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Maternal oral contraceptive pill use and the risk of atopic diseases in the offspring: A systematic review and meta-analysis

Studies of maternal oral contraceptive pill (OCP) exposure and the offspring's risk of atopic diseases are of current interest due to concerns about widespread use of OCP before or during pregnancy. We evaluated whether maternal OCP exposure is associated with an increased risk of atopic diseas...

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Autores principales: Bai, Xue-Feng, Wu, Zheng-Xiang, Zhao, Chun-Hong, Wu, Yong, Fei, Chang-Shun, Zhang, Li-Qin, Chen, Zhao-Hui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220114/
https://www.ncbi.nlm.nih.gov/pubmed/32311929
http://dx.doi.org/10.1097/MD.0000000000019607
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author Bai, Xue-Feng
Wu, Zheng-Xiang
Zhao, Chun-Hong
Wu, Yong
Fei, Chang-Shun
Zhang, Li-Qin
Chen, Zhao-Hui
author_facet Bai, Xue-Feng
Wu, Zheng-Xiang
Zhao, Chun-Hong
Wu, Yong
Fei, Chang-Shun
Zhang, Li-Qin
Chen, Zhao-Hui
author_sort Bai, Xue-Feng
collection PubMed
description Studies of maternal oral contraceptive pill (OCP) exposure and the offspring's risk of atopic diseases are of current interest due to concerns about widespread use of OCP before or during pregnancy. We evaluated whether maternal OCP exposure is associated with an increased risk of atopic diseases by reviewing the literature and performing a meta-analysis. The PubMed and Embase databases were searched to identify potential studies for inclusion. Three common atopic outcomes were included: asthma, eczema, and rhinitis. We found 693 titles, abstracts, and citations, and 6 studies were included in this analysis. A meta-analysis revealed that maternal OCP exposure was associated with higher odds of asthma (odds ratio [OR] 1.1; 95% confidence interval [CI] 1.02–1.19; P = .014), rhinitis (OR 1.34; 95% CI 1.07–1.68; P = .011) during childhood, whereas there was no association with eczema (OR 1.17; 95% CI 0.81–1.68; P = .383). This analysis was limited by the small number of studies included and the limited adjustments for the possible confounders in the studies. Current evidence suggests that maternal OCP exposure increases the risk for respiratory allergic diseases (asthma and rhinitis) in the offspring, but not for eczema. Given the few studies included, future larger, prospective studies that control for important confounders are needed to verify our findings.
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spelling pubmed-72201142020-06-15 Maternal oral contraceptive pill use and the risk of atopic diseases in the offspring: A systematic review and meta-analysis Bai, Xue-Feng Wu, Zheng-Xiang Zhao, Chun-Hong Wu, Yong Fei, Chang-Shun Zhang, Li-Qin Chen, Zhao-Hui Medicine (Baltimore) 6000 Studies of maternal oral contraceptive pill (OCP) exposure and the offspring's risk of atopic diseases are of current interest due to concerns about widespread use of OCP before or during pregnancy. We evaluated whether maternal OCP exposure is associated with an increased risk of atopic diseases by reviewing the literature and performing a meta-analysis. The PubMed and Embase databases were searched to identify potential studies for inclusion. Three common atopic outcomes were included: asthma, eczema, and rhinitis. We found 693 titles, abstracts, and citations, and 6 studies were included in this analysis. A meta-analysis revealed that maternal OCP exposure was associated with higher odds of asthma (odds ratio [OR] 1.1; 95% confidence interval [CI] 1.02–1.19; P = .014), rhinitis (OR 1.34; 95% CI 1.07–1.68; P = .011) during childhood, whereas there was no association with eczema (OR 1.17; 95% CI 0.81–1.68; P = .383). This analysis was limited by the small number of studies included and the limited adjustments for the possible confounders in the studies. Current evidence suggests that maternal OCP exposure increases the risk for respiratory allergic diseases (asthma and rhinitis) in the offspring, but not for eczema. Given the few studies included, future larger, prospective studies that control for important confounders are needed to verify our findings. Wolters Kluwer Health 2020-04-17 /pmc/articles/PMC7220114/ /pubmed/32311929 http://dx.doi.org/10.1097/MD.0000000000019607 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 6000
Bai, Xue-Feng
Wu, Zheng-Xiang
Zhao, Chun-Hong
Wu, Yong
Fei, Chang-Shun
Zhang, Li-Qin
Chen, Zhao-Hui
Maternal oral contraceptive pill use and the risk of atopic diseases in the offspring: A systematic review and meta-analysis
title Maternal oral contraceptive pill use and the risk of atopic diseases in the offspring: A systematic review and meta-analysis
title_full Maternal oral contraceptive pill use and the risk of atopic diseases in the offspring: A systematic review and meta-analysis
title_fullStr Maternal oral contraceptive pill use and the risk of atopic diseases in the offspring: A systematic review and meta-analysis
title_full_unstemmed Maternal oral contraceptive pill use and the risk of atopic diseases in the offspring: A systematic review and meta-analysis
title_short Maternal oral contraceptive pill use and the risk of atopic diseases in the offspring: A systematic review and meta-analysis
title_sort maternal oral contraceptive pill use and the risk of atopic diseases in the offspring: a systematic review and meta-analysis
topic 6000
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220114/
https://www.ncbi.nlm.nih.gov/pubmed/32311929
http://dx.doi.org/10.1097/MD.0000000000019607
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