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Indoor Exposure and Adverse Birth Outcomes Related to Fetal Growth, Miscarriage and Prematurity—A Systematic Review

Author

Listed:
  • Evridiki Patelarou

    (Florence Nightingale School of Nursing and Midwifery, King's College London, London SE18WA, UK)

  • Frank J. Kelly

    (NIHR Environmental Hazards Health Protection Research Unit, MRC-PHE Centre for Environment and Health, King's College London, London SE19NH, UK)

Abstract

The purpose of this review was to summarize existing epidemiological evidence of the association between quantitative estimates of indoor air pollution and all-day personal exposure with adverse birth outcomes including fetal growth, prematurity and miscarriage. We carried out a systematic literature search of MEDLINE and EMBASE databases with the aim of summarizing and evaluating the results of peer-reviewed epidemiological studies undertaken in “westernized” countries that have assessed indoor air pollution and all-day personal exposure with specific quantitative methods. This comprehensive literature search identified 16 independent studies which were deemed relevant for further review and two additional studies were added through searching the reference lists of all included studies. Two reviewers independently and critically appraised all eligible articles using the Critical Appraisal Skills Programme (CASP) tool. Of the 18 selected studies, 14 adopted a prospective cohort design, three were case-controls and one was a retrospective cohort study. In terms of pollutants of interest, seven studies assessed exposure to electro-magnetic fields, four studies assessed exposure to polycyclic aromatic hydrocarbons, four studies assessed PM 2.5 exposure and three studies assessed benzene, phthalates and noise exposure respectively. Furthermore, 12 studies examined infant growth as the main birth outcome of interest, six examined spontaneous abortion and three studies assessed gestational age at birth and preterm delivery. This survey demonstrates that there is insufficient research on the possible association of indoor exposure and early life effects and that further research is needed.

Suggested Citation

  • Evridiki Patelarou & Frank J. Kelly, 2014. "Indoor Exposure and Adverse Birth Outcomes Related to Fetal Growth, Miscarriage and Prematurity—A Systematic Review," IJERPH, MDPI, vol. 11(6), pages 1-30, June.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:6:p:5904-5933:d:36717
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    References listed on IDEAS

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    1. Källén, K., 1997. "Maternal smoking during pregnancy and limb reduction malformations in Sweden," American Journal of Public Health, American Public Health Association, vol. 87(1), pages 29-32.
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    Cited by:

    1. Rui Wang & Yingying Yang & Renjie Chen & Haidong Kan & Jinyi Wu & Keran Wang & Jay E. Maddock & Yuanan Lu, 2015. "Knowledge, Attitudes, and Practices (KAP) of the Relationship between Air Pollution and Children’s Respiratory Health in Shanghai, China," IJERPH, MDPI, vol. 12(2), pages 1-15, February.
    2. Peter Franklin & Mark Tan & Naomi Hemy & Graham L. Hall, 2019. "Maternal Exposure to Indoor Air Pollution and Birth Outcomes," IJERPH, MDPI, vol. 16(8), pages 1-10, April.
    3. Fumei Gao & Xiangrui Meng & Qiuxiang Zhang & Min Fu & Yumeng Ren & Jianying Hu & Huan Shen & Kun Tang, 2021. "Association between Low House Cleaning Frequency, Cough and Risk of Miscarriage: A Case Control Study in China," IJERPH, MDPI, vol. 18(10), pages 1-8, May.

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