Document Detail


Polish mother and child cohort study--defining the problem, the aim of the study and methodological assumption.
MedLine Citation:
PMID:  20053622     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Exposures during prenatal period have implications for pregnancy outcome as well as for children's health, morbidity and mortality. Prospective cohort study design allows for the identification of exposures that may influence pregnancy outcome and children's health, verification of such exposures by biomarker measurements and notification of any changes in exposure level. MATERIALS AND METHODS: Polish Mother and Child Cohort Study (REPRO_PL) is multicenter prospective cohort study conducted in 8 different regions of Poland. The final cohort is intended to comprise 1300 mother-child pairs to be recruited within 4-year period (2007-2011). The recruitment and all scheduled visits are conducted in maternity units or clinics in the districts included in the study. The women are followed-up 3 times in pregnancy (once in each trimester) and after delivery for the notification of pregnancy outcome. During each visit, detailed questionnaire and biological samples are collected including saliva, urine, hair, maternal blood and cord blood. About 6 weeks postpartum, breast milk from part of the women is collected. The study concentrates on the identification and evaluation of the effects of prenatal environmental exposure on pregnancy outcome and children's health. Specific research hypotheses refer to the role of heavy metals, exposure to polycyclic aromatic hydrocarbons (PAHs) and environmental tobacco smoke (ETS) in the aetiology of small-for-gestational-age (SGA) and preterm delivery (PD). The role of oxidative stress putative mechanism and pregnant women nutritional status will be investigated. Based on questionnaire data, the impact of occupational exposures and stressful situations will be evaluated. RESULTS: The results of the study will become available within the next few years and will help to determine levels of child prenatal exposure in several areas of Poland and its impact on course and outcome of pregnancy.
Authors:
Kinga Pola?ska; Wojciech Hanke; Jolanta Gromadzi?ska; Danuta Ligocka; Ewa Gulczy?ska; Wojciech Sobala; Wojciech W?sowicz
Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of occupational medicine and environmental health     Volume:  22     ISSN:  1232-1087     ISO Abbreviation:  Int J Occup Med Environ Health     Publication Date:  2009  
Date Detail:
Created Date:  2010-03-05     Completed Date:  2010-05-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9437093     Medline TA:  Int J Occup Med Environ Health     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  383-91     Citation Subset:  IM    
Affiliation:
Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, ??d?, Poland. kinga@imp.lodz.pl
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Chemical Analysis
Cohort Studies*
Female
Fetal Development
Hair / chemistry
Humans
Infant, Newborn
Male
Maternal Exposure / adverse effects*
Milk, Human / chemistry
Mothers*
Oxidative Stress
Poland
Pregnancy
Pregnancy Outcome*
Prenatal Exposure Delayed Effects*
Questionnaires
Research Design*
Saliva / chemistry
Urinalysis

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


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