Maternal celiac disease: improbable risk factor for neural tube defect

Eur J Gastroenterol Hepatol. 2009 Jul;21(7):805-8. doi: 10.1097/MEG.0b013e32830fe6ea.

Abstract

Objectives: To verify the existence of possible relation between maternal celiac disease (CD) and the appearance of neural tube defects (NTD) in the newborn serological testing in 208 mothers with NTD-affected pregnancy were performed.

Methods: All sera were tested for total serum immunoglobulin A (IgA) levels and for IgA class endomysial antibody using indirect immunofluorescence technique. Participant age ranged from 19 to 43 years (mean: 33 years). None had been previously investigated for or had a family history of CD.

Results: Immunoglobulin levels were normal and results of the IgA-endomysial antibody tests were negative in all women tested.

Conclusion: This study, although nonconclusive, did not corroborate earlier findings described in the literature of increased frequency of CD in mothers with a history of NTD-affected pregnancy. At this moment we feel that a routine screening for CD in pregnant women to avoid a possible pregnancy aggravated by NTD would not be justifiable.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Brazil
  • Celiac Disease / blood
  • Celiac Disease / complications*
  • Female
  • Folic Acid / therapeutic use
  • Humans
  • Immunoglobulin A / blood
  • Infant, Newborn
  • Neural Tube Defects / blood
  • Neural Tube Defects / diagnosis
  • Neural Tube Defects / etiology*
  • Pregnancy
  • Pregnancy Complications* / blood
  • Prenatal Diagnosis
  • Risk Factors
  • Young Adult

Substances

  • Immunoglobulin A
  • Folic Acid