Table 3 Risk of major system-specific congenital malformation in children born to mothers with actively treated diagnosed asthma and in children with gestational exposure to asthma medication
CasesControlsAdjusted OR‡ (95% CI)p Value
n (%)†n (%)†
Maternal asthma (diagnosis and medication before delivery)
Any congenital malformation§5124 (6.8)30053 (6.6)1.06 (0.94 to 1.20)0.329
Any system-specific malformation¶
    Nervous system237 (7.2)1377 (6.8)1.08 (0.63 to 1.86)0.783
    Eye, ear, face, neck293 (5.8)1718 (5.8)1.01 (0.58 to 1.76)0.972
    Circulatory system1256 (7.6)7356 (6.6)1.18 (0.94 to 1.49)0.163
    Respiratory system46 (10.9)265 (7.2)1.71 (0.50 to 5.78)0.390
    Cleft lip and/or palate255 (7.1)1513 (6.8)1.05 (0.62 to 1.77)0.852
    Digestive system166 (7.2)974 (7.0)1.03 (0.53 to 2.00)0.932
    Genital organs913 (6.2)5345 (6.3)0.98 (0.73 to 1.31)0.874
    Urinary system313 (6.7)1850 (6.6)1.03 (0.63 to 1.68)0.921
    Musculoskeletal system1431 (7.3)8372 (6.6)1.14 (0.91 to 1.43)0.241
    “Other”407 (7.1)2400 (6.5)1.15 (0.75 to 1.77)0.518
    Chromosomal abnormality260 (2.3)1519 (5.7)0.43 (0.18 to 1.02)0.054
⩾1 Asthma medication exposure during pregnancy*
Any congenital malformation§5124 (8.0)30053 (7.5)1.05 (0.94 to 1.18)0.367
Any system-specific malformation¶
    Nervous system237 (6.8)1377 (7.2)0.93 (0.55 to 1.57)0.781
    Eye, ear, face, neck293 (5.8)1718 (7.1)0.81 (0.48 to 1.38)0.439
    Circulatory system1256 (9.0)7356 (7.3)1.27 (1.02 to 1.58)0.032
    Respiratory system46 (13.0)265 (7.9)1.92 (0.65 to 5.65)0.236
    Cleft lip and/or palate255 (6.3)1513 (8.3)0.73 (0.43 to 1.24)0.246
    Digestive system166 (12.0)974 (7.9)1.65 (0.99 to 2.74)0.053
    Genital organs913 (7.6)5345 (7.6)0.98 (0.74 to 1.28)0.865
    Urinary system313 (8.0)1850 (7.1)1.13 (0.72 to 1.77)0.594
    Musculoskeletal system1431 (8.7)8372 (7.6)1.16 (0.95 to 1.43)0.143
    “Other”407 (7.4)2400 (7.2)1.04 (0.69 to 1.58)0.842
    Chromosomal abnormality260 (3.5)1519 (7.0)0.45 (0.22 to 0.95)0.035
  • *Any short-acting β agonists, inhaled corticosteroids, long-acting β agonists, other bronchodilators or other anti-inflammatory medications (see tables published in online supplement for full analyses of individual gestational drug exposures).

  • †First section of table: Proportion of cases or controls whose mothers have an asthma diagnosis and medication before delivery. Second section of table: Proportion of cases or controls exposed to one or more asthma medications during pregnancy.

  • ‡Odds ratios (95% confidence intervals) adjusted for maternal age at birth of case or control child; maternal smoking status, body mass index, socioeconomic status, sex of the child, gestation of pregnancy had no confounding effects.

  • §Children with more than one malformation are counted only once in “any congenital malformation” total.

  • ¶Children with more than one malformation in the same system-specific group are counted only once in each system-specific malformation total.