Evidence map›Paper›PMID 35247031›Full record

ArticleBirth defects research2022

Maternal hereditary hemolytic anemia and birth defects in the National Birth Defects Prevention Study.

Eleni A Papadopoulos, Sarah C Fisher, Meredith M Howley, Marilyn L Browne, National Birth Defects Prevention Study

Open access · greenAbstract read
In one paragraph

Article in Birth defects research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Eleni A PapadopoulosBirth Defects Registry, New York State Department of Health, Albany, New York, USA.ORCID 0000-0003-4355-7557
Sarah C FisherBirth Defects Registry, New York State Department of Health, Albany, New York, USA.ORCID 0000-0002-4702-1007
Meredith M HowleyBirth Defects Registry, New York State Department of Health, Albany, New York, USA.ORCID 0000-0002-8420-5040
Marilyn L BrowneBirth Defects Registry, New York State Department of Health, Albany, New York, USA.
National Birth Defects Prevention Study
New York State Department of Health · US

Funding

Centers for Birth Defects Research and Prevention (CBDRPs)U01DD000491 · DD · ARKANSAS CHILDREN'S HOSPITAL RES INST · PI HOBBS, CHARLOTTE A · 2009 to 2013
$4.3M
New York State Component A: BD-STEPS II CoreU01DD001227 · DD · CENTER OF ENVIRONMENTAL HEALTH · PI HOWLEY, MEREDITH M · 2018 to 2022
$4.2M
New York State BD-STEPSU01DD001032 · DD · CENTER OF ENVIRONMENTAL HEALTH · PI BROWNE, MARILYN L. · 2013 to 2017
$3.5M
NCBDD CDC HHS U01 DD000491NCBDD CDC HHS U01 DD001032NCBDD CDC HHS U01 DD001227
6 · The paper itself

Abstract

objectivesHereditary hemolytic anemia (HHA) results from genetic mutations that cause red blood cell abnormalities. Little research exists on the relationship between HHA and birth defects. Using data from the National Birth Defects Prevention Study (NBDPS), we described characteristics of HHA-exposed women and estimated associations between HHA during pregnancy and specific birth defects.

methodsThe NBDPS was a population-based, case-control study of major birth defects and included pregnancies with estimated delivery dates from October 1997 through December 2011. Participants were ascertained from hospital discharge lists or birth defect registries at 10 sites. Trained interviewers collected information about pregnancy exposures via telephone questionnaire. We described characteristics among HHA-exposed women and calculated crude odds ratios and exact 95% confidence intervals for defects with ≥3 exposed cases.

resultsAmong 31 HHA-exposed women (28 cases/3 controls), 13 (42%) reported sickle cell anemia, 17 (55%) reported thalassemia, and one (3%) reported hereditary spherocytosis. The average age at delivery for HHA-exposed case women was 27.3 years (range: 17-38). The majority (82%) of HHA-exposed case women reported additional conditions during pregnancy, including hypertension, genitourinary infections, and respiratory illnesses. Additionally, 93% of case women reported using medication during pregnancy. Among the 28 cases, 18 (64%) had isolated birth defects. The defects with ≥3 exposed cases were anencephaly, atrial septal defect, gastroschisis, and cleft palate. Except for anencephaly, the 95% confidence intervals for all estimates were close to or included the null.

conclusionThis hypothesis-generating study adds to the sparse literature on the association between HHA and birth defects.

Indexed as

Anemia, Hemolytic, CongenitalAnencephalyGastroschisisCase-Control StudiesFemaleHumansOdds RatioPregnancybirth defectshereditary hemolytic anemiaNational Birth Defects Prevention Studysickle cell diseasethalassemia

Identifiers

PMID35247031
PMCPMC10012346
OpenAlexW4220873294

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