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Intrauterine exposure to mild analgesics during pregnancy and the occurrence of cryptorchidism and hypospadia in the offspring: the Generation R Study. / Snijder, Claudia A.; Kortenkamp, Andreas; Steegers, Eric A.P.; Jaddoe, Vincent W.V.; Hofman, Albert; Hass, Ulla; Burdorf, Alex.

In: Human Reproduction, Vol. 27, No. 4, 2012, p. 1191-1201.

Publication: Research - peer-reviewJournal article – Annual report year: 2012

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Snijder, Claudia A.; Kortenkamp, Andreas; Steegers, Eric A.P.; Jaddoe, Vincent W.V.; Hofman, Albert; Hass, Ulla; Burdorf, Alex / Intrauterine exposure to mild analgesics during pregnancy and the occurrence of cryptorchidism and hypospadia in the offspring: the Generation R Study.

In: Human Reproduction, Vol. 27, No. 4, 2012, p. 1191-1201.

Publication: Research - peer-reviewJournal article – Annual report year: 2012

Bibtex

@article{791535428d844c068d9a4d2fc988e12f,
title = "Intrauterine exposure to mild analgesics during pregnancy and the occurrence of cryptorchidism and hypospadia in the offspring: the Generation R Study",
publisher = "Oxford University Press",
author = "Snijder, {Claudia A.} and Andreas Kortenkamp and Steegers, {Eric A.P.} and Jaddoe, {Vincent W.V.} and Albert Hofman and Ulla Hass and Alex Burdorf",
year = "2012",
doi = "10.1093/humrep/der474",
volume = "27",
number = "4",
pages = "1191--1201",
journal = "Human Reproduction",
issn = "0268-1161",

}

RIS

TY - JOUR

T1 - Intrauterine exposure to mild analgesics during pregnancy and the occurrence of cryptorchidism and hypospadia in the offspring: the Generation R Study

A1 - Snijder,Claudia A.

A1 - Kortenkamp,Andreas

A1 - Steegers,Eric A.P.

A1 - Jaddoe,Vincent W.V.

A1 - Hofman,Albert

A1 - Hass,Ulla

A1 - Burdorf,Alex

AU - Snijder,Claudia A.

AU - Kortenkamp,Andreas

AU - Steegers,Eric A.P.

AU - Jaddoe,Vincent W.V.

AU - Hofman,Albert

AU - Hass,Ulla

AU - Burdorf,Alex

PB - Oxford University Press

PY - 2012

Y1 - 2012

N2 - BACKGROUND: Recently, over-the-counter mild analgesic use during pregnancy has been suggested to influence the risk of reproductive disorders in the offspring. We examined the influence of maternal exposure to mild analgesics during pregnancy on the occurrence of cryptorchidism and hypospadia in their offspring. METHODS: Associations between maternal exposure to mild analgesics during pregnancy and cryptorchidism or hypospadia in the offspring were studied in 3184 women participating in a large population-based prospective birth cohort study from early pregnancy onwards in the Netherlands (2002–2006), the Generation R Study. Cryptorchidism and hypospadia were identified during routine screening assessments performed in child health care centres by trained physicians. The use of mild analgesics was assessed in three prenatal questionnaires in pregnancy, resulting in four periods of use, namely, periconception period, first 14 weeks of gestation, 14–22 weeks of gestation and 20–32 weeks of gestation. Logistic regression analyses were used to study the associations between maternal exposure to mild analgesics and cryptorchidism and hypospadia. RESULTS: The cumulative prevalence over 30 months of follow up was 2.1% for cryptorchidism and 0.7% for hypospadia. Use of mild analgesics in the second period of pregnancy (14–22 weeks) increased the risk of congenital cryptorchidism [adjusted odds ratio (OR) 2.12; 95% confidence interval (CI) 1.17–3.83], primarily due to the use of acetaminophen (paracetamol) (adjusted OR 1.89; 95% CI 1.01–3.51). Among mothers of cryptorchid sons, 33.8% reported (23 of 68) the use of mild analgesics during pregnancy, compared with 31.8% (7 of 22) of mothers with a boy with hypospadia and 29.9% (926 of 3094) of mothers with healthy boys. CONCLUSIONS: Our results suggest that intrauterine exposure to mild analgesics, primarily paracetamol, during the period in pregnancy when male sexual differentiation takes place, increases the risk of cryptorchidism.

AB - BACKGROUND: Recently, over-the-counter mild analgesic use during pregnancy has been suggested to influence the risk of reproductive disorders in the offspring. We examined the influence of maternal exposure to mild analgesics during pregnancy on the occurrence of cryptorchidism and hypospadia in their offspring. METHODS: Associations between maternal exposure to mild analgesics during pregnancy and cryptorchidism or hypospadia in the offspring were studied in 3184 women participating in a large population-based prospective birth cohort study from early pregnancy onwards in the Netherlands (2002–2006), the Generation R Study. Cryptorchidism and hypospadia were identified during routine screening assessments performed in child health care centres by trained physicians. The use of mild analgesics was assessed in three prenatal questionnaires in pregnancy, resulting in four periods of use, namely, periconception period, first 14 weeks of gestation, 14–22 weeks of gestation and 20–32 weeks of gestation. Logistic regression analyses were used to study the associations between maternal exposure to mild analgesics and cryptorchidism and hypospadia. RESULTS: The cumulative prevalence over 30 months of follow up was 2.1% for cryptorchidism and 0.7% for hypospadia. Use of mild analgesics in the second period of pregnancy (14–22 weeks) increased the risk of congenital cryptorchidism [adjusted odds ratio (OR) 2.12; 95% confidence interval (CI) 1.17–3.83], primarily due to the use of acetaminophen (paracetamol) (adjusted OR 1.89; 95% CI 1.01–3.51). Among mothers of cryptorchid sons, 33.8% reported (23 of 68) the use of mild analgesics during pregnancy, compared with 31.8% (7 of 22) of mothers with a boy with hypospadia and 29.9% (926 of 3094) of mothers with healthy boys. CONCLUSIONS: Our results suggest that intrauterine exposure to mild analgesics, primarily paracetamol, during the period in pregnancy when male sexual differentiation takes place, increases the risk of cryptorchidism.

U2 - 10.1093/humrep/der474

DO - 10.1093/humrep/der474

JO - Human Reproduction

JF - Human Reproduction

SN - 0268-1161

IS - 4

VL - 27

SP - 1191

EP - 1201

ER -