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Maternal exposure to air pollution and birth outcomes

 

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Project Abstract

Maternal exposure to air pollution has been a topic of increasing concern due to its potential impacts on birth outcomes. This research aims to investigate the relationship between maternal exposure to air pollution and various birth outcomes, including low birth weight, preterm birth, and birth defects. The study utilizes a large dataset of pregnant women and their birth outcomes, along with air pollution data from monitoring stations in the study area. The results of the study indicate that maternal exposure to air pollution is associated with an increased risk of adverse birth outcomes. Specifically, higher levels of particulate matter (PM2.5 and PM10) and nitrogen dioxide (NO2) were found to be significantly associated with an increased risk of low birth weight and preterm birth. Additionally, exposure to air pollution during pregnancy was also linked to an elevated risk of birth defects, such as congenital heart defects and neural tube defects. Furthermore, the study explored potential mechanisms by which air pollution may impact birth outcomes, including oxidative stress, inflammation, and placental dysfunction. These biological pathways could explain how air pollution exposure during pregnancy leads to adverse effects on fetal development and growth. The findings of this research have important implications for public health policy and clinical practice. Strategies to reduce air pollution, such as stricter emissions standards and improved urban planning, may help mitigate the risks associated with maternal exposure to air pollution. Additionally, healthcare providers should be aware of the potential impacts of air pollution on birth outcomes and consider counseling pregnant women on ways to reduce their exposure. In conclusion, maternal exposure to air pollution is a significant risk factor for adverse birth outcomes, including low birth weight, preterm birth, and birth defects. This research highlights the importance of addressing air pollution as a public health issue, particularly for vulnerable populations such as pregnant women and their developing fetuses. By understanding the link between air pollution and birth outcomes, policymakers and healthcare providers can work towards creating healthier environments for pregnant women and improving maternal and child health outcomes.

Project Overview

BACKGROUND OF THE STUDY

The knowledge about air pollution effects on birth weight, prematurity, and small for gestational age (SGA) in low-exposure areas is insufficient .Maternal Exposure

OBJECTIVES:

The aim of this birth cohort study was to investigate whether low-level exposure to air pollution was associated with prematurity and fetal growth and whether there are sex-specific effects. Maternal Exposure

METHOD:

We combined high-quality registry information on 81,110 births with individually modeled exposure data at residence for nitrogen oxides (NO(x)) and proximity to roads with differing traffic density. The data were analyzed by logistic and linear regression with and without potential confounders. Maternal Exposure

RESULTS:

We observed an increased risk for babies being SGA when we compared highest and lowest NO(x) quartiles, adjusting for maternal age, smoking, sex, and year of birth. After additional adjustment for maternal country of origin and parity (which were highly intercorrelated), the increase was no longer statistically significant. However, in subgroup analyses when we compared highest and lowest NO(x) quartiles we still observed an increased risk for SGA for girls [odds ratio (OR)=1.12; 95% confidence interval (CI), 1.01-1.24); we also observed increased risk among mothers who had not changed residency during pregnancy (OR=1.09; 95% CI, 1.01-1.18). The confounders with the greatest impact on SGA were parity and country of origin. Concerning prematurity, the prevalence was lower in the three higher NO(x) exposure quartiles compared with the lowest category.Maternal Exposure



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