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Metoclopramide
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)
Sorensen, 2000 Berkovitch, 2002 Bsat, 2003 Matok, 2009 Ashkenazi-Hoffnung, 2013 Pasternak, 2013 Huybrechts, 2018 Bérard, 2019
8
1.01
[
0.95
; 1.07]
27,615
86,141
not evaluable
Major congenital malformations
Berkovitch, 2002 Matok, 2009 Ashkenazi-Hoffnung, 2013 Pasternak, 2013 Huybrechts, 2018 Bérard, 2019
6
1.01
[
0.94
; 1.10]
26,907
85,897
not evaluable
Hypospadias
Anderka, 2012 Lind, 2013 Pasternak, 2013 Ashkenazi-Hoffnung, 2013
4
0.88
[
0.68
; 1.14]
2,553
13,276
not evaluable
Cleft lip with or without cleft palate
Anderka, 2012 Pasternak, 2013 Huybrechts, 2018
3
1.00
[
0.77
; 1.30]
1,233
81,317
not evaluable
Cleft palate
Anderka, 2012 Pasternak, 2013 Huybrechts, 2018
3
1.01
[
0.63
; 1.64]
701
81,318
not evaluable
Atrial septal defect
Pasternak, 2013 Huybrechts, 2018
2
0.97
[
0.78
; 1.22]
766
81,295
not evaluable
Congenital heart defects
Huybrechts, 2018 Bérard, 2019
2
1.10
[
0.77
; 1.58]
4,796
53,748
not evaluable
Ventricular septal defect
Pasternak, 2013 Huybrechts, 2018
2
0.86
[
0.74
; 1.00]
1,035
81,295
not evaluable
Ano-rectal atresia and stenosis
Pasternak, 2013
1
0.77
[
0.36
; 1.65]
52
28,486
not evaluable
Atrioventricular septal defect
Huybrechts, 2018
1
0.60
[
0.25
; 1.44]
8
52,809
not evaluable
Club foot / Talipes equinovarus
Pasternak, 2013
1
0.78
[
0.55
; 1.10]
247
28,486
not evaluable
Coarctation of aorta
Pasternak, 2013
1
1.28
[
0.70
; 2.35]
61
28,486
not evaluable
Congenital cataract
Pasternak, 2013
1
0.72
[
0.35
; 1.49]
59
28,486
not evaluable
Congenital hydronephrosis
Pasternak, 2013
1
1.18
[
0.89
; 1.57]
281
28,486
not evaluable
Congenital skin disorders
Pasternak, 2013
1
1.32
[
0.68
; 2.55]
51
28,486
not evaluable
Craniosynostosis
Pasternak, 2013
1
0.80
[
0.48
; 1.34]
110
28,486
not evaluable
Digestive system anomalies
Bérard, 2019
1
1.36
[
0.71
; 2.60]
1,221
939
not evaluable
Eye, ear, face and neck malformations
Bérard, 2019
1
0.98
[
0.31
; 3.13]
581
939
not evaluable
Genital anomalies
Bérard, 2019
1
2.26
[
1.14
; 4.48]
940
939
not evaluable
Hydrocephaly
Pasternak, 2013
1
0.81
[
0.42
; 1.57]
66
28,486
not evaluable
Limb defects
Bérard, 2019
1
1.09
[
0.78
; 1.52]
6,432
939
not evaluable
Limb reduction defects (LRD)
Pasternak, 2013
1
0.99
[
0.53
; 1.84]
69
28,486
not evaluable
Minor congenital malformations
Matok, 2009
1
1.10
[
0.92
; 1.31]
2,863
3,458
not evaluable
Nervous system anomalies
Bérard, 2019
1
1.26
[
0.56
; 2.85]
672
939
not evaluable
Neural Tube Defects
Pasternak, 2013
1
0.81
[
0.43
; 1.51]
76
28,486
not evaluable
Oro-facial clefts
Huybrechts, 2018
1
0.76
[
0.55
; 1.05]
174
52,809
not evaluable
Patent ductus arterious
Huybrechts, 2018
1
1.64
[
1.21
; 2.23]
136
52,809
not evaluable
Polydactyly
Pasternak, 2013
1
0.99
[
0.59
; 1.67]
96
28,486
not evaluable
Pulmonary valve stenosis
Pasternak, 2013
1
1.17
[
0.73
; 1.87]
108
28,486
not evaluable
Respiratory system anomalies
Bérard, 2019
1
1.29
[
0.57
; 2.91]
762
939
not evaluable
Single ventricle
Huybrechts, 2018
1
0.88
[
0.27
; 2.90]
-
52,809
not evaluable
Spina bifida
Bérard, 2019
1
2.05
[
0.23
; 18.10]
46
939
not evaluable
Syndactyly
Pasternak, 2013
1
0.88
[
0.51
; 1.52]
93
28,486
not evaluable
Tetralogy of Fallot
Pasternak, 2013
1
1.12
[
0.51
; 2.44]
40
28,486
not evaluable
Total anomalous pulm venous return
Huybrechts, 2018
1
1.30
[
0.59
; 2.89]
4
52,809
not evaluable
Transposition of the great vessels
Pasternak, 2013
1
0.65
[
0.28
; 1.49]
51
28,486
not evaluable
Urinary malformations
Bérard, 2019
1
0.95
[
0.47
; 1.92]
1,727
939
not evaluable
Growth parameters and prematurity
Preterm (< 37 weeks)
Sorensen, 2000 Berkovitch, 2002 Asker, 2005 Matok, 2009 Ashkenazi-Hoffnung, 2013 Pasternak, 2013
6
1.03
[
0.89
; 1.20]
48,416
41,944
not evaluable
Low birth weight (< 2500g)
Sorensen, 2000 Asker, 2005 Matok, 2009 Pasternak, 2013 Ashkenazi-Hoffnung, 2013
5
0.95
[
0.85
; 1.07]
34,839
41,811
not evaluable
Small for gestational age (weight)
Asker, 2005 Pasternak, 2013
2
0.88
[
0.59
; 1.29]
32,410
38,030
not evaluable
Very low birth weight (< 1500g)
Matok, 2009
1
1.18
[
0.90
; 1.54]
1,174
3,458
not evaluable
Maternal consequences
Caesarean
Berkovitch, 2002
1
1.53
[
0.92
; 2.55]
52
158
not evaluable
Maternal consequences (as a whole)
Ashkenazi-Hoffnung, 2013
1
2.07
[
0.18
; 24.23]
3
29
not evaluable
Neonatal disorders
Low Apgar score (< 7) (at 1 min)
McGarry (Unexposed control), 1971 Howard, 1973 Bylsma-Howell, 1983 Kafle, 1993 Shahriari, 2009
5
1.05
[
0.55
; 2.01]
37
282
not evaluable
Low Apgar score (< 7) (at 5 min)
Howard, 1973 Bylsma-Howell, 1983 Kafle, 1993 Shahriari, 2009
4
1.09
[
0.15
; 7.97]
-
86
not evaluable
Neonatal death (< 28 days of life)
McGarry (Unexposed control), 1971
1
0.48
[
0.04
; 5.39]
3
196
not evaluable
Fetal distress
Berkovitch, 2002
1
0.62
[
0.34
; 1.14]
40
158
not evaluable
Low Apgar score (< 7) (NOS)
Lussos, 1992
1
1.00
[
0.02
; 52.85]
-
21
not evaluable
Neonatal medical care
Orr, 1993
1
1.02
[
0.24
; 4.37]
9
31
not evaluable
Persistent pulmonary hypertension
0
-
-
-
-
-
Withdrawal syndrome / Neonatal abstinence syndrome / Poor neonatal adaptation
Bylsma-Howell, 1983
1
0.33
[
0.05
; 2.24]
13
8
not evaluable
Long term consequences
Child/Infant growth abnormalities (> 1 year)
Ashkenazi-Hoffnung, 2013
1
0.96
[
0.02
; 50.36]
-
28
not evaluable
Intrauterine deaths
Early intrauterine death (< 22 weeks)
Berkovitch, 2002 Pasternak, 2013 Ashkenazi-Hoffnung, 2013
3
0.35
[
0.33
; 0.38]
10,183
38,150
not evaluable
Late intrauterine deaths (> 22 weeks)
Sorensen, 2000 Matok, 2009 Pasternak, 2013
3
0.90
[
0.76
; 1.08]
2,553
44,073
not evaluable
Elective/induced termination of pregnancy
Berkovitch, 2002
1
2.00
[
0.77
; 5.20]
18
175
not evaluable
Neuro-developmental disorders
Neuro-developmental disorders (as a whole)
Fejzo, 2015
1
0.77
[
0.49
; 1.21]
138
149
not evaluable
0.0
100.0
1.0