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Maternal occupational exposure to selected organic and chlorinated solvents and delivery of small-for-gestational age or preterm infants.
Authors
Van Buren KW; Rocheleau CM; Chen I-C; Desrosiers TA; Sanderson WT; Politis MD; Ailes EC; National Birth Defects Prevention Study
Source
Am J Ind Med 2023 Oct; 66(10):842-853
NIOSHTIC No.
20068027
Abstract
Background: Potential reproductive effects of organic solvent exposure during pregnancy remain unclear. We investigated the association between maternal occupational exposure during pregnancy to six chlorinated solvents, three aromatic solvents, and Stoddard solvent, and delivery of preterm infants or those born small-for-gestational age (SGA). Methods: In this case-control study of SGA and preterm birth (PTB) nested within the National Birth Defects Prevention Study (NBDPS) from 1997 to 2011, we analyzed data from 7504 singleton live births without major birth defects and their mothers. Self-reported information on jobs held in the periconceptional period was assessed for solvent exposure. Unconditional logistic regression was used to estimate the association between maternal occupational exposure (any, none) during early pregnancy to organic solvents and PTB and SGA. Linear regression was used to examine changes in mean birthweight potentially associated with maternal occupational solvent exposure. Results: Maternal occupational exposure to any organic solvents overall was not associated with an increased odds of PTB (adjusted odds ratio [aOR] = 0.94; 95% confidence interval [CI] 0.67-1.33) or SGA (aOR = 0.93; 95% CI 0.65-1.34). Point estimates increased modestly for higher estimated exposure versus lower, but confidence intervals were wide and not statistically significant. Maternal exposure to solvents was not associated with a statistically significant change in term birthweight among infants. Conclusions: Occupational exposure to organic solvents at the frequency and intensity levels found in a population-based sample of pregnant workers was not associated with PTB or SGA; however, we cannot rule out any effects among pregnant workers with uncommonly high exposure to organic solvents.
Keywords
Women; Organic solvents; Chlorinated solvents; Prenatal exposure; Pregnancy; Stoddard solvent; Occupations; Reproductive health; Author Keywords: SGA; birth weight; occupation; organic solvents; pregnancy; preterm birth; reproductive health; worker
Contact
Kristen W. Van Buren, Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, OH
CODEN
AJIMD8
Publication Date
20231001
Document Type
Journal Article
Email Address
opv7@cdc.gov
Funding Type
Grant; Contract
Fiscal Year
2024
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-T42-OH-010278; Contract-200-2000-08018
Issue of Publication
10
ISSN
0271-3586
NIOSH Division
DFSE
Source Name
American Journal of Industrial Medicine
State
OH; KY; NC; AR; GA
Performing Organization
University of Kentucky, Lexington
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Page last reviewed: December 9, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division