Document Detail


Environmental exposures and adverse pregnancy outcomes: a review of the science.
MedLine Citation:
PMID:  18836129     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To better understand the science linking environmental contaminants exposures with adverse pregnancy outcomes, we reviewed the relevant epidemiologic literature. We searched PubMed (primarily 1995-2006) using the key word combinations for select environmental exposures and pregnancy outcomes. Environmental tobacco smoke is a risk factor for reduced birth weight and preterm delivery. Outdoor air pollution is associated with reduced term birth weight and preterm delivery. Suggestive evidence associates pesticides and polychlorinated biphenyls with decreased fetal growth and length of gestation. Stronger evidence, primarily occupational, links certain birth defects with exposure to organic solvents and chlorophenoxy herbicides. Evidence suggests dichlorodiphenyltrichloroethane and bisphenol-A could be associated with pregnancy loss. Exposures in utero can also increase the risk of developmental delays (ie, impaired neurological function), adult chronic illnesses (ie, heart disease, diabetes, cancer), and next generation effects (ie, reduced reproductive capacity). Further research, education, and improved public health policy are needed to reduce potentially adverse exposures.
Authors:
Karen Perry Stillerman; Donald R Mattison; Linda C Giudice; Tracey J Woodruff
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Reproductive sciences (Thousand Oaks, Calif.)     Volume:  15     ISSN:  1933-7205     ISO Abbreviation:  Reprod Sci     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-10-06     Completed Date:  2009-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101291249     Medline TA:  Reprod Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  631-50     Citation Subset:  IM    
Affiliation:
Physicians for Social Responsibility.
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MeSH Terms
Descriptor/Qualifier:
Adult
Animals
Environmental Exposure / adverse effects*,  prevention & control
Female
Humans
Infant, Newborn
Maternal Exposure
Occupational Diseases / epidemiology,  etiology,  prevention & control
Pregnancy
Pregnancy Complications / epidemiology,  etiology,  prevention & control
Pregnancy Outcome / epidemiology*
Prenatal Exposure Delayed Effects / epidemiology*,  etiology,  prevention & control

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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