Benzodiazepines (Psy and mixed indications)

Study Reference
Aarskog - Diazepam, 1975

Aarskog Letter: Association between maternal intake of diazepam and oral clefts. Lancet 1975; 2:921

Ban (Controls unexposed, disease free), 2012

Ban Live and non-live pregnancy outcomes among women with depression and anxiety: a population-based study. PLoS One 2012; 7:e43462

Ban (Controls unexposed, sick), 2012

Ban Live and non-live pregnancy outcomes among women with depression and anxiety: a population-based study. PLoS One 2012; 7:e43462

Ban - Diazepam (Other indications) (Controls unexposed, disease free), 2014

Ban First trimester exposure to anxiolytic and hypnotic drugs and the risks of major congenital anomalies: a United Kingdom population-based cohort study. PLoS One 2014; 9:e100996

Ban, L. Antenatal exposure to anti-anxiety and hypnotic drugs and the risks of major congenital anomalies: A United Kingdom population-based cohort study Eur. J. Epidemiol. 2013; 28:S19-.

Ban - Diazepam (Other indications) (Controls unexposed, sick), 2014

Ban First trimester exposure to anxiolytic and hypnotic drugs and the risks of major congenital anomalies: a United Kingdom population-based cohort study. PLoS One 2014; 9:e100996

Bech - Clonazepam, 2018

Bech In utero exposure to antiepileptic drugs is associated with learning disabilities among offspring. J Neurol Neurosurg Psychiatry 2018; 89:1324-1331

Bech - Clonazepam, 2014

Bech Use of antiepileptic drugs during pregnancy and risk of spontaneous abortion and stillbirth: population based cohort study. BMJ 2014; 349:g5159

Bjorkstedt - BZDs, 2025

Bjorkstedt Maternal mental disorders, psychotropic drugs, socioeconomic status, and offspring congenital anomalies. J Int Med Res 2025; 53:3000605241306902

Bjørk - Clonazepam (Mixed indications), 2022

Bjørk Association of Prenatal Exposure to Antiseizure Medication With Risk of Autism and Intellectual Disability. JAMA Neurol 2022; :

Daugaard Association of Prenatal Exposure to Valproate and Other Antiepileptic Drugs With Intellectual Disability and Delayed Childhood Milestones. JAMA Netw Open 2020; 3:e2025570

Blotière - Clonazepam (Other indications), 2019

Blotière Risks of 23 specific malformations associated with prenatal exposure to 10 antiepileptic drugs. Neurology 2019; 93:e167-e180

Bonnot - Bromazepam, 2003

Bonnot [In utero exposure to benzodiazepine. Is there a risk for anal atresia with lorazepam?]. Encephale 2003; 29:553-9

Bonnot - BZDs, 2001

Bonnot Maternal exposure to lorazepam and anal atresia in newborns: results from a hypothesis-generating study of benzodiazepines and malformations. J Clin Psychopharmacol 2001; 21:456-8

Bonnot - Clorazepate, 2003

Bonnot [In utero exposure to benzodiazepine. Is there a risk for anal atresia with lorazepam?]. Encephale 2003; 29:553-9

Bonnot - Lorazepam, 2003

Bonnot [In utero exposure to benzodiazepine. Is there a risk for anal atresia with lorazepam?]. Encephale 2003; 29:553-9

Bonnot Maternal exposure to lorazepam and anal atresia in newborns: results from a hypothesis-generating study of benzodiazepines and malformations. J Clin Psychopharmacol 2001; 21:456-8

Bonnot - Oxazepam, 2001

Bonnot Maternal exposure to lorazepam and anal atresia in newborns: results from a hypothesis-generating study of benzodiazepines and malformations. J Clin Psychopharmacol 2001; 21:456-8

Bonnot - Prazepam, 2003

Bonnot [In utero exposure to benzodiazepine. Is there a risk for anal atresia with lorazepam?]. Encephale 2003; 29:553-9

Bonnot - Temazepam, 2003

Bonnot [In utero exposure to benzodiazepine. Is there a risk for anal atresia with lorazepam?]. Encephale 2003; 29:553-9

Bracken - Diazepam, 1981

Bracken Exposure to prescribed drugs in pregnancy and association with congenital malformations. Obstet Gynecol 1981; 58:336-44

Calderon-Margalit - BZDs, 2009

Calderon-Margalit Risk of preterm delivery and other adverse perinatal outcomes in relation to maternal use of psychotropic medications during pregnancy. Am. J. Obstet. Gynecol. 2009; 201:579.e1-8

Chan - BZDs, 2023

Chan Maternal Benzodiazepines and Z-Drugs Use during Pregnancy and Adverse Birth and Neurodevelopmental Outcomes in Offspring: A Population-Based Cohort Study. Psychother Psychosom 2023; 92:113-123

Chen - BZDs (Controls unexposed, NOS), 2022

Chen Association of Prenatal Exposure to Benzodiazepines With Development of Autism Spectrum and Attention-Deficit/Hyperactivity Disorders. JAMA Netw Open 2022; 5:e2243282

Chen - BZDs (Controls unexposed, sibling), 2022

Chen Association of Prenatal Exposure to Benzodiazepines With Development of Autism Spectrum and Attention-Deficit/Hyperactivity Disorders. JAMA Netw Open 2022; 5:e2243282

Chen - BZDs (Controls unexposed, sick), 2022

Chen Association of Prenatal Exposure to Benzodiazepines With Development of Autism Spectrum and Attention-Deficit/Hyperactivity Disorders. JAMA Netw Open 2022; 5:e2243282

Christensen - Clonazepam (Indications NOS), 2013

Christensen Prenatal valproate exposure and risk of autism spectrum disorders and childhood autism. JAMA 2013; 309:1696-703

Christensen - Clonazepam (Indications NOS), 2019

Christensen Association of Prenatal Exposure to Valproate and Other Antiepileptic Drugs With Risk for Attention-Deficit/Hyperactivity Disorder in Offspring. JAMA Netw Open 2019; 2:e186606

Christensen - Clonazepam (Indications other than epilepsy), 2024

Christensen Prenatal exposure to antiseizure medications and fetal growth: a population-based cohort study from the Nordic countries. Lancet Reg Health Eur 2024; 38:100849

Christensen - Clonazepam (Mixed indications), 2015

Christensen Apgar-score in children prenatally exposed to antiepileptic drugs: a population-based cohort study. BMJ Open 2015; 5:e007425

Chuang - BZDs, 2024

Chuang Concomitant use of antidepressants and benzodiazepines during pregnancy and associated risk of congenital malformations: a population-based cohort study in Taiwan. Lancet Psychiatry 2024; 11:601-610

Cifuentes - Alprazolam, 2025

Cifuentes Risk of Congenital Ocular Anomaly After Prenatal Exposure to Medications: A EUROmediCAT Study. Birth Defects Res 2025; 117:e2435

Cornel - BZDs - MACDP, 1996

Cornel Population-based birth-defect and risk-factor surveillance: data from the Northern Netherlands. Int J Risk Saf Med 1996; 8:197-209

Cornel - Oxazepam - The NNL registry, 1996

Cornel Population-based birth-defect and risk-factor surveillance: data from the Northern Netherlands. Int J Risk Saf Med 1996; 8:197-209

Correa-Villasenor - BZDs, 1994

Correa-Villasenor Ebstein's malformation of the tricuspid valve: genetic and environmental factors. The Baltimore-Washington Infant Study Group. Teratology 1994; 50:137-47

Coste - Clonazepam (Mixed indications), 2020

Blotière Risk of early neurodevelopmental outcomes associated with prenatal exposure to the antiepileptic drugs most commonly used during pregnancy: a French nationwide population-based cohort study. BMJ Open 2020; 10:e034829

Coste Risk of early neurodevelopmental disorders associated with in utero exposure to valproate and other antiepileptic drugs: a nationwide cohort study in France. Sci Rep 2020; 10:17362

Czeizel - Diazepam, 2003

Czeizel Short-Term Oral Diazepam Treatment during Pregnancy : A Population-Based Teratological Case-Control Study. Clin Drug Investig 2003; 23:451-62

Kjaer Use of phenytoin, phenobarbital, or diazepam during pregnancy and risk of congenital abnormalities: a case-time-control study. Pharmacoepidemiol Drug Saf 2007; 16:181-8

Czeizel - Diazepam, 1987

Czeizel Lack of evidence of teratogenicity of benzodiazepine drugs in Hungary. Reprod Toxicol ; 1:183-8

Lakos A teratological evaluation of anticonvulsant drugs. Acta Paediatr Acad Sci Hung 1977; 18:145-53

Delteil - BZDs (Controls unexposed, NOS), 2023

Delteil Benzodiapzepines exposure during pregnancy and risk of severe neurodevelopmental disorders in children Scientific report. 2023; p1-38.

Delteil - BZDs (Controls unexposed, sick), 2023

Delteil Benzodiapzepines exposure during pregnancy and risk of severe neurodevelopmental disorders in children Scientific report. 2023; p1-38.

Elkjaer - Clonazepam (Indications, NOS), 2018

Elkjaer Association Between Prenatal Valproate Exposure and Performance on Standardized Language and Mathematics Tests in School-aged Children. JAMA Neurol 2018; 75:663-671

Figueroa - BZDs, 2010

Figueroa Use of antidepressants during pregnancy and risk of attention-deficit/hyperactivity disorder in the offspring. J Dev Behav Pediatr 2010; 31:641-8

Freeman - BZDs, 2018

Freeman Obstetrical and neonatal outcomes after benzodiazepine exposure during pregnancy: Results from a prospective registry of women with psychiatric disorders. Gen Hosp Psychiatry 2018; 53:73-79

Greenberg - BZDs, 1977

Greenberg Maternal drug histories and congenital abnormalities. Br Med J 1977; 2:853-6

Hartz - Chlordiazepoxide, 1975

Hartz Antenatal exposure to meprobamate and chlordiazepoxide in relation to malformations, mental development, and childhood mortality. N Engl J Med 1975; 292:726-8

Hironaka - BZDs (Control exposed to Atypical antipsy), 2011

Hironaka M Maternal mental disorders and pregnancy outcomes: a clinical study in a Japanese population. J Obstet Gynaecol Res 2011;37:1283-9

Hironaka - BZDs (Control unexposed, disease free), 2011

Hironaka M Maternal mental disorders and pregnancy outcomes: a clinical study in a Japanese population. J Obstet Gynaecol Res 2011;37:1283-9

Hironaka - BZDs (Control unexposed, sick), 2011

Hironaka M Maternal mental disorders and pregnancy outcomes: a clinical study in a Japanese population. J Obstet Gynaecol Res 2011;37:1283-9

Huybrechts - BZDs, 2017

Huybrechts Risk of neonatal drug withdrawal after intrauterine co-exposure to opioids and psychotropic medications: cohort study. BMJ 2017; 358:j3326

Ishikawa - BZDs, 2024

Ishikawa Association between exposure to atypical antipsychotics during pregnancy and risk of miscarriage. Acta Psychiatr Scand 2024; 150:562-572

Jackson - BZDs, 2024

Jackson, F.I. Association between psychopharmacotherapy and postpartum hemorrhage AJOG Glob. Rep. 2024; 4:360-.

Källén - BZDs, 2013

Kallen Neonatal complications after maternal concomitant use of SSRI and other central nervous system active drugs during the second or third trimester of pregnancy. J Clin Psychopharmacol 2012; 32:608-14

Källén The use of central nervous system active drugs during pregnancy. Pharmaceuticals (Basel) 2013; 6:1221-86

Reis Combined use of selective serotonin reuptake inhibitors and sedatives/hypnotics during pregnancy: risk of relatively severe congenital malformations or cardiac defects. A register study. BMJ Open 2013; 3:

Kelty - Alprazolam (Controls unexposed, disease free), 2023

Kelty Safety of Alprazolam Use in Pregnancy in Western Australia: A Retrospective Cohort Study Using Linked Health Data. J Psychoactive Drugs 2023; :1-7

Kelty - Alprazolam (Controls unexposed, sick), 2023

Kelty Safety of Alprazolam Use in Pregnancy in Western Australia: A Retrospective Cohort Study Using Linked Health Data. J Psychoactive Drugs 2023; :1-7

Kilic - Clonazepam (Mixed indications), 2014

Kilic Birth outcomes after prenatal exposure to antiepileptic drugs--a population-based study. Epilepsia 2014; 55:1714-21

Kitchin - Long acting BZDs, 2022

Kitchin The role of prenatal exposure to antidepressants, anxiolytic, and hypnotics and its underlying illness on the risk of miscarriage using BIFAP database. Pharmacoepidemiol Drug Saf 2022; :

Kullander - Chlordiazepoxide, 1976

Kullander A prospective study of drugs and pregnancy. I. Psychopharmaca. Acta Obstet Gynecol Scand 1976; 55:25-33

Laegreid - BZDs, 1990

Laegreid Congenital malformations and maternal consumption of benzodiazepines: a case-control study. Dev Med Child Neurol 1990; 32:432-41

Laegreid a - BZDs, 1992

Laegreid The effect of benzodiazepines on the fetus and the newborn. Neuropediatrics 1992; 23:18-23

Laegreid b - BZDs, 1992

Laegreid Neurodevelopment in late infancy after prenatal exposure to benzodiazepines--a prospective study. Neuropediatrics 1992; 23:60-7

Laegreid c - BZDs, 1992

Laegreid Psychotropic drug use in pregnancy and perinatal death. Acta Obstet Gynecol Scand 1992; 71:451-7

Laspro - BZDs, 2024

Laspro Association of Commonly Prescribed Antepartum Medications and Incidence of Orofacial Clefting. Cleft Palate Craniofac J 2024; :10556656241237679

Lee - Alprazolam, 2022

Lee Pregnancy and Neonatal Outcomes After Exposure to Alprazolam in Pregnancy. Front Pharmacol 2022; 13:854562

Lupattelli - BZDs, 2019

Lupattelli Association of Maternal Use of Benzodiazepines and Z-Hypnotics During Pregnancy With Motor and Communication Skills and Attention-Deficit/Hyperactivity Disorder Symptoms in Preschoolers. JAMA Netw Open 2019; 2:e191435

Lupattelli, A. Maternal use of benzodiazepines and z-hypnotics during pregnancy and developmental outcomes in offspring at 5 years of age Pharmacoepidemiol. Drug Saf. 2018; 27:173-.

Meng - BZDs, 2024

Meng Benzodiazepine Use During Pregnancy and Risk of Miscarriage. JAMA Psychiatry. 2024;81(4):366-373

Meng - BZDs (Controls unexposed, sibling), 2023

Meng Association between maternal benzodiazepine or Z-hypnotic use in early pregnancy and the risk of stillbirth, preterm birth, and small for gestational age: a nationwide, population-based cohort study in Taiwan. Lancet Psychiatry 2023; 10:499-508

Meng - BZDs (Controls unexposed, sick), 2023

Meng Association between maternal benzodiazepine or Z-hypnotic use in early pregnancy and the risk of stillbirth, preterm birth, and small for gestational age: a nationwide, population-based cohort study in Taiwan. Lancet Psychiatry 2023; 10:499-508

Milkovich - Chlordiazepoxide, 1974

Milkovich Effects of prenatal meprobamate and chlordiazepoxide hydrochloride on human embryonic and fetal development. N Engl J Med 1974; 291:1268-71

Mortensen - BZDs, 2003

Mortensen Psychomotor development in children exposed in utero to benzodiazepines, antidepressants, neuroleptics, and anti-epileptics. Eur J Epidemiol 2003; 18:769-71

Noh - BZDs, 2022

Noh First-trimester exposure to benzodiazepines and risk of congenital malformations in offspring: A population-based cohort study in South Korea. PLoS Med 2022; 19:e1003945

Oberlander - BZDs, 2008

Oberlander TF Major congenital malformations following prenatal exposure to serotonin reuptake inhibitors and benzodiazepines using population-based health data. Birth Defects Res B Dev Reprod Toxicol 2008;83:68-76

Oberlander - Clonazepam (Controls unexposed, disease free), 2004

Misri Relation between prenatal maternal mood and anxiety and neonatal health. Can J Psychiatry 2004; 49:684-9

Oberlander Pharmacologic factors associated with transient neonatal symptoms following prenatal psychotropic medication exposure. J Clin Psychiatry 2004; 65:230-7

Reebye Affect Expression and Self-Regulation Capacities of Infants Exposed in utero to Psychotropics. Front Psychiatry 2012; 3:11

Reebye, P.N. Affect expression in prenatally psychotropic exposed and nonexposed mother-infant dyads Infant Ment. Health J. 2002; 23:403-.

Oberlander - Clonazepam (Controls unexposed, sick), 2004

Oberlander Pharmacologic factors associated with transient neonatal symptoms following prenatal psychotropic medication exposure. J Clin Psychiatry 2004; 65:230-7

Reebye Affect Expression and Self-Regulation Capacities of Infants Exposed in utero to Psychotropics. Front Psychiatry 2012; 3:11

Reebye, P.N. Affect expression in prenatally psychotropic exposed and nonexposed mother-infant dyads Infant Ment. Health J. 2002; 23:403-.

Ogawa - BZDs, 2018

Ogawa Maternal exposure to benzodiazepine and risk of preterm birth and low birth weight: A case-control study using a claims database in Japan. Asia Pac Psychiatry 2018; 10:e12309

Ornoy - BZDs, 1998

Ornoy The outcome of children exposed in-utero to benzodiazepines Teratology 1997;55:102A

Ornoy Is benzodiazepine use during pregnancy really teratogenic? Reprod Toxicol 1998; 12:511-5

Radojcic - BZDs, 2017

Radojcic Prenatal exposure to anxiolytic and hypnotic medication in relation to behavioral problems in childhood: A population-based cohort study. Neurotoxicol Teratol 2017; 61:58-65

Robert - BZDs, 1994

Robert Malformation surveillance and maternal drug exposure: the MADRE project. Int J Risk Saf Med 1994; 6:75-118

Rosenberg - Diazepam, 1983

Rosenberg Lack of relation of oral clefts to diazepam use during pregnancy. N Engl J Med 1983; 309:1282-5

Rothman - Diazepam, 1979

Rothman Exogenous Hormones and Other Drug Exposures of Children with Congenital Heart-Disease. American Journal of Epidemiology, 1979, 109(4):433-439.

Safra - Diazepam, 1975

Safra Association between cleft lip with or without cleft palate and prenatal exposure to diazepam. Lancet 1975; 2:478-80

Salisbury - BZDs (Controls unexposed, disease free), 2016

Salisbury The Roles of Maternal Depression, Serotonin Reuptake Inhibitor Treatment, and Concomitant Benzodiazepine Use on Infant Neurobehavioral Functioning Over the First Postnatal Month. Am J Psychiatry 2016; 173:147-57

Salisbury Newborn neurobehavioral patterns are differentially related to prenatal maternal major depressive disorder and serotonin reuptake inhibitor treatment. Depress Anxiety 2011; 28:1008-19

Salisbury - BZDs (Controls unexposed, sick), 2016

Salisbury The Roles of Maternal Depression, Serotonin Reuptake Inhibitor Treatment, and Concomitant Benzodiazepine Use on Infant Neurobehavioral Functioning Over the First Postnatal Month. Am J Psychiatry 2016; 173:147-57

Salisbury Newborn neurobehavioral patterns are differentially related to prenatal maternal major depressive disorder and serotonin reuptake inhibitor treatment. Depress Anxiety 2011; 28:1008-19

Saxen - BZDs, 1975

Saxen Letter: Association between maternal intake of diazepam and oral clefts. Lancet 1975; 2:498

Sheehy - BZDs (Controls unexposed, NOS), 2019

Berard, A. Individual benzodiazepine exposure during early pregnancy and the risk of spontaneous abortion Eur. Psychiatry 2019; 56:S118-.

Sheehy Association Between Incident Exposure to Benzodiazepines in Early Pregnancy and Risk of Spontaneous Abortion. JAMA Psychiatry 2019; 76:948-957

Sheehy, O. Incident exposure to benzodiazepine in early pregnancy and the risk of spontaneous abortion Birth Defects Res. 2019; 111:507-.

Zhao, J.-P. Individual benzodiazepine exposure during early pregnancy and the risk of spontaneous abortion Birth Defects Res. 2018; 110:774-.

Sheehy - BZDs (Controls unexposed, sick), 2019

Berard, A. Individual benzodiazepine exposure during early pregnancy and the risk of spontaneous abortion Eur. Psychiatry 2019; 56:S118-.

Sheehy Association Between Incident Exposure to Benzodiazepines in Early Pregnancy and Risk of Spontaneous Abortion. JAMA Psychiatry 2019; 76:948-957

Sheehy, O. Incident exposure to benzodiazepine in early pregnancy and the risk of spontaneous abortion Birth Defects Res. 2019; 111:507-.

Shiono - Diazepam, 1984

Shiono Oral clefts and diazepam use during pregnancy. N Engl J Med 1984; 311:919-20

Szpunar - BZDs, 2022

Szpunar Risk of major malformations in infants after first-trimester exposure to benzodiazepines: Results from the Massachusetts General Hospital National Pregnancy Registry for Psychiatric Medications. Depress Anxiety 2022; 39:751-759

The NAAED - Clonazepam, 2023

Hernández-Díaz Comparative safety of antiepileptic drugs during pregnancy. Neurology 2012;78:1692-9

Tikkanen - Diazepam, 1991

Tikkanen Risk factors for ventricular septal defect in Finland. Public Health 1991; 105:99-112

Tikkanen - Diazepam, 1992

Tikkanen Risk factors for conal malformations of the heart. Eur J Epidemiol 1992; 8:48-57

Tikkanen - Diazepam, 1992

Tikkanen Congenital heart disease in the offspring and maternal habits and home exposures during pregnancy. Teratology 1992; 46:447-54

Tinker - BZDs, 2019

Tinker Use of benzodiazepine medications during pregnancy and potential risk for birth defects, National Birth Defects Prevention Study, 1997-2011. Birth Defects Res 2019; 111:613-620

Veiby - Clonazepam (Mixed indications), 2014

Veiby Fetal growth restriction and birth defects with newer and older antiepileptic drugs during pregnancy. J. Neurol. 2014; 261:579-88

Viggedal - BZDs, 1993

Viggedal Mental development in late infancy after prenatal exposure to benzodiazepines--a prospective study. J Child Psychol Psychiatry 1993; 34:295-305

Winship - BZDs, 1984

Winship Maternal drug histories and central nervous system anomalies. Arch Dis Child 1984; 59:1052-60

Yamane - Etizolam, 2011

Yamane, R. Survey of pregnancy outcomes in women who used etizolam Congenit. Anomal. 2011; 51:A7-.

Yonkers - BZDs, 2017

Yonkers Association of Panic Disorder, Generalized Anxiety Disorder, and Benzodiazepine Treatment During Pregnancy With Risk of Adverse Birth Outcomes. JAMA Psychiatry 2017; 74:1145-1152

Yonkers Pregnant women with posttraumatic stress disorder and risk of preterm birth. JAMA Psychiatry 2014; 71:897-904

Zanisi - BZDs, 2022

Zanisi, S. Benzodiazepine use during pregnancy: the Bergamo Teratology Information Service cohort study Clin. Toxicol. 2022; 60:82-.