PMID- 23559219 OWN - NLM STAT- MEDLINE DCOM- 20140305 LR - 20220311 IS - 1432-2072 (Electronic) IS - 0033-3158 (Linking) VI - 228 IP - 4 DP - 2013 Aug TI - Effects of prenatal exposure to atypical antipsychotics on postnatal development and growth of infants: a case-controlled, prospective study. PG - 577-84 LID - 10.1007/s00213-013-3060-6 [doi] AB - OBJECTIVE: This study aims to investigate the developmental effects of atypical antipsychotics on infants who were born to mothers taking an atypical antipsychotic throughout pregnancy. METHOD: The developmental progress of 76 infants who experienced fetal exposure to atypical antipsychotics was compared to that of 76 matched control infants who had no fetal exposure to any antipsychotics. Planned assessment included Apgar score, body weight, height, and the cognitive, language, motor, social-emotional, and adaptive behavior composite scores of the Bayley Scales of Infant and Toddler Development, third edition (BSID-III). Student's t test and Chi-square analysis were used as appropriate. Repeated measurements were evaluated by analysis of covariance. RESULTS: At 2 months of age, the mean composite scores of cognitive, motor, social-emotional, and adaptive behavior of BSID-III were significantly lower in atypical antipsychotic-exposed infants than the controls. More atypical antipsychotic-exposed infants had delayed development in cognitive, motor, social-emotional, and adaptive behavior domains as defined by the composite score of <85 in these subscales of BSID-III. At 12 months of age, there were no significant differences between the two groups in all mean composite scores of BSID-III. More atypical antipsychotic-exposed infants had low birth weight than the controls (13.2 vs. 2.6 %, P = 0.031), although there were no significant difference in mean birth weight and height between the two groups. CONCLUSION: Fetal exposure to atypical antipsychotics may cause short-term delayed development in cognitive, motor, social-emotional, and adaptive behavior, but not in language, body weight, or height. FAU - Peng, Mei AU - Peng M AD - Department of Obstetrical of The Second Xiangya Hospital, Central South University, 139# Renmin Middle Road, Changsha, 410011, Hunan, People's Republic of China. FAU - Gao, Keming AU - Gao K FAU - Ding, Yiling AU - Ding Y FAU - Ou, Jianjun AU - Ou J FAU - Calabrese, Joseph R AU - Calabrese JR FAU - Wu, Renrong AU - Wu R FAU - Zhao, Jingping AU - Zhao J LA - eng SI - ClinicalTrials.gov/NCT01479400 PT - Controlled Clinical Trial PT - Journal Article DEP - 20130405 PL - Germany TA - Psychopharmacology (Berl) JT - Psychopharmacology JID - 7608025 RN - 0 (Antipsychotic Agents) SB - IM MH - Adult MH - Antipsychotic Agents/administration & dosage/adverse effects/*therapeutic use MH - Apgar Score MH - Birth Weight/drug effects MH - Case-Control Studies MH - Child Development/*drug effects MH - Cognition/drug effects MH - Female MH - Follow-Up Studies MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Pregnancy MH - Pregnancy Complications/drug therapy/physiopathology MH - Prenatal Exposure Delayed Effects/*epidemiology MH - Prospective Studies MH - Schizophrenia/complications/*drug therapy MH - Time Factors EDAT- 2013/04/06 06:00 MHDA- 2014/03/07 06:00 CRDT- 2013/04/06 06:00 PHST- 2012/07/28 00:00 [received] PHST- 2013/03/04 00:00 [accepted] PHST- 2013/04/06 06:00 [entrez] PHST- 2013/04/06 06:00 [pubmed] PHST- 2014/03/07 06:00 [medline] AID - 10.1007/s00213-013-3060-6 [doi] PST - ppublish SO - Psychopharmacology (Berl). 2013 Aug;228(4):577-84. doi: 10.1007/s00213-013-3060-6. Epub 2013 Apr 5.