Association between maternal use of spray formulations and offspring urological anomalies: The Japan Environment and Children's Study
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Updated: Jul 26, 2025

Long-term Behavioral and Reproductive Consequences of Embryonic Exposure to Low-dose Toxicants
Published on: March 6, 2018
Yohei Taniguchi1, Hideki Shimomura1, Hideki Hasunuma2,3
1Department of Pediatrics, Hyogo Medical University School of Medicine, Nishinomiya, Hyogo, Japan.
Insights
Maternal use of waterproof or insecticide sprays during pregnancy may increase the risk of offspring urological anomalies. This includes conditions like vesicoureteral reflux in boys and hydronephrosis in girls.
Area of Science:
- Environmental Health
- Pediatric Urology
- Reproductive Toxicology
Background:
- Maternal exposure to household products during pregnancy is a growing concern for fetal development.
- Specific risks associated with spray formulations, such as organic solvents and pesticides, require further investigation.
- Urological anomalies represent a significant category of congenital abnormalities in newborns.
Purpose of the Study:
- To investigate the association between maternal inhalation of household products, particularly spray formulations, and the development of urological anomalies in offspring.
- To clarify the impact of specific product types, including waterproof sprays and insecticides, on fetal urogenital development.
- To assess these risks up to one year of age in a large birth cohort.
Main Methods:
- Utilized data from 84,237 children in the Japan Environment and Children's Study (JECS).
- Collected maternal self-report data on household product use (organic solvents, waterproof sprays, insect-repellent sprays, insecticide sprays, herbicides) during early pregnancy.
- Analyzed the prevalence of urological anomalies diagnosed within the first year of life using multivariate logistic regression.
Main Results:
- No association was found between maternal exposure to organic solvents and offspring urological anomalies.
- Maternal use of waterproof sprays was significantly associated with an increased prevalence of urological anomalies in boys (OR: 1.28).
- Maternal use of insecticide sprays showed a significant association with urological anomalies in girls (OR: 1.48), specifically hydronephrosis (OR: 2.23).
- Waterproof spray use was linked to vesicoureteral reflux in boys (OR: 2.14).
Conclusions:
- Maternal use of certain spray formulations during pregnancy may elevate the risk of congenital urological anomalies in offspring.
- Specific products like waterproof sprays and insecticide sprays warrant attention due to their potential teratogenic effects on the developing urinary system.
- Further research is needed to elucidate the mechanisms and confirm these findings across diverse populations.
Objective:
Concerns exist regarding the effects of maternal inhalation of household products on fetal health. This study aimed to clarify the impact of maternal exposure to household products, including spray formulations, on urological anomalies in offspring up to the age of 1 year.
Methods:
This study included data from 84 237 children from the Japan Environment and Children's Study, an ongoing nationwide cohort study. Using maternal self-report questionnaires, information on the use of organic solvents, waterproof sprays, insect-repellent sprays, insecticide sprays, and herbicides from implantation until the second or third trimester of pregnancy and data on urological anomalies were collected 1 year after delivery.
Results:
Urological anomalies occurred in 799 infants. Multivariate logistic regression analysis adjusted for maternal age, pregnancy body mass index, gestational diabetes, pre-existing maternal kidney disease, and preterm birth revealed no association between maternal exposure to organic solvents and the prevalence of offspring urological anomalies. Nevertheless, we observed significant associations between waterproof spray use during pregnancy and urological anomalies in boys (odds ratio [OR]: 1.28, 95% confidence interval [CI]: 1.03-1.59) and between the use of insecticide spray during pregnancy and urological anomalies in girls (OR: 1.48, 95% CI: 0.98-2.22). Sub-analysis revealed significant associations between waterproof spray use during pregnancy and vesicoureteral reflux in boys (OR: 2.14, 95% CI: 1.02-4.49) and between the use of insecticide spray during pregnancy and hydronephrosis in girls (OR: 2.23, 95% CI: 1.11-4.47).
Conclusion:
Spray formulation use during pregnancy might increase the risk of urological anomalies in the offspring.
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