Topical or vaginal clotrimazole treatment during pregnancy was evaluated in
the large population-based control data set of the Hungarian Case-Control
Surveillance of Congenital Abnormalities, 1980-92. The database comprised 3
2804 control non-malformed newborn infants, 7.7% of whom were born to mothe
rs who had received clotrimazole treatment during pregnancy. An increase in
mean gestational age among exposed vs. unexposed was found. It is postulat
ed that the use of clotrimazole during pregnancy reduced significantly the
proportion of preterm births because of the effective treatment of genital
infections caused by candidiasis in pregnant women.