Research and analysis

Table 3c: Prenatal Growth Restriction

Updated 7 January 2021
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Prenatal Growth Retardation
Not set Carbamazepine Gabapentin Lamotrigine Levetiracetam Oxcarbazepine Phenobarbital Phenytoin Pregabalin Topiramate Valproate Zonisamide
Meta-analyses Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Veroniki et al 2017a OR 1.15 (0.77,1.67) OR 1.37 (0.44,3.61) OR 0.90 (0.56,1.42) OR 1.27 (3.04,3.54) OR 0.99 (0.56, 1.76) OR 1.88 (1.07,3.32) OR 0.68 (0.37,1.21) - OR 2.64 1.28 (0.86,1.95) -
Not set Not set Not set Not set Not set Not set Not set Not set Not set (1.41, 4.63) Not set Not set
Not set N=2897 N=70 N=2882 N=81 N=1002 N=400 N=519 Not set Not set N=1622 Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set N=472 Not set Not set
Pregnancy Registries Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
North Not set aRR 1.2 (95% CI 0.7 to 2.0) Not set Not set Not set aRR 2.4 (95% CI 1.6 to 3.6) aRR 0.8 (95% CI 0.5 to 1.25) Not set aRR 2.4 Not set aRR 1.9 (95% CI 1.2 to 3.0)
American Not set Not set Not set Not set Not set Not set Not set Not set (95% CI 1.8 to 3.1) Not set Not set
Hernandez Diaz et al 2017 Not set N=153 Not set Not set Not set N=178 N=383 Not set Not set Not set N=125
Not set Not set Not set Not set Not set Not set Not set Not set Not set N=394 Not set Not set
Compared with LMT Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
?Hernandez-Diaz et al 2014 - - 6.8% SGA - - - - - 17.9% SGA - 12.2% SGA
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
TPM and ZNS compared with LMT and unexposed control group Not set Not set N=1581 Not set Not set Not set Not set Not set Mean lower BW of 221g Not set Mean lower BW of 202g
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set Mean lesser birth length of 1cm Not set Mean lesser birth length of 1cm
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set N=347 Not set N=98
Birth Registers Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Margulis et al 2019 BW - ref BW - - - BW - BW Not set
Swedish -69 (95% CI -112 to -26) Not set Not set -79 (95% CI -166 to 8) Not set Not set Not set -83 (95% CI -63 to 3) any time Not set -27 (95% CI -79 to 24) any time Not set
Not set any time Not set Not set any time Not set Not set Not set -127 (95 % CI -210 to 44) 1st trimester Not set -40 (95 % CI -95 to 14) 1st trimester Not set
BW (grams) -87 (95 % CI -133 to -40) 1st trimester use Not set Not set -95 (95 % CI -189 to 2) Not set Not set Not set N=528 (any time) Not set N=992 any time Not set
Not set N=1988 (any time) Not set Not set 1st trimester Not set Not set Not set N=489 (1st trimester) Not set N=852 1st trimester Not set
Not set N=1699 (1st trimester) Not set Not set N=215 (any time) Not set Not set Not set Not set Not set Not set Not set
Not set Not set Not set Not set N=186 (1st trimester) Not set Not set Not set Microcephaly Not set Microcephaly Not set
Not set Microcephaly Not set Not set Not set Not set Not set Not set -0.0 (95% CI -0.3 to 0.2) any time Not set -0.2 (95% CI -0.3 to 0.0) any time Not set
Not set -0.3 (95% CI -0.5 to -0.2) Not set Not set Microcephaly Not set Not set Not set -0.2 (95% CI -0.4 to -0.1) 1st trimester Not set -0.2 (95% CI -0.4 to 0.2) 1st trimester Not set
Not set any time Not set Not set -0.2 (95% CI -0.5 to 0.0) any time Not set Not set Not set Not set Not set N=931 (any time) Not set
Not set -0.4 (95% CI -0.6 to -0.3) 1st trimester Not set Not set -0.3 (95% CI -0.6 to 0.0) 1st trimester Not set Not set Not set N=516 (any time) Not set N=802 (1st trimester) Not set
Not set N=1883 (any time) Not set Not set N=206 (any time) Not set Not set Not set N=480 (1st trimester) Not set Not set Not set
Not set N= 1605 (1st trimester) Not set Not set N=178 (1st trimester) Not set Not set Not set Not set Not set Not set Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Microcephaly – Birth Head circumference (cm) Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Danielsson et al 2019 2.90% - 1.80% 3.40% - - - - - 2.30% -
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
SGA N=243 Not set N=437 N=118 Not set Not set Not set Not set Not set N=130 Not set
?Veiby et al 2014 SGA BW - SGA BW SGA BW - - - - SGA-BW SGA BW Not set
Not set 11.90% Not set OR1.0 NS (CI not provided) OR0.8 NS (CI not provided) Not set Not set Not set Not set 25.0% vs 8.9% OR 0.9 NS (CI not provided) Not set
SGA BW Vs Not set Not set Not set Not set Not set Not set Not set aOR 3.29 (95% 1.70 to 6.39) Not set Not set
Not set 9.60% Not set SGA HC SGA HC Not set Not set Not set Not set Not set SGA HC Not set
Not set aOR 1.37 (95% 1.09 to 1.73) Not set OR 1.1 NS (CI not provided) OR 0.4 NS (CI not provided) Not set Not set Not set Not set SGA-HC OR 0.8 NS (CI not provided) Not set
SGA HC Not set Not set Not set Not set Not set Not set Not set Not set 14.9% vs 2.4% Not set Not set
Not set SGA HC Not set N=983 N=188 Not set Not set Not set Not set aOR 7.21 (95% CI 3.23 to 16.1) N=410 Not set
Not set 4.60% Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Not set Vs Not set Not set Not set Not set Not set Not set Not set N=90 Not set Not set
Not set 2.40% Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Not set aOR 2.05 (95% 1.44 to 2.93) Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Not set N=704 Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Killic et al 2014 SGA SGA SGA SGA SGA SGA SGA SGA SGA SGA Not set
Not set 13.5% (all) 12.1% (all) 10.3% (all) 15.3% (all) 18.7% (all) 18.9% (all) 38.5% (all) 27.8% (all) 23.3% (all) 16.8% (all) Not set
SGA 11.2% (mono) 12.5% (mono) 8.9% (mono) 11.5% (mono) 16.0% (mono) 18.8% (mono) 20.0% (mono) 23.1% (mono) 17.0% (mono) 15.3% (mono) Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
LBW LBW LBW LBW LBW LBW LBW LBW LBW LBW LBW Not set
Not set 6.5% (all) 5.5% (all) 5.8% (all) 5.6% (all) 6.2% (all) 9.9% (all) 7.7% (all) 16.7% (all) 5.4% (all) 8.1% (all) Not set
Not set 6.6% (mono) 6.9% (mono) 5.5% (mono) 7.7% (mono) 5.5% (mono) 9.4% (mono) 20.0% (mono) 15.4% (mono) 6.8% (mono) 6.5% (mono) Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Not set N=416 N=91 N=1157 N=72 N=405 N=111 N=13 N=18 N=129 N=461 Not set
?Artama et al 2013 LBW - LBW LBW LBW - LBW - - LBW -
Not set 5.2% (all) Not set 4.1% (all) 10.7% (all) 4.4% (all) Not set 3.8% (all) Not set Not set 4.6% (all) Not set
LBW 4.7% (mono) Not set 3.5% (mono) 15.4% (mono) 3.6% (mono) Not set 3.8% (mono) Not set Not set 4.0% (mono) Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
SGA SGA Not set SGA SGA SGA Not set SGA Not set Not set SGA Not set
Not set 2.3% (all) Not set 1.7% (all) 3.6% (all) 3.9% (all) Not set 0 (all) Not set Not set 1.9% (all) Not set
Not set 1.8% (mono) Not set 1.2% (mono) 0 (mono) 3.4% (mono) Not set 0 (mono) Not set Not set 1.7% (mono) Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Not set N=1292 (all) Not set N=345 (all) N=56 (all) N=695 (all) Not set N=53 (all) Not set Not set N=944 (all) Not set
Not set 1084 (mono) Not set 173 (mono) 13 (mono) 532 (mono) Not set 26 (mono) Not set Not set 706 (mono) Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Fujii et al 2013 Not set IUGR Not set Not set Not set Not set Not set Not set Not set Not set Not set
Not set Not set 3.50% Not set Not set Not set Not set Not set Not set Not set Not set Not set
IUGR Not set Vs Not set Not set Not set Not set Not set Not set Not set Not set Not set
Not set Not set 1.9% control Not set Not set Not set Not set Not set Not set Not set Not set Not set
LBW Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Not set Not set LBW 10.5% Not set Not set Not set Not set Not set Not set Not set Not set Not set
Not set Not set Vs Not set Not set Not set Not set Not set Not set Not set Not set Not set
Not set Not set 4.4% control Not set Not set Not set Not set Not set Not set Not set Not set Not set
Almgren et al 2009 -0.15 mean SD +/- 0.03 -0.02 +/- 0.13 -0.004 +/-0.06 - - - -0.02 +/- 0.09 - - -0.10 mean SDs +/- 0.05 -
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
BW adjusted HC N=1094 N=56 N=308 Not set Not set Not set N=137 Not set Not set N=460 Not set
Others Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Mostacci et al 2017 - 27% - - - - 6.30% - - Not set Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
SGA Not set N=11 Not set Not set Not set Not set N=30 Not set Not set Not set Not set
Winterfeld et al 2016 Not set Not set Not set Not set Not set Not set Not set 3,300 g (3,000 to 3,690) Not set Not set Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Birth Weight g (median, IQR) Not set Not set Not set Not set Not set Not set Not set N=119 Not set Not set Not set
?Ornoy et al 2008 - - - - - - - - 2932g Not set Not set
Birth weight (grams) Not set Not set Not set Not set Not set Not set Not set Not set vs Not set Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set 3300 Not set Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set Not set
Not set Not set Not set Not set Not set Not set Not set Not set Not set N=52 Not set Not set