Maternal lead exposure and premature rupture of membranes: a birth cohort study in China
Related Experiment Video
Updated: Feb 7, 2026

A Murine Model of Fetal Exposure to Maternal Inflammation to Study the Effects of Acute Chorioamnionitis on Newborn Intestinal Development
Published on: June 24, 2020
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.
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.
Objectives:
Maternal exposure to lead (Pb) has been suggested to correlate with adverse birth outcomes, but evidence supporting an association between Pb exposure and premature rupture of membranes (PROM) is limited. The aim of our study was to investigate whether maternal Pb exposure was associated with PROM and preterm PROM.
Design:
Cross-sectional cohort study.
Study Population:
The present study involved 7290 pregnant women from the Healthy Baby Cohort in Wuhan, China, during 2012-2014.
Main Outcome Measures:
PROM was defined as spontaneous rupture of amniotic membranes before the onset of labour and was determined with a pH ≥6.5 for vaginal fluid. Maternal urinary Pb level was adjusted by creatinine concentration, and its relationship with PROM was analysed by logistic regression.
Results:
The IQR of maternal urinary Pb concentrations of the study population was 2.30-5.64 µg/g creatinine with a median of 3.44 µg/g creatinine. Increased risk of PROM was significantly associated with elevated levels of Pb in maternal urine (adjusted OR 1.23, 95% CI 1.0 to 1.47 for the medium tertile; adjusted OR 1.51, 95% CI 1.27 to 1.80 for the highest tertile). The risk of preterm PROM associated with Pb levels was significantly higher when compared with the lowest tertile (adjusted OR 1.24, 95% CI 0.80 to 1.92 for the medium tertile; adjusted OR 1.73, 95% CI 1.15 to 2.60 for the highest tertile). In addition, the relationship between Pb and PROM was more pronounced among primiparous women than multiparous women (p for interaction <0.01).
Conclusions:
Our study found that higher levels of maternal Pb exposure was associated with increased risk of PROM, indicating that exposure to Pb during pregnancy may be an important risk factor for PROM.
Related Concept Videos
Birth Control Methods
Phase-lead and Phase-lag Controllers
Time and frequency -Domain Interpretation of Phase-lead Control
The design of phase-lead control involves the strategic placement of poles and zeros to balance steady-state error and system...
Introduction to Membrane Proteins
What are Membranes?
What are Membranes?

