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Labetalol (versus unexposed)
Overall results
Study description
Excluded studies
Table
Graphic
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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
Atrial septal defect
Fisher, 2017 Bergman, 2018
2
2.01
[
1.20
; 3.37]
7,022
83
not evaluable
Congenital heart defects
Fisher, 2017 Bergman, 2018
2
1.34
[
0.72
; 2.46]
43,092
123
not evaluable
Hypospadias
Van Zutphen, 2014 Bergman, 2018
2
1.47
[
0.35
; 6.14]
10,287
21
not evaluable
All congenital malformations (majors, minors, majors and minors, or unspecified)
Delteil, 2024
1
1.66
[
0.93
; 2.96]
4,066
289
not evaluable
Cleft lip with or without cleft palate
Bergman, 2018
1
0.70
[
0.19
; 2.62]
3,623
46
not evaluable
Cleft palate
Bergman, 2018
1
0.50
[
0.08
; 3.16]
1,999
45
not evaluable
Club foot / Talipes equinovarus
Bergman, 2018
1
0.80
[
0.27
; 2.40]
4,413
-
not evaluable
Coarctation of aorta
Fisher, 2017
1
4.31
[
1.66
; 11.17]
-
23
not evaluable
Congenital hydronephrosis
Bergman, 2018
1
0.70
[
0.21
; 2.37]
4,993
-
not evaluable
Ebstein's anomaly
Caton, 2009
1
14.63
[
0.70
; 307.82]
65
3
not evaluable
Hip dislocation and/or dysplasia
Bergman, 2018
1
0.90
[
0.29
; 2.75]
4,670
-
not evaluable
Major congenital malformations
Delteil, 2024
1
1.66
[
0.93
; 2.96]
4,066
289
not evaluable
Multicystic renal dysplasia
Bergman, 2018
1
3.80
[
1.31
; 11.05]
1,334
-
not evaluable
Neural Tube Defects
Bergman, 2018
1
0.90
[
0.19
; 4.27]
3,890
46
not evaluable
Pulmonary valve stenosis
Fisher, 2017
1
2.58
[
1.00
; 6.66]
-
-
not evaluable
Ventricular septal defect
Fisher, 2017
1
5.26
[
0.70
; 39.41]
-
-
not evaluable
Growth parameters and prematurity
Small for gestational age (weight)
Cruickshank, 1990 Petersen, 2012 Thewissen (Controls unexposed, sick), 2017 Duan, 2018 Xiang, 2020 Fitton (Controls unexposed, sick), 2020 Delteil, 2024
7
1.86
[
1.29
; 2.68]
142,107
5,904
not evaluable
Preterm (< 37 weeks)
Cruickshank, 1991 Petersen, 2012 Xiang, 2020
3
1.33
[
0.50
; 3.51]
109,732
1,627
not evaluable
Low birth weight (< 2500g)
Duan, 2018
1
5.92
[
5.46
; 6.41]
20,213
3,357
not evaluable
Very low birth weight (< 1500g)
Duan, 2018
1
8.60
[
7.52
; 9.83]
3,689
3,357
not evaluable
Maternal consequences
Caesarean
Cruickshank, 1991 Duan, 2018 Xiang, 2020
3
1.27
[
0.43
; 3.76]
106,124
3,535
not evaluable
Preeclampsia
Duan, 2018 Xiang, 2020
2
1.30
[
0.17
; 9.84]
2,503
3,484
not evaluable
Abruptio placentae (retroplacental hematoma)
Xiang, 2020
1
0.27
[
0.13
; 0.59]
40
127
not evaluable
Assisted deliveries (forceps, vacuum, ...)
Duan, 2018
1
0.67
[
0.51
; 0.89]
8,283
3,357
not evaluable
Maternal death
Xiang, 2020
1
0.99
[
0.02
; 50.39]
-
127
not evaluable
Neonatal disorders
Neonatal medical care
Thewissen (Controls unexposed, sick), 2017 Xiang, 2020
2
2.05
[
1.18
; 3.53]
84
146
not evaluable
Jaundice / Icterus
Chan, 2010 Xiang, 2020
2
2.85
[
1.60
; 5.08]
68
156
not evaluable
Low Apgar score (< 7) (at 5 min)
Sibai, 1990 Duan, 2018
2
2.29
[
0.87
; 5.98]
3,115
3,443
not evaluable
Neonatal hypoglycemia
Bateman, 2016 Xiang, 2020
2
1.78
[
1.55
; 2.04]
946
6,854
not evaluable
Neonatal intracranial hemorrhage
Thewissen (Controls unexposed, sick), 2017
1
1.00
[
0.13
; 7.81]
4
22
not evaluable
Fetal distress
Chan, 2010
1
3.14
[
1.01
; 9.74]
17
32
not evaluable
Low Apgar score (< 7) (at 1 min)
Duan, 2018
1
2.71
[
2.43
; 3.02]
17,133
3,357
not evaluable
Low Apgar score (< 7) (at 10 min)
Duan, 2018
1
2.43
[
1.70
; 3.48]
1,461
3,357
not evaluable
Neonatal bradycardia
Bateman, 2016
1
1.34
[
1.08
; 1.67]
399
6,730
not evaluable
Neonatal death (< 28 days of life)
Xiang, 2020
1
1.68
[
0.59
; 4.78]
16
124
not evaluable
Neonatal disorders (as a whole)
Chan, 2010
1
4.25
[
1.51
; 11.98]
24
32
not evaluable
Neonatal hypotension
Xiang, 2020
1
8.02
[
2.32
; 27.66]
24
124
not evaluable
Very low Apgar score (< 5) (at 1 min)
Sibai, 1990
1
1.20
[
0.44
; 3.26]
17
86
not evaluable
Intrauterine deaths
Intrauterine deaths (as a whole or unspecified)
Xiang, 2020
1
0.59
[
0.14
; 2.50]
8
127
not evaluable
Perinatal death
Petersen, 2012
1
2.08
[
1.26
; 3.44]
6,078
1,452
not evaluable
Neuro-developmental disorders
Cognitive developmental disorders/delay (3-6 years old)
Chan, 2010
1
1.50
[
0.65
; 3.47]
-
32
not evaluable
Language disorders/delay
Chan, 2010
1
0.85
[
0.37
; 1.96]
-
32
not evaluable
0.0
100.0
1.0