TY - JOUR T1 - MAternal cocaine use during early pregnancy as a risk factor for congenital urogenital anomalies AU - Chávez GF, Mulinare J, Cordero JF Y1 - 1989/08/11 N1 - 10.1001/jama.1989.03430060091031 JO - JAMA SP - 795 EP - 798 VL - 262 IS - 6 N2 - To study the association of maternal cocaine use during early pregnancy with the occurrence of congenital urogenital anomalies, we analyzed data from the population-based Atlanta Birth Defects Case-Control Study. We identified 276 and 791 case-babies with urinary and genital anomalies, respectively, who were live born and stillborn to residents of metropolitan Atlanta from 1968 through 1980. There were 2835 and 2973 respective control-babies born without birth defects randomly selected through birth certificates. Maternal cocaine use during early pregnancy was defined as reported use at any time from 1 month before the pregnancy began through the first 3 months of pregnancy. We found a statistically significant association of reported cocaine use with an increased risk for urinary tract defects (crude odds ratio, 4.39; 95% confidence interval, 1.12 to 17.24) and no statistically significant association with genital organ defects (odds ratio, 2.26; confidence interval, 0.67 to 7.62). The findings from this study were consistent with a previously reported association of maternal cocaine use and urinary tract anomalies in animal and clinical studies.(JAMA. 1989;262:795-798) SN - 0098-7484 M3 - doi: 10.1001/jama.1989.03430060091031 UR - http://dx.doi.org/10.1001/jama.1989.03430060091031 ER -