Document Detail


Congenital heart defects, maternal febrile illness, and multivitamin use: a population-based study.
MedLine Citation:
PMID:  11505164     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We assessed the relation between febrile illness during pregnancy and cardiac defects in the offspring in a population-based case-control study in metropolitan Atlanta. Case infants (905) with cardiac defects were actively ascertained from multiple sources. Control infants (3,029) were infants without birth defects who were selected from birth certificates by stratified random sampling. We compared those whose mothers reported febrile illness from 1 month before pregnancy through the third month of pregnancy with those whose mothers reported no illness during the same period. Febrile illness was positively associated with the occurrence of heart defects in the offspring (odds ratio [OR] = 1.8; 95% confidence interval = 1.4-2.4). When influenzalike illness was the reported febrile illness, the OR was 2.1 (95% confidence interval = 0.8-5.5). The association with febrile illness was strongest for tricuspid atresia (OR = 5.2), left obstructive defects (OR = 2.7), transposition of the great arteries (OR = 1.9), and ventricular septal defects (OR = 1.8). These ORs were generally lower among mothers who used multivitamins during the periconceptional period.
Authors:
L D Botto; M C Lynberg; J D Erickson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Epidemiology (Cambridge, Mass.)     Volume:  12     ISSN:  1044-3983     ISO Abbreviation:  Epidemiology     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-08-15     Completed Date:  2001-09-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9009644     Medline TA:  Epidemiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  485-90     Citation Subset:  IM    
Affiliation:
National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Atlanta, GA 30341, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Case-Control Studies
Child
Educational Status
Female
Fever / complications*
Georgia
Heart Defects, Congenital / etiology*
Humans
Infant, Newborn
Maternal Age
Pregnancy
Pregnancy Complications, Infectious*
Risk Factors
Vitamins / administration & dosage*
Chemical
Reg. No./Substance:
0/Vitamins
Comments/Corrections
Comment In:
Epidemiology. 2001 Sep;12(5):482-4   [PMID:  11505163 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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