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Micro and Nanoplastics and Obstetric Outcomes in Humans and Animals: A Systematic Review
Blanca Novillo-Del Álamo1,2,3, Alicia Martínez-Varea1,2,4, Imelda Ontoria-Oviedo3
1Department of Obstetrics and Gynaecology, La Fe University and Polytechnic Hospital, Avenida Fernando Abril Martorell 106, 46026 Valencia, Spain.
Micro- and nano-plastics (MNPs) exposure during pregnancy may be linked to adverse obstetric outcomes like low birth weight and miscarriage. More research is needed to confirm these associations and understand the clinical relevance of MNPs.
Area of Science:
- Environmental Health
- Reproductive Toxicology
- Obstetrics
Background:
- Micro- and nano-plastics (MNPs) are widespread environmental contaminants.
- Accumulation in placental tissues suggests potential risks to maternal-fetal health.
- Limited high-quality evidence exists on the clinical impact of MNPs during pregnancy.
Purpose of the Study:
- To systematically review and evaluate the impact of MNPs exposure on obstetric outcomes.
- To synthesize current evidence on the relationship between MNPs and maternal/fetal health.
- To identify knowledge gaps in MNP research related to pregnancy.
Main Methods:
- Comprehensive literature search of multiple databases (PubMed, ScienceDirect, CENTRAL, Embase, MDPI, Google Scholar) up to September 2025.
- Inclusion of twelve studies: observational human studies and experimental murine models.
- Analysis of reported associations between MNPs and specific obstetric outcomes.
Main Results:
- Limited evidence suggests potential associations between MNPs exposure and premature birth, low birth weight, intrauterine growth restriction, and miscarriage.
- Polyethylene was the most frequently detected polymer.
- Common detection techniques included Raman microspectroscopy and Pyrolysis gas chromatography-mass spectrometry.
Conclusions:
- Current limited insights suggest possible associations between MNPs and adverse obstetric outcomes.
- Findings indicate potential links to low gestational age, low birth weight, intrauterine growth restriction, and miscarriage.
- Causal inference is not possible due to study heterogeneity and methodological limitations.
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