Table 4:

Outcomes of pregnancies among isotretinoin users (during treatment or up to 42 weeks after the end of treatment), based on the high-specificity definition of pregnancy

OutcomeProvince; no. (%) of pregnancies
BCSaskatchewanManitoba*OntarioOverall
All pregnancies912961503151 473
Spontaneous pregnancy losses199 (21.8)34 (35.4)34 (22.7)23 (7.3)290 (19.7)
Induced abortion (including TOPFA)689 (75.5)44 (45.8)103 (68.7)205 (65.1)1 041 (70.7)
Live birth, with or without congenital malformation24 (2.6)18 (18.8)11 (7.3)65 (20.6)118 (8.0)
Live birth with congenital malformationSuppressed§Suppressed§Suppressed§Suppressed§11
  • Note: BC = British Columbia, TOPFA = termination of pregnancy for fetal abnormality.

  • * For 2 cases in Manitoba, the outcome could not be categorized because of small-cell suppression rules.

  • For 22 cases in Ontario, no pregnancy outcome was documented.

  • Includes spontaneous abortions and a very small number of stillbirths.

  • § Data suppressed to protect patient confidentiality.

  • The cases with outcome of congenital malformation (n = 11) represented 0.7% of all pregnancies and 9.3% of live births.