age group (years) | |||||||||||||||||
12–17 | 584 | 5.1 | 2 | 2.2 | 0.004 | 1 | 2.3 | 0.416 | 1 | 4.5 | 0.069 | 1 | 4.8 | 0.272 | 0 | 0.0 | 0.274 |
18–29 | 6,842 | 59.4 | 43 | 46.2 | 23 | 53.5 | 8 | 36.4 | 9 | 42.9 | 4 | 40.0 | |||||
≥30 | 4,095 | 35.5 | 48 | 51.6 | 19 | 44.2 | 13 | 59.1 | 11 | 52.4 | 6 | 60.0 | |||||
Race/ethnicity | |||||||||||||||||
Non-Hispanic white | 6,676 | 58.0 | 77 | 82.8 | <0.001 | 38 | 88.4 | <0.001 | 19 | 86.4 | 0.061 | 17 | 81.0 | 0.182 | 6 | 60.0 | 0.112 |
Non-Hispanic black | 1,260 | 10.9 | 4 | 4.3 | 0 | 0.0 | 1 | 4.5 | 1 | 4.8 | 2 | 20.0 | |||||
Hispanic | 2,825 | 24.5 | 7 | 7.5 | 2 | 4.7 | 2 | 9.1 | 3 | 14.3 | 0 | 0.0 | |||||
Other race/ethnicity | 754 | 6.6 | 5 | 5.4 | 3 | 7.0 | 0 | 0.0 | 0 | 0.0 | 2 | 20.0 | |||||
Maternal education (years) | |||||||||||||||||
<12 | 1,899 | 16.7 | 5 | 5.4 | <0.001 | 4 | 9.5 | 0.092 | 1 | 4.5 | 0.187 | 0 | 0.0 | 0.018 | 0 | 0.0 | 0.300 |
12 | 2,711 | 23.8 | 14 | 15.2 | 6 | 14.3 | 4 | 18.2 | 2 | 10.0 | 2 | 20.0 | |||||
>12 | 6,781 | 59.5 | 73 | 79.3 | 32 | 76.2 | 17 | 77.3 | 18 | 90.0 | 8 | 80.0 | |||||
Body mass index category | |||||||||||||||||
Underweight (<18.5 kg/m2) | 586 | 5.3 | 7 | 7.6 | 0.434 | 2 | 4.7 | 0.700 | 3 | 13.6 | 0.058 | 1 | 5.0 | 0.797 | 1 | 10.0 | 0.426 |
Normal weight (18.5–24.9 kg/m2) | 5,925 | 53.7 | 43 | 46.7 | 24 | 55.8 | 6 | 27.3 | 11 | 55.0 | 3 | 30.0 | |||||
Overweight (25.0–29.9 kg/m2) | 2,506 | 22.7 | 21 | 22.8 | 7 | 16.3 | 7 | 31.8 | 3 | 15.0 | 4 | 40.0 | |||||
Obese (≥30 kg/m2) | 2,022 | 18.3 | 21 | 22.8 | 10 | 23.3 | 6 | 27.3 | 5 | 25.0 | 2 | 20.0 | |||||
Smoking during pregnancyc | |||||||||||||||||
Any | 2,064 | 18.1 | 30 | 32.6 | <0.001 | 20 | 47.6 | <0.001 | 4 | 18.2 | 0.999 | 4 | 20.0 | 0.832 | 3 | 30.0 | 0.332 |
None | 9,368 | 82.0 | 62 | 67.4 | 22 | 52.4 | 18 | 81.8 | 16 | 80.0 | 7 | 70.0 | |||||
Year of estimated date of delivery | |||||||||||||||||
1997–1999d | 1,696 | 14.7 | 15 | 16.1 | 0.685 | 5 | 11.6 | 0.571 | 2 | 9.1 | 0.113 | 6 | 28.6 | 0.409 | 2 | 20.0 | 0.378 |
2000–2001 | 1,680 | 14.6 | 8 | 8.6 | 4 | 9.3 | 2 | 9.1 | 1 | 4.8 | 0 | 0.0 | |||||
2002–2003 | 1,572 | 13.6 | 12 | 12.9 | 8 | 18.6 | 3 | 13.6 | 1 | 4.8 | 0 | 0.0 | |||||
2004–2005 | 1,722 | 15.0 | 18 | 19.4 | 9 | 20.9 | 3 | 13.6 | 4 | 19.0 | 3 | 30.0 | |||||
2006–2007 | 1,659 | 14.4 | 15 | 16.1 | 8 | 18.6 | 2 | 9.1 | 4 | 19.0 | 3 | 30.0 | |||||
2008–2009 | 1,634 | 14.2 | 12 | 12.9 | 6 | 14.0 | 2 | 9.1 | 3 | 14.3 | 1 | 10.0 | |||||
2010–2011 | 1,558 | 13.5 | 13 | 14.0 | 3 | 7.0 | 8 | 36.4 | 2 | 9.5 | 1 | 10.0 | |||||
Antidepressant medication use during pregnancyc | |||||||||||||||||
Any | 528 | 4.6 | 38 | 40.9 | <0.001 | 17 | 39.5 | <0.001 | 14 | 63.6 | <0.001 | 6 | 28.6 | <0.001 | 5 | 50.0 | <0.001 |
None | 10,985 | 95.4 | 55 | 59.1 | 26 | 60.5 | 8 | 36.4 | 15 | 71.4 | 5 | 50.0 | |||||
Antiepileptic medication use during pregnancyc,e | |||||||||||||||||
Any | 67 | 0.6 | 3 | 3.2 | 0.005 | 1 | 2.3 | 0.343 | 0 | 0.0 | 0.935 | 1 | 4.8 | 0.048 | 1 | 10.0 | <0.001 |
None | 11,453 | 99.4 | 90 | 96.8 | 42 | 97.7 | 22 | 100.0 | 20 | 95.2 | 9 | 90.0 |
Six mothers reported use of two different benzodiazepines during the month before pregnancy; this category includes exposures to chlorazepate dipotassium, triazolam, and oxazepam, each reported only once.
Row percentages are presented for the total; otherwise, column percentages are presented. Numbers may not add up to the total due to missing values.
Defined as the month before through the end of pregnancy.
1997 was a partial year of eligibility corresponding to the beginning of the study period (October 1).
Excluding benzodiazepines.