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Published on: April 28, 2008
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.
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.
Background:
MotherToBaby (MTB) is a teratogen information service that provides information about exposures during pregnancy and breastfeeding to the public and healthcare providers. During the Coronavirus Disease of 2019 (COVID-19) pandemic, MTB received an influx of queries regarding the teratogenicity of the virus and the vaccine. The purpose of this study was to assess the frequency and type of exposures asked about prior to the onset of the COVID-19 pandemic through March 2022 and to evaluate the demographics of individuals who made inquiries.
Methods:
Data from MTB contacts (2018-2022) were accessed through a data-sharing agreement. The data were cleaned and standardized by coding all exposures into 11 established categories before linking demographic and exposure files into a single dataset. Analyses included descriptive statistics, chi-square tests, and logistic regression conducted in Excel and STATA 17.0, with statistical significance set at a 0.01% error rate.
Results:
The total number of contacts increased from 2019 to 2022, and the exposure category with the highest number of contacts was prescription medications, followed by COVID-19-related exposures. Peaks in the number of contacts relating to COVID-19 correlate with various pandemic milestones, such as when vaccines were approved by the U.S. Food and Drug Administration (FDA).
Conclusion:
These data provide valuable information for healthcare providers and agencies, such as the Centers for Disease Control and Prevention (CDC), to better prepare for future pandemics and epidemics.
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