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A Review of the Effects of Chronic Arsenic Exposure on Adverse Pregnancy Outcomes

Author

Listed:
  • Abul H. Milton

    (Centre for Clinical Epidemiology and Biostatistics (CCEB), School of Medicine and Public Health, Faculty of Health and Medicine, The University of Newcastle, Callaghan 2308, Australia)

  • Sumaira Hussain

    (Mercy Corps, Pak Palace, Murree Road, Rawal Chowk, Islamabad 44000, Pakistan)

  • Shahnaz Akter

    (School of Medicine and Public Health, Faculty of Health and Medicine, The University of Newcastle, Callaghan 2308, Australia)

  • Mijanur Rahman

    (Centre for Clinical Epidemiology and Biostatistics (CCEB), School of Medicine and Public Health, Faculty of Health and Medicine, The University of Newcastle, Callaghan 2308, Australia)

  • Tafzila A. Mouly

    (Centre for Health and Development (CHAD), Dhaka 1219, Bangladesh)

  • Kane Mitchell

    (Managing Principal, JBS&G, Brisbane 4000, Australia)

Abstract

Exposure to arsenic has a number of known detrimental health effects but impact on pregnancy outcomes is not as widely recognized. This narrative review examines existing epidemiological evidence investigating the association between arsenic exposure via drinking water and adverse pregnancy outcomes. We reviewed published epidemiological studies from around the world on impact of chronic arsenic exposure on spontaneous abortion, stillbirth, neonatal death, post neonatal death, low birth weight and preterm baby. Plausible mechanisms of arsenic toxicity causing adverse pregnancy outcomes were also determined through literature review. There is convincing evidence to support the association between high inorganic arsenic exposure (>50 ppb) and spontaneous abortion, stillbirth and low birth weight. Limitations of certain studies include study design, small sample size, recall constraints and exposure assessment. There needs to be further research investigating the dose metered impact of arsenic exposure on pregnancy outcomes. Further research on impact of low–moderate arsenic concentration exposure on pregnancy outcomes will allow for appropriate public health policy recommendations.

Suggested Citation

  • Abul H. Milton & Sumaira Hussain & Shahnaz Akter & Mijanur Rahman & Tafzila A. Mouly & Kane Mitchell, 2017. "A Review of the Effects of Chronic Arsenic Exposure on Adverse Pregnancy Outcomes," IJERPH, MDPI, vol. 14(6), pages 1-13, May.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:6:p:556-:d:99454
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    Citations

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    Cited by:

    1. Per I. Bank-Nielsen & Manhai Long & Eva C. Bonefeld-Jørgensen, 2019. "Pregnant Inuit Women’s Exposure to Metals and Association with Fetal Growth Outcomes: ACCEPT 2010–2015," IJERPH, MDPI, vol. 16(7), pages 1-27, April.
    2. José Javier García Salcedo & Taehyun Roh & Lydia Enith Nava Rivera & Nadia Denys Betancourt Martínez & Pilar Carranza Rosales & María Francisco San Miguel Salazar & Mario Alberto Rivera Guillén & Luis, 2022. "Comparative Biomonitoring of Arsenic Exposure in Mothers and Their Neonates in Comarca Lagunera, Mexico," IJERPH, MDPI, vol. 19(23), pages 1-10, December.
    3. Rasheda Khanam & Ishaan Kumar & Opeyemi Oladapo-Shittu & Claire Twose & ASMD Ashraful Islam & Shyam S. Biswal & Rubhana Raqib & Abdullah H. Baqui, 2021. "Prenatal Environmental Metal Exposure and Preterm Birth: A Scoping Review," IJERPH, MDPI, vol. 18(2), pages 1-18, January.
    4. Maria Dettwiler & Angela C. Flynn & Jessica Rigutto-Farebrother, 2023. "Effects of Non-Essential “Toxic” Trace Elements on Pregnancy Outcomes: A Narrative Overview of Recent Literature Syntheses," IJERPH, MDPI, vol. 20(8), pages 1-16, April.

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