Investigation of Teratogenic Concerns in the Coronavirus Disease of 2019 Era

Kate Richardson1, Emily C Daykin2, Kathleen Shields1

  • 1Division of Medical Genetics, Department of Pediatrics, McGovern Medical School at UTHealth Houston, Houston, Texas, USA.

Birth Defects Research
|February 2, 2026
PubMed

Insights

MotherToBaby (MTB) saw increased inquiries about pregnancy exposures, especially concerning COVID-19 (Coronavirus Disease of 2019) virus and vaccines. Prescription medications remained the top exposure concern throughout the pandemic.

Area of Science:

  • Reproductive toxicology
  • Public health surveillance

Background:

  • MotherToBaby (MTB) is a teratogen information service providing data on exposures during pregnancy and breastfeeding.
  • The Coronavirus Disease of 2019 (COVID-19) pandemic led to a surge in public and healthcare provider inquiries regarding the virus and vaccine safety.
  • This study analyzed exposure data and caller demographics from MTB contacts before and during the pandemic.

Purpose of the Study:

  • To assess the frequency and types of exposures queried by individuals contacting MotherToBaby.
  • To evaluate demographic characteristics of individuals making inquiries.
  • To understand the impact of the COVID-19 pandemic on teratogen information service queries.

Main Methods:

  • Utilized MotherToBaby (MTB) contact data from 2018 to 2022.
  • Standardized exposure data into 11 categories and linked with demographic information.
  • Employed descriptive statistics, chi-square tests, and logistic regression for analysis, with a 0.01% significance level.

Main Results:

  • Total contacts to MTB increased significantly between 2019 and 2022.
  • Prescription medications were the most frequent exposure category queried.
  • COVID-19 related exposures became a prominent query category, with peaks correlating to pandemic milestones like vaccine approval.

Conclusions:

  • The findings offer critical insights for healthcare providers and public health agencies like the Centers for Disease Control and Prevention (CDC).
  • This data can inform preparedness strategies for future pandemics and epidemics.
  • Understanding query trends helps optimize public health information dissemination during health crises.
Abstract

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