Maternal lead exposure and premature rupture of membranes: a birth cohort study in China

Sha Huang1, Wei Xia1, Xia Sheng1

  • 1Key Laboratory of Environment and Health (HUST), Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

BMJ Open
|July 25, 2018
PubMed

Insights

Maternal lead (Pb) exposure is linked to a higher risk of premature rupture of membranes (PROM). This study highlights Pb as a potential risk factor for PROM during pregnancy.

Area of Science:

  • Environmental Health
  • Obstetrics
  • Toxicology

Background:

  • Maternal exposure to environmental toxins, such as lead (Pb), is a growing concern in public health.
  • While Pb exposure is linked to various adverse birth outcomes, its specific association with premature rupture of membranes (PROM) requires further investigation.

Purpose of the Study:

  • To investigate the association between maternal lead (Pb) exposure and the risk of premature rupture of membranes (PROM).
  • To examine the relationship between maternal Pb exposure and preterm PROM.

Main Methods:

  • A cross-sectional cohort study was conducted with 7290 pregnant women in Wuhan, China (2012-2014).
  • Maternal urinary Pb levels were measured and adjusted for creatinine concentration.
  • Logistic regression analysis was used to assess the relationship between Pb levels and PROM, with PROM defined by vaginal fluid pH ≥6.5.

Main Results:

  • Elevated maternal urinary Pb levels were significantly associated with an increased risk of PROM (adjusted OR 1.51 for highest tertile).
  • A higher risk of preterm PROM was observed with increasing Pb levels (adjusted OR 1.73 for highest tertile).
  • The association between Pb exposure and PROM was more pronounced in primiparous women.

Conclusions:

  • Higher maternal lead (Pb) exposure is associated with an increased risk of premature rupture of membranes (PROM).
  • Lead exposure during pregnancy may represent a significant risk factor for PROM, necessitating public health interventions.
Abstract

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