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Published on: February 5, 2019
Long-term follow-up of children whose mothers used oral contraceptives prior to conception
Insights
Maternal oral contraceptive (OC) use before conception did not impact infant development. This study found no significant differences in anthropometric, psychometric, or hematologic measurements in children exposed to OCs.
Area of Science:
- Pediatric Health
- Reproductive Health
- Developmental Biology
Background:
- Maternal oral contraceptive (OC) use is common.
- Potential effects of prenatal exposures on child development require investigation.
- Understanding developmental trajectories is crucial for public health.
Purpose of the Study:
- To investigate the impact of maternal oral contraceptive (OC) use prior to conception on infant development.
- To compare anthropometric, psychometric, and hematologic measurements between infants born to mothers with and without prior OC use.
Main Methods:
- A cohort of 732 infants was followed for 3 years.
- Measurements included weight, height, hemoglobin, hematocrit, development quotient (DQ), and intelligence quotient (IQ).
- Statistical analyses, including linear multiple regression, adjusted for various confounding factors.
Main Results:
- No significant differences were observed in weight, height, hemoglobin, or hematocrit between the groups.
- Developmental quotient (DQ) and intelligence quotient (IQ) scores showed no significant variations.
- Analyses conducted separately for males and females also revealed no significant differences.
Conclusions:
- Maternal oral contraceptive (OC) use prior to conception is not associated with adverse effects on infant growth and development.
- This study provides evidence that OC use does not negatively impact key developmental milestones in early childhood.
- Findings support the safety of prior oral contraceptive use concerning offspring neurodevelopment and physical growth.
Abstract:
Anthropometric, psychometric and hematologic measurements were made at intervals in the first 3 years of life in a cohort of 732 infants, including 177 (24.2%) whose mothers used oral contraceptives (OC) prior to conception. Analysis of the data focused on weight and height measurements at 3, 9, 12, 24 and 36 months of age; hemoglobin and hematocrit at 9 months; development quotient (DQ) at 2 years and its components, posture, coordination, language and social; and intelligence quotient (IQ) at 3 years and its verbal and nonverbal components. Analyses were made for both sexes combined and males and females separately, by examining crude means, and means adjusted through linear multiple regression for birthweight, age of child at the time of examination, height of mother, mother's weight-for-height centile, birth-order, maternal and paternal education, and maternal smoking. No significant differences were found between the children whose mothers did or did not use oral contraceptives.
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