Clomiphene Citrate Medication for Infertility and Risk of Stillbirth or Neonatal Death: A Population-based Cohort Study

J Clin Endocrinol MetabPublished Population-based cohort study

Main finding · Perinatal death (singletons)Result — go to the resultOdds ratio 1.54 95% CI 1.15–2.07

Authors' conclusion

Risk of perinatal death may be increased in pregnancies that follow use of CC. While established confounding factors related to infertility were taken into account, there may be some residual contribution of underlying infertility.

Study context

Population
All women giving birth (births ≥20 weeks) between July 2003 and December 2015, South Australia
Participants
242,077 women
Exposure
Clomiphene citrate (CC) exposure vs no CC exposure
Outcome
Perinatal death: stillbirths and neonatal deaths (within 28 days of birth) combined
Methodological detailswhole of population data linkage
  • Whole of population data linkage

Main finding

Perinatal death (singletons)

Odds ratio

1.54

95% CI 1.15–2.07

CCvs Unexposed
OR 1.54 (95% CI 1.15–2.07)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Stillbirth and neonatal death prevalence (singletons)

Stillbirth, all singletons
6.6 per 1000 births
Neonatal death, all singletons
2.1 per 1000 live births
Stillbirth, singletons conceived with CC
10.2 per 1000
Neonatal death, singletons conceived with CC
3.1 per 1000

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Clomiphene Citrate Medication for Infertility and Risk of Stillbirth or Neonatal Death: A Population-based Cohort Study. J Clin Endocrinol Metab. Published 22 October 2024. doi:10.1210/clinem/dgae741

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