학술논문

Developmental and Behavioral Consequences of Intrauterine Anti-Seizure Medication Exposure.
Document Type
Article
Source
Archives of Neuropsychiatry / Nöropsikiyatri Arşivi. Mar2023, Vol. 60 Issue 1, p37-42. 6p.
Subject
*CHILD development deviations
*ANTICONVULSANTS
*SPORTS participation
*STATISTICS
*CARBAMAZEPINE
*LAMOTRIGINE
*ACADEMIC medical centers
*EPILEPSY
*CROSS-sectional method
*COGNITION in children
*RETROSPECTIVE studies
*FISHER exact test
*PRENATAL exposure delayed effects
*BEHAVIOR disorders in children
*LANGUAGE acquisition
*NEURAL development
*QUESTIONNAIRES
*CHI-squared test
*DISEASE prevalence
*DESCRIPTIVE statistics
*DISABILITIES
*DATA analysis
*DATA analysis software
*LOGISTIC regression analysis
*VALPROIC acid
*PREGNANCY
RISK factors
Language
ISSN
1300-0667
Abstract
Introduction: In this cross-sectional study, whether there is a difference in the prevalence of developmental/behavioral problems in children of those who received mono/polytherapy during pregnancy; How Valproic Acid (VPA) exposure affects developmental/behavioral characteristics compared to other antiseizure medications (ASM) was also investigated. Method: 64 children of 46 women with epilepsy (WWE) with children aged 0--18 years were included. Ankara Development and Screening Inventory (ADSI) for their children up to the age of six and The Child Behavior Checklist for Ages 4--18-CBCL/4--18 scale was applied for the ages of 6--18. Children exposed to prenatal ASM were divided into two groups as polytherapy and monotherapy. Children exposed to monotherapy were investigated by drug exposure, as well as exposure to VPA and other ASMs. Chi-square test was used to compare qualitative variables. Results: When monotherapy and polytherapy groups were compared, a significant difference was found in the language cognitive development area of the ADSI (p=0.015) and in terms of the sports activity variable in CBCL/4--18 (p=0.039). When the VPA monotherapy and other ASM monotherapy groups were compared, a significant difference was found in terms of sports activity in CBCL-4--18 (p=0.013). Conclusion: It was found that language and cognitive development can be delayed, the level of engagement in sports activities can be reduced in children exposed to polytherapy. The rate of doing sports activities in valproic acid monotherapy exposure may decrease. [ABSTRACT FROM AUTHOR]