Pregnancy outcome following maternal exposure to statins: a multicentre prospective study
Article first published online: 30 NOV 2012
© 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 120, Issue 4, pages 463–471, March 2013
How to Cite
Pregnancy outcome following maternal exposure to statins: a multicentre prospective study. BJOG 2012; DOI:10.1111/1471-0528.12066., , , , , , , , , , , , , , .
- Issue published online: 12 FEB 2013
- Article first published online: 30 NOV 2012
- Manuscript Accepted: 24 SEP 2012
- Birth defect;
- hydroxymethyl glutaryl coenzyme A reductase inhibitors;
This contribution addresses the risk associated with exposure to statins during pregnancy.
Multicentre observational prospective controlled study.
European Network of Teratology Information Services.
Pregnant women who contacted one of 11 participating centres, seeking advice about exposure to statins during pregnancy, or to agents known to be nonteratogenic.
Pregnancies exposed during first trimester to statins were followed up prospectively, and their outcomes were compared with a matched control group.
Main outcome measures
Rates of major birth defects, live births, miscarriages, elective terminations, preterm deliveries and gestational age and birthweight at delivery.
We collected observations from 249 exposed pregnancies and 249 controls. The difference in the rate of major birth defects between the statin-exposed and the control groups was small and statistically nonsignificant (4.1% versus 2.7% odds ratio [OR] 1.5; 95% confidence interval [95% CI] 0.5–4.5, P = 0.43). In an adjusted Cox model, the difference between miscarriage rates was also small and not significant (hazard ratio 1.36, 95% CI 0.63–2.93, P = 0.43). Premature birth was more frequent in exposed pregnancies (16.1% versus 8.5%; OR 2.1, 95% CI 1.1–3.8, P = 0.019). Nonetheless, median gestational age at birth (39 weeks, interquartile range [IQR] 37–40 versus 39 weeks, IQR 38–40, P = 0.27) and birth weight (3280 g, IQR 2835–3590 versus 3250 g, IQR 2880–3630, P = 0.95) did not differ between exposed and non-exposed pregnancies.
This study did not detect a teratogenic effect of statins. Its statistical power remains insufficient to challenge current recommendations of treatment discontinuation during pregnancy.