1. Developmental Evaluation of Infants Who Have Received Tadalafil in Utero for Fetal Growth Restriction
- Author
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Shintaro Maki, Akihiro Sudo, Tomoaki Ikeda, Ineko Kato, Shinsuke Hori, Masafumi Nii, Yukito Ueda, Hirofumi Sawada, Hiroaki Tanaka, Naosuke Enomoto, Masahiro Hirayama, Kana Matsuda, Kayo Tanaka, and Sho Takakura
- Subjects
Pediatrics ,medicine.medical_specialty ,Percentile ,PDE5 inhibitor ,Birth weight ,lcsh:Medicine ,Article ,KSPD ,03 medical and health sciences ,0302 clinical medicine ,030225 pediatrics ,Fetal growth ,medicine ,Developmental quotient ,Pregnancy ,030219 obstetrics & reproductive medicine ,business.industry ,lcsh:R ,General Medicine ,medicine.disease ,FGR ,Tadalafil ,In utero ,Gestation ,business ,tadalafil ,medicine.drug - Abstract
To assess the long-term effects of tadalafil, a therapeutic agent for fetal growth restriction (FGR), we evaluated the developmental progress of 1.5-year-old infants whose mothers had taken tadalafil during pregnancy. Twenty-four infants were assessed. We evaluated infant body weight, height, and head circumference, and performed the Kyoto Scale of Psychological Development (KSPD) test, a standardized developmental assessment covering Postural&ndash, Motor (P&ndash, M), Cognitive&ndash, Adaptive (C&ndash, A), and Language-Social (L&ndash, S) functions. The sum score was converted to a developmental quotient (DQ). The mean gestational week of the included cases was 36.1 (29&ndash, 39) weeks, and the mean birth weight was 1841 (874&ndash, 2646) g. Twenty-one and 20 out of the 24 cases, respectively, attained body weight and height similar to those of age-matched normal infants (within the 3rd percentile), all cases caught up in head circumference. KSPD was performed for 18 cases at 1.5 years of corrected age. The mean DQ scores were 87 (in total): 82 in P&ndash, M, 90 in C&ndash, A, and 88 in L&ndash, S. The total DQ score in one case (5.6%) was less than 70, and ranged from 70 to 85 in five cases (27.7%), and was more than 85 in 11 cases (61.1%). The growth and development of infants born of tadalafil-treated mothers seem to show good progress at a corrected age of 1.5 years.
- Published
- 2020