Table 1

Birth defects reported in pharmacovigilance database

CaseEventApproximate trimester exposureInfant sexMaternal age, yearsComments
1Ventriculoseptal defect, patent ductus arteriosus and foramen ovale, hip dysplasia1Female23Concomitant medication (first trimester): sertraline
2Congenital hernia in the groin1Male31Interferon beta-1b stopped during first trimester. The patient was treated with glatiramer acetate during pregnancy. Born at 39 gestational weeks. Weight was 2.45 kg (5 lbs 6 oz—considered “low weight”) and 49 cm (19.3 inch)
The physician attributes hernia to the fact that the child was born “by his foot” and was pulled out during the delivery
3Ectopic kidney, agenesis, renal dysgenesis, obstructive congenital abnormalities to the renal pelvis and ureter1Male36Term delivery
4Spina bifida, hydrocephalus and clubfeet1Male29The patient was primiparous. Concurrent medical conditions included body mass index of 40.8 (weight: 260 lbs, height: 5 feet 7 inch) and hypertension. Concomitant medications included nifedipine, ascorbic acid, thiamine, cyanocobalamin, retinol, riboflavin and calcium (prenatal). The patient's second child was healthy
5Capillary haemangioma (parietal area and left third toe. Both measured 0.5 cm in size)1Male27Urinary tract infection during pregnancy treated with 2 capsules of nitrofurantoin
6Right eye has line from iris noted, at fourth month: no birth defects1Male26Concomitant conditions included depression and bipolar disorder (diagnosed preconception). Concomitant medication was given. Previous pregnancies (3) resulted in spontaneous abortions
7Pilonidal dimple without sinus1Male30Previous pregnancies resulted in 1 spontaneous abortion and 1 male infant with ambiguous genitalia
8Polydactylia (postaxial digit, contains only soft tissue without a nail and measured approximately 1 cm)1Male25Pregnancy history included 1 live birth with no history of birth defects or maternal complications. Concomitant medications included prenatal vitamins for pregnancy
At-term delivery