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Methotrexate (Post-conception)
Overall results
Study description
Excluded studies
Table
Graphic
auto
during pregnancy (anytime or not specified)
1st trimester
2nd trimester
3rd trimester
2nd and/or 3rd trimester
throughout pregnancy
early pregnancy
days before delivery
late pregnancy
preconception-only
periconceptional
preconceptional for kinetic reason
at least 1st trimester
3 months (or more) before pregnancy or during pregnancy
1st and 2nd trimester
3 months or more before pregnancy or1st trimester
Whatever the period exposition
individual studies
Outcome
TE
95% CI
n cases
n exposed
k
Pub. bias
Congenital malformations
All congenital malformations (majors, minors, majors and minors, or unspecified)
Viktil (Controls unexposed NOS), 2012 Weber-Schoendorfer (Controls unexposed, disease free), 2014 Dawson, 2014 Cooper (Controls unexposed, sick), 2014 Howren, 2020
5
3.16
[
1.52
; 6.54]
32,664
143
not evaluable
Major congenital malformations
Viktil (Controls unexposed NOS), 2012 Dawson, 2014 Cooper (Controls unexposed, sick), 2014 Weber-Schoendorfer (Controls unexposed, disease free), 2014
4
2.70
[
1.21
; 6.02]
32,664
143
not evaluable
Congenital heart defects
Dawson, 2014 Cooper (Controls unexposed, sick), 2014
2
4.80
[
0.57
; 40.39]
11,023
30
not evaluable
Digestive system anomalies
Cooper (Controls unexposed, sick), 2014
1
2.51
[
0.10
; 63.53]
1
23
not evaluable
Genital anomalies
Cooper (Controls unexposed, sick), 2014
1
7.58
[
0.15
; 391.43]
-
23
not evaluable
Limb defects
Cooper (Controls unexposed, sick), 2014
1
7.58
[
0.15
; 391.43]
-
23
not evaluable
Minor congenital malformations
Weber-Schoendorfer (Controls unexposed, disease free), 2014
1
0.83
[
0.19
; 3.57]
25
104
not evaluable
Nervous system anomalies
Cooper (Controls unexposed, sick), 2014
1
7.58
[
0.15
; 391.43]
-
23
not evaluable
Urinary malformations
Cooper (Controls unexposed, sick), 2014
1
1.50
[
0.07
; 32.20]
2
23
not evaluable
Growth parameters and prematurity
Preterm (< 37 weeks)
Cooper (Controls unexposed, sick), 2014
1
0.70
[
0.20
; 2.53]
35
21
not evaluable
Small for gestational age (weight)
Howren, 2020
1
1.73
[
0.35
; 8.53]
-
-
not evaluable
Neonatal disorders
Neonatal disorders (as a whole)
Cooper (Controls unexposed, sick), 2014
1
1.14
[
0.13
; 9.77]
8
21
not evaluable
Intrauterine deaths
Late intrauterine deaths (> 22 weeks)
Cooper (Controls unexposed, sick), 2014 Weber-Schoendorfer (Controls unexposed, disease free), 2014
2
5.05
[
1.21
; 21.03]
9
211
not evaluable
Early intrauterine death (< 22 weeks)
Weber-Schoendorfer (Controls unexposed, disease free), 2014
1
2.50
[
1.43
; 4.38]
118
188
not evaluable
Elective/induced termination of pregnancy
Weber-Schoendorfer (Controls unexposed, disease free), 2014
1
7.40
[
4.49
; 12.18]
98
188
not evaluable
Therapeutic terminations of pregnancy
Weber-Schoendorfer (Controls unexposed, disease free), 2014
1
4.23
[
1.78
; 10.04]
22
188
not evaluable
0.0
100.0
1.0