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Etanercept
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)
Hyrich, 2006 Chambers, 2015 Weber-Schoendorfer, 2015 Hoxha, 2017 Fu, 2019 De Lorenzo (Controls unexposed, sick), 2020 Drechsel, 2020
7
2.93
[
1.53
; 5.60]
34
238
not evaluable
Major congenital malformations
Hyrich, 2006 Chambers, 2015 Weber-Schoendorfer, 2015 Hoxha, 2017 Fu, 2019 Drechsel, 2020
6
2.61
[
1.40
; 4.86]
31
232
not evaluable
Congenital heart defects
0
-
-
-
-
-
Digestive system anomalies
0
-
-
-
-
-
Ear malformations
0
-
-
-
-
-
Eye defects
0
-
-
-
-
-
Limb defects
0
-
-
-
-
-
Nervous system anomalies
0
-
-
-
-
-
Oro-facial clefts
0
-
-
-
-
-
Respiratory system anomalies
0
-
-
-
-
-
Growth parameters and prematurity
Preterm (< 37 weeks)
Chambers, 2015 Hoxha, 2017 Carman (Control unexposed, sick), 2017 De Lorenzo (Controls unexposed, sick), 2020 Drechsel, 2020
5
1.50
[
1.10
; 2.04]
323
249
not evaluable
Small for gestational age (weight)
De Lorenzo (Controls unexposed, sick), 2020 Drechsel, 2020
2
4.36
[
0.71
; 26.61]
6
15
not evaluable
Low birth weight (< 2500g)
Carman (Control unexposed, sick), 2017
1
1.71
[
1.14
; 2.58]
203
217
not evaluable
Macrosomia (> 4000g)
De Lorenzo (Controls unexposed, sick), 2020
1
5.73
[
0.10
; 320.07]
-
6
not evaluable
Maternal consequences
Caesarean
0
-
-
-
-
-
Preeclampsia
Fu, 2019 Drechsel, 2020
2
0.67
[
0.02
; 19.22]
11
104
not evaluable
Gestational diabetes
Drechsel, 2020
1
1.25
[
0.13
; 11.76]
7
9
not evaluable
Maternal consequences (as a whole)
Hoxha, 2017
1
3.62
[
0.16
; 83.53]
2
17
not evaluable
Neonatal disorders
Neonatal infections
Vinet (Unexposed controls, sick), 2018 Drechsel, 2020
2
1.82
[
0.83
; 3.97]
58
204
not evaluable
Low Apgar score (< 7) (at 5 min)
0
-
-
-
-
-
Neonatal death (< 28 days of life)
Drechsel, 2020
1
7.71
[
0.14
; 414.30]
-
9
not evaluable
Intrauterine deaths
Early intrauterine death (< 22 weeks)
Hyrich, 2006 Chambers, 2015 Carman (Control unexposed, sick), 2017 Fu, 2019 Drechsel, 2020
5
0.66
[
0.30
; 1.45]
622
832
not evaluable
Elective/induced termination of pregnancy
Hyrich, 2006 Carman (Control unexposed, sick), 2017 Drechsel, 2020
3
1.03
[
0.70
; 1.52]
293
367
not evaluable
Late intrauterine deaths (> 22 weeks)
Carman (Control unexposed, sick), 2017 Drechsel, 2020
2
0.82
[
0.22
; 3.09]
28
350
not evaluable
Ectopic pregnancy
Drechsel, 2020
1
22.04
[
0.85
; 573.89]
1
13
not evaluable
Intrauterine deaths (as a whole or unspecified)
Hoxha, 2017
1
0.36
[
0.05
; 2.59]
5
17
not evaluable
0.0
100.0
1.0