Gabapentin (All indications)

Exposed non-exposed studies (cohort)

Study Country
Study period
Population source Exposure definition Non-exposure definition Sample size Rmk
Arkilo, 2015 USA
2006 - 2011
Women with epilepsy who were pregnant between the study period and exposed to monotherapy antiepileptic medication at any point during the pregnancy. Singleton whose epileptic mothers were exposed to gabapentin monotherapy at any point during the pregnancy. (This is a subgroup of exposure among the whole exposed group considered in the study). exposed to other treatment, sick
Singleton whose epileptic mothers were exposed to lamotrigine monotherapy at any point during the pregnancy.
1 / 24
Battino (Gabapentin) (Epilepsy), 2024 Worldwide (47 countries)
1999 - 2022
Pregnant women with epilepsy exposed to antiseizure medications at the time of conception and enrolled within the 16th week of gestation, where fetal outcome had not yet been determined. Pregnant women with epilepsy exposed to Gabapentin monotherapy at the time of conception. exposed to other treatment, sick
Pregnant women with epilepsy exposed to lamotrigine monotherapy at the time of conception.
37 / 3584 Overlapping/Update: Battino 2024 (1999-2022) updates and totally includes Tomson 2018 (1999-2016), Tomson 2011 and Jimenez 2020 (1 center in Spain 2000-2018) => Use of Battino 2024 for the 8 (plus 16 in eSupp) monotherapies studied.
Bech (Other indications), 2018 Denmark
2005 - 2008
All births in Denmark were identified during the study period in the Danish Medical Birth Register and only offspring of mothers exposed to antiepileptic drugs were included. Singleton offspring of mothers exposed to gabapentin monotherapy within 90 days prior to conception to birth. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed, sick
Singleton offspring of mothers exposed to antiepileptic drugs at any time but not during pregnancy.
29 / 434
Bjørk (Controls exposed to Lamotrigine, sick) (Mixed indications), 2022 Danemark, Finland, Iceland, Norway and Sweden.
1996 - 2017
Singleton births born from mothers from five Nordic countries. Pregnacies in mothers filling at least one gabapentin monotherapy prescription from her last menstrual period until birth. (This is a subgroup of exposure among the whole exposed group considered in the study). exposed to other treatment, sick
Pregnacies in mothers filling at least one lamotrigine monotherapy prescription from her last menstrual period until birth.
965 / 7950 Excluded twins and triplets for statistical reasons and children with chromosomal disorders diagnosed before end of follow-up. Intellectual disability not implemented owing to personal data protection restrictions on publishing cell counts less than 5.
Bjørk (Controls unexposed NOS) (Mixed indications), 2022 Danemark, Finland, Iceland, Norway and Sweden.
1996 - 2017
Singleton births born from mothers from five Nordic countries. Pregnacies in mothers filling at least one gabapentin monotherapy prescription from her last menstrual period until birth. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed (general population or NOS)
Pregnacies in mothers without antiseizure medication prescription from her last menstrual period until birth.
965 / 4463879 Excluded twins and triplets for statistical reasons and children with chromosomal disorders diagnosed before end of follow-up. Intellectual disability not implemented owing to personal data protection restrictions on publishing cell counts less than 5.
Bjørk (Controls unexposed, sick) (Mixed indications), 2022 Danemark, Finland, Iceland, Norway and Sweden.
1996 - 2017
Singleton births born from mothers from five Nordic countries. Pregnacies in mothers filling at least one gabapentin monotherapy prescription from her last menstrual period until birth. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed, sick
Pregnacies in epileptic mothers without antiseizure medication prescription from her last menstrual period until birth.
965 / 21634 Excluded twins and triplets for statistical reasons and children with chromosomal disorders diagnosed before end of follow-up. Intellectual disability not implemented owing to personal data protection restrictions on publishing cell counts less than 5.
Blotière (Controls exposed to Lamotrigine, sick) (Other indications), 2019 France
2011 - 2015
All pregnancies ending between the study period with at least 20 weeks of gestation Pregnancies exposed to gabapentin monotherapy between 1 month before and 2 months after the beginning of pregnancy. (This is a subgroup of exposure among the whole exposed group considered in the study). exposed to other treatment, sick
Pregnancies exposed to lamotrigine monotherapy between 1 month before and 2 months after the beginning of pregnancy.
365 / 2997 Authors excluded twin pregnancies and pregnancies with a chromosomal abnormality identified. Less than 10% of exposed pregnancies have a proxy for epilepsy. Publication's OR were not kept when lower limit of the confidence interval or OR equal to 0.
Blotière (Controls unexposed NOS) (Other indications), 2019 France
2011 - 2015
All pregnancies ending between the study period with at least 20 weeks of gestation Pregnancies exposed to gabapentin monotherapy between 1 month before and 2 months after the beginning of pregnancy. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed (general population or NOS)
Pregnancies with no reimbursement for antiepileptic drugs.
365 / 1875733 Authors excluded twin pregnancies and pregnancies with a chromosomal abnormality identified. Less than 10% of exposed pregnancies have a proxy for epilepsy. Publication's OR were not kept when lower limit of the confidence interval or OR equal to 0.
Bromley, 2016 UK
2004 - 2007
Pregnant women with epilepsy, whether or not they were taking an antiepileptic drug in monotherapy and whose infant had been a live birth between the study period. Children whose epileptic mothers were exposed to gabapentin monotherapy during pregnancy. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed, sick
Children whose epileptic mothers were untreated by antiepileptic drugs during their pregnancy.
14 / 55 Design parts of this study were completed thanks to Morrow 2006. Families were not invited to participate if their child had a genetic condition associated with neurodevelopmental impairment.
Christensen (Gabapentin) (All indications) (Controls exposed to LTG), 2024 Denmark, Finland, Iceland, Norway, and Sweden
1996 - 2017
All live-born singletons born in the included countries during the study periods. Children of mothers who had redeemed at least one prescription of Gabapentin monotherapy from 30 days before the first day of the last menstrual period to the date of birth (i.e., the exposure period). exposed to other treatment, sick
Children of mothers who had redeemed at least one prescription of Lamotrigine monotherapy from 30 days before the first day of the last menstrual period to the date of birth (i.e., the exposure period).
1336 / 8756 Overlapping: For LBW and SGA: Christensen 2024 totally included Kilic 2014 => use of Christensen 2024 for these outcomes (longer study period, 5 countries and more pregnancies).
Christensen (Gabapentin) (All indications) (Controls unexposed, general population), 2024 Denmark, Finland, Iceland, Norway, and Sweden
1996 - 2017
All live-born singletons born in the included countries during the study periods. Children of mothers who had redeemed at least one prescription of Gabapentin monotherapy from 30 days before the first day of the last menstrual period to the date of birth (i.e., the exposure period). unexposed (general population or NOS)
Children of mothers who had not redeemed prescription of anti-seizure medication.
1336 / 4467848 Overlapping: For LBW and SGA: Christensen 2024 totally included Kilic 2014 => use of Christensen 2024 for these outcomes (longer study period, 5 countries and more pregnancies).
Coste (Controls exposed to Lamotrigine, sick) (Mixed indications), 2020 France
2011 - 2014
All liveborn singleton children born during the study period. The mother had to be covered by the national health insurance general scheme for salaried workers and to have had at least one health expenditure reimbursement over the 2 years preceding the onset of pregnancy. Children born from mothers exposed to gabapentin monotherapy indicated for the treatment of epilepsy and migraine with at least one dispensing between the month preceding onset of pregnancy and its end. (This is a subgroup of exposure among the whole exposed group considered in the study). exposed to other treatment, sick
Children born from mothers exposed to lamotrigine monotherapy for mixed indications during pregnancy.
502 / 2916 Children with a diagnosis of brain malformation (ICD-10 codes Q00 to Q04 and Q05.0 to Q05.4) during their stay in the maternity unit are excluded. Results are extracted from Blotière et al. 2020 because they reported aOR for vs LTG.
Coste (Controls unexposed, NOS) (Mixed indications), 2020 France
2011 - 2014
All liveborn singleton children born during the study period. The mother had to be covered by the national health insurance general scheme for salaried workers and to have had at least one health expenditure reimbursement over the 2 years preceding the onset of pregnancy. Children born from mothers exposed to gabapentin monotherapy indicated for the treatment of epilepsy and neuropathic pain with at least one dispensing between the month preceding onset of pregnancy and its end. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed (general population or NOS)
Children born from mothers not exposed to any antiepileptic drug during pregnancy.
378 / 1710441 Children with a diagnosis of brain malformation (ICD-10 codes Q00 to Q04 and Q05.0 to Q05.4) during their stay in the maternity unit are excluded.
Dean, 2002 Scotland
1976 - 2000
Children of mothers taking antiepileptic drugs in pregnancy during the study period were ascertained from hospital obstetric records. Children whose mothers took gabapentin monotherapy in pregnancy and continued beyond the first trimester. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed, sick
Sibs of exposed cases not exposed to antiepileptic drugs in utero. Either the mothers had epilepsy or the child was born before epilepsy developed.
1 / 38 The data for major congenital malformations include all pregnancies surviving into the second trimester, whereas frequencies for other features were based on livebirths only. The vast majority of the mothers were treated for epilepsy.
Dreier (Controls exposed to LTG), 2023 Denmark, Finland, Iceland, Norway, and Sweden.
1996 - 2017
Live-born singleton children of mothers with epilepsy in Denmark (1997-2017), Finland (1996- 2016), Iceland (2004-2017), Norway (2005-2017), and Sweden (2006-2017). Children prenatally exposed to Gabapentin monotherapy, i.e whose mother had redeemed 1 or more prescriptions during the exposure window, which was defined as 30 days before the first day of the last menstrual period (estimated using gestational age in days at birth) until the date of birth. exposed to other treatment, sick
Children prenatally exposed to lamotrigine monotherapy, i.e whose mother had redeemed 1 or more prescriptions during the exposure window, which was defined as 30 days before the first day of the last menstrual period (estimated using gestational age in days at birth) until the date of birth.
138 / 5288
Dreier (Controls unexposed, sick), 2023 Denmark, Finland, Iceland, Norway, and Sweden.
1996 - 2017
Live-born singleton children of mothers with epilepsy in Denmark (1997-2017), Finland (1996- 2016), Iceland (2004-2017), Norway (2005-2017), and Sweden (2006-2017). Children prenatally exposed to gabapentin monotherapy, i.e whose mother had redeemed 1 or more prescriptions during the exposure window, which was defined as 30 days before the first day of the last menstrual period (estimated using gestational age in days at birth) until the date of birth. unexposed, sick
Children not prenatally exposed to antiseizure medication.
138 / 22203
Källén (Controls exposed to Lamotrigine, sick) (Indications NOS), 2013 Swedish
1996 - 2011
Nearly all births in Sweden during the study period (1,575,847) are registered in The Swedish Medical Birth Register. Infants whose mothers used gabapentin in monotherapy in early pregnancy. (This is a subgroup of exposure among the whole exposed group considered in the study). exposed to other treatment, sick
Infants whose mothers used lamotrigine in monotherapy in early pregnancy.
119 / 1084 Indications for antiepileptic drugs are not specified. Wide 2004 outcomes' are already included in Källèn et al 2013 or are not compared to an adequate control group. Follow-up period known thanks to author's email reply.
Källén (Controls unexposed, NOS) (Indications NOS), 2013 Swedish
1996 - 2011
Nearly all births in Sweden during the study period (1,575,847) are registered in The Swedish Medical Birth Register. Infants whose mothers used gabapentin in monotherapy in early pregnancy. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed (general population or NOS)
Infants in population whose mothers used at least one of a central nervous system active drugs (less than 3%) or weren't exposed in early pregnancy.
119 / 1575847 Indications for antiepileptic drugs are not specified. Follow-up period known thanks to author's email reply.
Kilic (Controls exposed to Lamotrigine, sick) (Mixed indications), 2014 Denmark
1997 - 2008
All singleton live-born children in Denmark during the study period. Children whose mothers have been exposed to gabapentin in monotherapy during the exposure window defined from 30 days before the estimated day of conception to the day prior to birth. (This is a subgroup of exposure among the whole exposed group considered in the study). exposed to other treatment, sick
Children whose mothers have been exposed to lamotrigine in monotherapy during the exposure window defined from 30 days before the estimated day of conception to the day prior to birth.
72 / 880 Less than 90% of women are epileptic. Overlapping: For LBW and SGA: Kilic 2014 included in a larger study published by Christensen 2024 ((longer study period, 5 countries and more pregnancies) => use of Christensen 2024 for these outcomes.
Kilic (Controls unexposed NOS) (Mixed indications), 2014 Denmark
1997 - 2008
All singleton live-born children in Denmark during the study period. Children whose mothers have been exposed to gabapentin in monotherapy during the exposure window defined from 30 days before the estimated day of conception to the day prior to birth. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed (general population or NOS)
Children whose mothers haven't been exposed to antiepileptic drugs 30 days before the estimated day of conception to the day of birth.
72 / 676834 Less than 90% of women are epileptic. Overlapping: For LBW and SGA: Kilic 2014 included in a larger study published by Christensen 2024 ((longer study period, 5 countries and more pregnancies) => use of Christensen 2024 for these outcomes.
Kilic (Controls unexposed, sick) (Mixed indications), 2014 Denmark
1997 - 2008
All singleton live-born children in Denmark during the study period. Children whose mothers have been exposed to gabapentin in monotherapy during the exposure window defined from 30 days before the estimated day of conception to the day prior to birth. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed, sick
Children whose mothers have an epilepsy diagnosis and haven't been exposed to antiepileptic drugs 30 days before the estimated day of conception to the day of birth.
72 / 5296 Less than 90% of women are epileptic. Overlapping: For LBW and SGA: Kilic 2014 included in a larger study published by Christensen 2024 ((longer study period, 5 countries and more pregnancies) => use of Christensen 2024 for these outcomes.
Madley-Dowd_SE (Gabapentin) (Controls exposed to LTG) (Mixed indications), 2024 Sweden
1995 - 2020
All liveborn children born between July 1, 1995, and December 31, 2020. Fetal exposure to Gabapentin monotherapy for any indications at any time during the pregnancy period, i.e any pregnancy with self-reported consumption during pregnancy or a prescription 30 days before pregnancy or during pregnancy. exposed to other treatment, sick
Fetal exposure to Lamotrigine monotherapy for any indications at any time during the pregnancy period, i.e any pregnancy with self-reported consumption during pregnancy or a prescription 30 days before pregnancy or during pregnancy.
864 / 5035 Partial overlapping of swedish data with Bjork 2022 and Dreier 2023 (IQ, ASD, ADHD) => these studies were kept and tagged. => Data extracted from the e-Supp pdf (Table S1; S2; S9) and excel (Figure S9 – Active comparator Analysis).
Madley-Dowd_SE (Gabapentin) (Controls unexposed, general pop) (Mixed indications), 2024 Sweden
1995 - 2020
All liveborn children born between July 1, 1995, and December 31, 2020. Fetal exposure to Gabapentin monotherapy for any indications at any time during the pregnancy period, i.e any pregnancy with self-reported consumption during pregnancy or a prescription 30 days before pregnancy or during pregnancy. unexposed (general population or NOS)
No fetal exposure to antiseizure medication at any time during the pregnancy period.
864 / 2651210 Partial overlapping of swedish data with Bjork 2022 and Dreier 2023 (IQ, ASD, ADHD) => these studies were kept and tagged. => Data extracted from the e-Supp pdf (Table S1; S2 and S6).
Madley-Dowd_SE (Gabapentin) (Controls unexposed, sibling) (Mixed indications), 2024 Sweden
1995 - 2020
All liveborn children born between July 1, 1995, and December 31, 2020. Siblings with fetal exposure to Gabapentin monotherapy for any indications at any time during the pregnancy period, i.e any pregnancy with self-reported consumption during pregnancy or a prescription 30 days before pregnancy or during pregnancy. sibling
Discordant siblings without fetal exposure to antiseizure medication at any time during the pregnancy period.
-9 / -9 Partial overlapping of swedish data with Bjork 2022 and Dreier 2023 (IQ, ASD, ADHD) => these studies were kept and tagged. => Data extracted from the e-Supp pdf (Table S8) and excel (Figure S8 – Discordant Sibling Analysis).
Madley-Dowd_UK (Gabapentin) (Controls exposed to LTG) (Mixed indications), 2024 United Kingdom
1995 - 2018
All liveborn children of women aged 11–49 years in the Clinical Practice Research Datalink (CPRD) Pregnancy Register born between January 1, 1995, and December 31, 2018. Fetal exposure to Gabapentin monotherapy for any indications at any time during the pregnancy period, i.e any pregnancy with a prescription that started or ended during the pregnancy period. exposed to other treatment, sick
Fetal exposure to Lamotrigine monotherapy for any indications at any time during the pregnancy period, i.e any pregnancy with a prescription that started or ended during the pregnancy period.
564 / 939 Partial overlapping of swedish data with Bjork 2022 and Dreier 2023 (IQ, ASD, ADHD) => these studies were kept and tagged. => Data extracted from the e-Supp pdf (Table S1, S2 and S9) and excel (Figure S9 – Active Comparator Analysis).
Madley-Dowd_UK (Gabapentin) (Controls unexposed, general pop) (Mixed indications), 2024 United Kingdom
1995 - 2018
All liveborn children of women aged 11–49 years in the Clinical Practice Research Datalink (CPRD) Pregnancy Register born between January 1, 1995, and December 31, 2018. Fetal exposure to Gabapentin monotherapy for any indications at any time during the pregnancy period, i.e any pregnancy with a prescription that started or ended during the pregnancy period. unexposed (general population or NOS)
No fetal exposure to antiseizure medication at any time during the pregnancy period.
564 / 514066 Partial overlapping of swedish data with Bjork 2022 and Dreier 2023 (IQ, ASD, ADHD) => these studies were kept and tagged. => Data extracted from the e-Supp pdf (Table S1, S2 and S6).
Madley-Dowd_UK (Gabapentin) (Controls unexposed, sibling) (Mixed indications), 2024 United Kingdom
1995 - 2018
All liveborn children of women aged 11–49 years in the Clinical Practice Research Datalink (CPRD) Pregnancy Register born between January 1, 1995, and December 31, 2018. Siblings with fetal exposure to Gabapentin monotherapy for any indications at any time during the pregnancy period, i.e any pregnancy with a prescription that started or ended during the pregnancy period. sibling
Discordant siblings without fetal exposure to antiseizure medication at any time during the pregnancy period.
-9 / -9 Partial overlapping of swedish data with Bjork 2022 and Dreier 2023 (IQ, ASD, ADHD) => these studies were kept and tagged. => Data extracted from the e-Supp pdf (Table S8) and excel (Figure S8 – Discordant Sibling Analysis).
Mawer (Controls exposed to Lamotrigine, sick), 2010 UK
2000 - 2006
Midwives in the antenatal clinics approached each woman, who gave a history of epilepsy (n=231), whatever her stage of gestation. Children born to mothers with epilepsy exposed to gabapentin monotherapy in utero. (This is a subgroup of exposure among the whole exposed group considered in the study). exposed to other treatment, sick
Children born to mothers with epilepsy exposed to lamotrigine monotherapy in utero.
2 / 40 Kini's 2007 malformation results are completely overlapped by this study (largest exposed population, longer study period). Period of exposure confirm by author's email.
Mawer (Controls unexposed, disease free), 2010 UK
2000 - 2006
Women with epilepsy (WWE) and the healthy woman controls attending the same clinic. Children born to mothers with epilepsy exposed to gabapentin monotherapy in utero. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed, disease free
Children born to mothers without epilepsy who attended the same clinic on the same day or a few days later.
2 / 315 Kini's 2007 malformation results are completely overlapped by this study (largest exposed population, longer study period). Period of exposure confirm by author's email.
Mawer (Controls unexposed, sick), 2010 UK
2000 - 2006
Midwives in the antenatal clinics approached each woman, who gave a history of epilepsy (n=231), whatever her stage of gestation. Children born to mothers with epilepsy exposed to gabapentin monotherapy in utero. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed, sick
Children born to women with untreated epilepsy, who took no antiepileptic drugs before or during pregnancy.
2 / 46 Kini's 2007 malformation results are completely overlapped by this study (largest exposed population, longer study period). Period of exposure confirm by author's email.
Miškov (Controls exposed to Lamotrigine, sick), 2016 Croatia
2003 - 2013
Pregnant women with epilepsy during the study period at the the Sestre milosrdnice University Hospital Center. Pregnancies in women with epilepsy on gabapentin monotherapy. (This is a subgroup of exposure among the whole exposed group considered in the study). exposed to other treatment, sick
Pregnancies in women with epilepsy on lamotrigine monotherapy.
2 / 37 Includes all Miskov's 2010 outcomes.
Miškov (Controls unexposed, disease free), 2016 Croatia
2003 - 2013
Pregnant women with epilepsy during the study period at the the Sestre milosrdnice University Hospital Center. Pregnancies in women with epilepsy on gabapentin monotherapy. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed, disease free
Pregnancies in healthy controls.
2 / 147 Includes all Miskov's 2010 outcomes.
Miškov (Controls unexposed, sick), 2016 Croatia
2003 - 2013
Pregnant women with epilepsy during the study period at the the Sestre milosrdnice University Hospital Center. Pregnancies in women with epilepsy on gabapentin monotherapy. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed, sick
Pregnancies in women with epilepsy without antiepileptic drugs.
2 / 4 Includes all Miskov's 2010 outcomes.
Morrow (Controls exposed to Lamotrigine, sick), 2006 UK and Ireland
1996 - 2005
Pregnant women with epilepsy, whether or not they were taking an AED, either in monotherapy or polytherapy, and who were referred to the register before the outcome of the pregnancy was known. Infants of women with epilepsy exposed to gabapentin in monotherapy during the first trimester. (This is a subgroup of exposure among the whole exposed group considered in the study). exposed to other treatment, sick
Infants of women with epilepsy exposed to lamotrigine in monotherapy during the first trimester.
31 / 647 Exposure period is completed thanks to Campbell 2014 which is also a UKEPR based study.
Morrow (Controls unexposed, sick), 2006 UK and Ireland
1996 - 2005
Pregnant women with epilepsy, whether or not they were taking an antiepileptic drug, either in monotherapy or polytherapy, and who were referred to the register before the outcome of the pregnancy was known. Infants of women with epilepsy exposed to gabapentin in monotherapy during the first trimester. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed, sick
Infants of women with epilepsy and who didn't take any antiepileptic drugs during pregnancy.
31 / 227 Exposure period is completed thanks to Campbell 2014 which is also a UKEPR based study.
Razaz (Epilepsy), 2024 Denmark, Finland, Iceland, Norway and Sweden.
1996 - 2017
All singleton births at 22 or more completed gestational weeks in the 5 Nordic countries during the different study periods. Mothers with epilepsy who filled a prescription for Gabapentin monotherapy between the date of the last menstrual period (LMP) and the day of birth. unexposed, sick
Mothers with epilepsy who did not fill an antiseizure medication (ASM) prescription in the period between 90 days before the last menstrual period (LMP) and the day of birth.
108 / 19043
The NAAED (Controls exposed to LTG) (Indications NOS), 2023 North America and Canada
1997 - 2022
Pregnant women who are taking an antiepileptic drug for any reason and had a liveborn infant, a stillborn infant, or a pregnancy terminated because of a fetal abnormality and enrolled as 'pure' or 'traditional' enrollees. Infants of pregnant women who used Gabapentin as monotherapy, during the first trimester. (This is a subgroup of exposure among the whole exposed group considered in the study). exposed to other treatment, sick
Infants of pregnant women who used lamotrigine as monotherapy, during the first trimester.
270 / 2461 Study design completed with the publication of Hernández-Díaz et al. 2012. Data extracted from the North American AED pregnancy registry website. Overlapping/update with Hernández-Díaz et al. 2012 and previous website reports.
The NAAED (Controls unexposed, disease free) (Indications NOS), 2023 North America and Canada
1997 - 2022
Pregnant women who are taking an antiepileptic drug for any reason and had a liveborn infant, a stillborn infant, or a pregnancy terminated because of a fetal abnormality and enrolled as 'pure' or 'traditional' enrollees. Infants of pregnant women who used Gabapentin as monotherapy, during the first trimester. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed, disease free
Infants of pregnant women, not taking an antiepileptic drug and without epilepsy, who were recruited from among the friends and family members of the enrolled women taking an antiepileptic drug.
270 / 1311 Study design completed with the publication of Hernández-Díaz et al. 2012. Data extracted from the North American AED pregnancy registry website. Overlapping/update with Hernández-Díaz et al. 2012 and previous website reports. Use of internal control.
Vajda (Controls exposed to Lamotrigine, sick), 2013 Australia
1999 - 2013
Pregnant women with epilepsy whether treated with antiepileptic drugs or left untreated or pregnant women taking antiepileptic drugs for other purposes. Offsprings from women with epilepsy exposed to gabapentin in monotherapy in at least the first trimester of pregnancy. (This is a subgroup of exposure among the whole exposed group considered in the study). exposed to other treatment, sick
Offsprings from women with epilepsy exposed to lamotrigine in monotherapy in at least the first trimester of pregnancy.
14 / 315 Women taking AED for epilepsy are in majority (more than 90%). Vajda 2007; 2010 (x2); 2014 and Jazayeri 2018 malformations results are already included in Vajda 2013.
Vajda (Controls exposed to Lamotrigine, sick), 2018 Australia
1999 - 2016
Pregnant women whether treated with antiepileptic drugs or left untreated in at least the first half of pregnancy. Offsprings of pregnant women with epilepsy exposed to gabapentin in monotherapy throughout. (This is a subgroup of exposure among the whole exposed group considered in the study). exposed to other treatment, sick
Offsprings of pregnant women with epilepsy exposed to lamotrigine in monotherapy throughout.
14 / 382
Vajda (Controls unexposed, sick), 2013 Australia
1999 - 2013
Pregnant women with epilepsy whether treated with antiepileptic drugs or left untreated or pregnant women taking antiepileptic drugs for other purposes. Offsprings from women with epilepsy exposed to gabapentin in monotherapy in at least the first trimester of pregnancy. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed, sick
Offsprings from women with epilepsy not exposed to antiepileptic drugs in at least the first trimester of pregnancy.
14 / 147 Women taking AED for epilepsy are in majority (more than 90%). Vajda 2007; 2010 (x2); 2014 and Jazayeri 2018 overlap.
Vajda (Controls unexposed, sick), 2018 Australia
1999 - 2016
Pregnant women whether treated with antiepileptic drugs or left untreated in at least the first half of pregnancy. Offsprings of pregnant women with epilepsy exposed to gabapentin in monotherapy throughout. (This is a subgroup of exposure among the whole exposed group considered in the study). unexposed, sick
Offsprings of pregnant women with epilepsy that have been untreated in at least the first half of pregnancy.
14 / 170
Wood, 2015 Australia
2007 - 2010
Women with epilepsy and their children (aged 6–8 years) exposed in utero with antiepileptic drugs were identified through the Australian Pregnancy Register for Women on Antiepileptic Medication (APR). Children of women with epilepsy exposed to gabapentin in monotherapy during pregnancy. (This is a subgroup of exposure among the whole exposed group considered in the study). exposed to other treatment, sick
Children of women with epilepsy exposed to lamotrigine in monotherapy during pregnancy.
1 / 9 Children with major birth defects or a diagnosis of epilepsy were excluded, as these conditions are known risk factors for autism spectrum disorders. Child IQ isn't specified for this monotherapy alone.

Case-control studies (cohort)

Study Country
Study period
Case Control Sample size Rmk

master protocol