Published online August 1, 2008
PEDIATRICS Vol. 122 No. 2 August 2008, pp. 445-449 (doi:10.1542/peds.2008-1485)
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POLICY STATEMENT

Maternal Phenylketonuria

Committee on Genetics

Elevated maternal phenylalanine concentrations during pregnancy are teratogenic and may result in growth retardation, microcephaly, significant developmental delays, and birth defects in the offspring of women with poorly controlled phenylketonuria during pregnancy. Women of childbearing age with all forms of phenylketonuria, including mild variants such as mild hyperphenylalaninemia, should receive counseling concerning their risks for adverse fetal effects, optimally before conceiving. The best outcomes occur when strict control of maternal phenylalanine concentration is achieved before conception and continued throughout pregnancy. Included are brief descriptions of novel treatments for phenylketonuria.


Key Words: phenylketonuria • maternal phenylketonuria • pregnancy • birth defect prevention

Abbreviations: PKU—phenylketonuria • Phe—phenylalanine • PAH—phenylalanine hydroxylase • BH4—tetrahydrobiopterin • PAL—phenylalanine ammonia lyase



The following policy statement has been revised:

Maternal Phenylketonuria

Pediatrics 107: 427-428. [Full Text]



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R. Koch
Maternal Phenylketonuria and Tetrahydrobiopterin
Pediatrics, December 1, 2008; 122(6): 1367 - 1368.
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