Developmental Evaluation of Infants Who Have Received Tadalafil in Utero for Fetal Growth Restriction

Shintaro Maki, Ineko Kato, Naosuke Enomoto, Sho Takakura, Masafumi Nii, Kayo Tanaka, Hiroaki Tanaka, Shinsuke Hori, Kana Matsuda, Yukito Ueda, Hirofumi Sawada, Masahiro Hirayama (+2 others)
2020 Journal of Clinical Medicine  
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–Motor (P–M), Cognitive–Adaptive (C–A), and
more » ... (C–A), and Language-Social (L–S) functions. The sum score was converted to a developmental quotient (DQ). The mean gestational week of the included cases was 36.1 (29–39) weeks, and the mean birth weight was 1841 (874–2646) 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–M, 90 in C–A, and 88 in L–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.
doi:10.3390/jcm9051448 pmid:32413997 fatcat:dxu6wmzeircgjkcdezfisyd7ri