Does Perinatal Phenobarbital Exposure Affect Developmental Outcome at Age 2?
The Objective of this paper is to determine if phenobarbital exposure during pregnancy affects developmental outcome at age 2 years. Between 1991 and 1994, 401 pregnant patients at risk for delivery prior to 34 weeks' gestation were invited to participat; 48 mothers declined entry. Before delivery, pharmacy randomized the pregnant women to receive phenobarbital and vitamin K or identically appearing placebo in a blinded fashion. Developmental follow-up at age 2 years was performed. Children from the treatment group scored signifcantly lower on the Bayler Mental Developmental Index (mean MDI ± 1 SD) than children whose mothers were randomized to the placebo group [104 ± 21 ( N = 59) vs. 113 ± 22 ( N = 62), P = 0.023]. Of 36 independent variables, randomization group was one of five that individually contributed to the prediction of the Bayley MDI score ( P < 0.05). It was concluded that perinatal phenobarbital therapy may impair developmental outcome..
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
1999 |
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Erschienen: |
Stuttgart: Georg Thieme Verlag ; 1999 |
Reproduktion: |
Thieme Zeitschriftenarchive 1980-2007 |
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Enthalten in: |
Zur Gesamtaufnahme - volume:16 |
Enthalten in: |
American journal of perinatology - 16(1999), 02 vom: März, Seite 51-60 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Thorp, James A. [VerfasserIn] |
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Links: |
dx.doi.org [Deutschlandweit zugänglich] |
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Themen: |
Antenatal exposure |
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Umfang: |
10 |
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doi: |
10.1055/s-2007-993836 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLEJ227391578 |
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520 | |a The Objective of this paper is to determine if phenobarbital exposure during pregnancy affects developmental outcome at age 2 years. Between 1991 and 1994, 401 pregnant patients at risk for delivery prior to 34 weeks' gestation were invited to participat; 48 mothers declined entry. Before delivery, pharmacy randomized the pregnant women to receive phenobarbital and vitamin K or identically appearing placebo in a blinded fashion. Developmental follow-up at age 2 years was performed. Children from the treatment group scored signifcantly lower on the Bayler Mental Developmental Index (mean MDI ± 1 SD) than children whose mothers were randomized to the placebo group [104 ± 21 ( N = 59) vs. 113 ± 22 ( N = 62), P = 0.023]. Of 36 independent variables, randomization group was one of five that individually contributed to the prediction of the Bayley MDI score ( P < 0.05). It was concluded that perinatal phenobarbital therapy may impair developmental outcome. | ||
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