Maternal and paternal preconception exposure to phenols and preterm birth
Vicente Mustieles1, Yu Zhang2, Jennifer Yland3
1University of Granada, Center for Biomedical Research (CIBM), Spain. Instituto de Investigación Biosanitaria Ibs GRANADA, Spain. Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), 18100, Spain.
Insights
Maternal preconception exposure to BPA and BPS, and paternal exposure to parabens, are linked to increased preterm birth risk. This highlights preconception environmental exposures as critical factors for adverse pregnancy outcomes.
Area of Science:
- Environmental Health
- Reproductive Toxicology
- Perinatal Epidemiology
Background:
- Phenol exposure during pregnancy is linked to preterm birth.
- The impact of preconception parental exposure to phenols on pregnancy outcomes remains unclear.
- The preconception period is recognized as a vulnerable window for reproductive health.
Purpose of the Study:
- To investigate the association between maternal and paternal preconception urinary concentrations of select phenols and the risk of preterm birth.
- To assess the role of environmental exposures before conception in adverse pregnancy outcomes among couples undergoing fertility care.
Main Methods:
- Analysis of urinary phenol biomarkers (BPA, BPS, benzophenone-3, triclosan, ΣParabens) from mothers and fathers prior to conception.
- Inclusion of 417 mothers and 229 fathers from the EARTH Study (2005-2018).
- Estimation of preterm birth risk using modified Poisson regression models adjusted for covariates.
Main Results:
- Maternal preconception bisphenol A (BPA) and bisphenol S (BPS) concentrations were associated with increased preterm birth risk.
- Paternal preconception parabens (ΣParabens) concentrations showed a potential association with elevated preterm birth risk.
- No significant associations were found for benzophenone-3 or triclosan in either parent.
Conclusions:
- Maternal preconception BPA and BPS, and paternal preconception parabens, are associated with a higher risk of preterm birth.
- Preconception exposure to phenols may represent an unrecognized risk factor for adverse pregnancy outcomes in subfertile couples.
Background:
Phenol exposure during pregnancy has been associated with preterm birth, but the potential effect of preconception exposure in either parent is unknown. There is a growing body of evidence to suggest that the preconception period is a critical window of vulnerability for adverse pregnancy outcomes.
Objective:
We examined whether maternal and paternal preconception urinary concentrations of select phenols were associated with the risk of preterm birth among couples attending fertility care.
Methods:
The analysis included 417 female and 229 male participants of the Environment and Reproductive Health (EARTH) Study who gave birth to 418 singleton infants between 2005 and 2018 and for whom we had phenol biomarkers quantified in at least one urine sample collected before conception. Mothers and fathers provided an average of 4 and 3 urine samples during the preconception period, respectively. We calculated the geometric mean of bisphenol A (BPA), bisphenol S (BPS), benzophenone-3, triclosan, and the molar sum of parabens (ΣParabens) urinary concentrations to estimate each participant's preconception exposure. Risk ratios (RRs) of preterm birth (live birth before 37 completed weeks' gestation) were estimated using modified Poisson regression models adjusted for covariates.
Results:
The mean (SD) gestational age among singletons was 39.3 (1.7) weeks with 8% born preterm. A natural log-unit increase in maternal preconception BPA (RR 1.94; 95% CI: 1.20, 3.14) and BPS (RR 2.42; 95% CI: 1.01, 5.77) concentration was associated with an increased risk of preterm birth. These associations remained after further adjustment for maternal prenatal and paternal preconception biomarker concentrations. Paternal preconception ΣParabens concentrations showed a possible elevated risk of preterm birth (RR 1.36; 95% CI: 0.94, 1.96). No consistent pattern of association was observed for benzophenone-3 or triclosan biomarkers in either parent.
Discussion:
Maternal preconception urinary BPA and BPS concentrations, as well as paternal preconception urinary parabens concentrations were prospectively associated with a higher risk of preterm birth. Subfertile couples' exposure to select phenols during the preconception period may be an unrecognized risk factor for adverse pregnancy outcomes.
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