Occupational exposure to organic particles and combustion products during pregnancy and birth outcome in a nationwide cohort study in Sweden

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Norlén, FilipKarolinska Institutet (author)

Occupational exposure to organic particles and combustion products during pregnancy and birth outcome in a nationwide cohort study in Sweden

Article/chapterEnglish2019

Publisher, publication year, extent ...

2019-05-23
BMJ,2019

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LIBRIS-ID:oai:lup.lub.lu.se:69313608-806f-4076-9703-7e7a616b13f8
https://lup.lub.lu.se/record/69313608-806f-4076-9703-7e7a616b13f8URI
https://doi.org/10.1136/oemed-2018-105672DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:141741616URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:art swepub-publicationtype
Subject category:ref swepub-contenttype

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Objective: To study if children of women exposed to organic particles and combustion products at work during pregnancy, have an increased risk of low birth weight, preterm birth or small for gestational age. Methods: A nationwide cohort of all occupationally active mothers and their children from single births during 1994 to the end of 2012 (1 182 138 observations) was formed. Information on birth outcome was obtained from the medical birth register. Information on absence from work, education, occupation, age, nationality and smoking habits was obtained from national registers. A job exposure matrix (FINJEM) was used to assess the exposure. Results: Pregnant women with low absence from work and high (>50th percentile) exposure to organic particles had an increased risk of giving birth to children with low birth weight (OR=1.19; 95% CI: 1.07 to 1.32), small for gestational age (OR=1.22; 95% CI: 1.07 to 1.38) or preterm birth (OR=1.17; 95% CI: 1.08 to 1.27). Subgroup analyses showed an increased risk of small for gestational age in association with exposure to oil mist. Exposure to oil mist and cooking fumes was associated with low birth weight. Paper and other organic dust was associated with preterm birth. Exposure to combustion products showed an increased risk of small for gestational age (OR=1.40; 95% CI: 1.15 to 1.71). Conclusions: The results indicate that occupational exposure to organic particles or combustion products during pregnancy is associated with restriction of fetal growth and preterm birth. More studies are needed to confirm a casual association.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Arbetsmedicin och miljömedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Occupational Health and Environmental Health hsv//eng
epidemiology
female reproductive effects and adverse pregnancy outcomes
organic dusts

Added entries (persons, corporate bodies, meetings, titles ...)

Gustavsson, PerKarolinska Institutet (author)
Wiebert, PernillaKarolinska Institutet (author)
Rylander, LarsLund University,Lunds universitet,Miljöepidemiologi,Forskargrupper vid Lunds universitet,Environmental Epidemiology,Lund University Research Groups(Swepub:lu)ymed-lry (author)
Westgren, MagnusKarolinska Institutet (author)
Plato, NilsKarolinska Institutet (author)
Albin, MariaKarolinska Institutet(Swepub:lu)ymed-mal (author)
Selander, JennyKarolinska Institutet (author)
Karolinska InstitutetMiljöepidemiologi (creator_code:org_t)

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In:Occupational and environmental medicine: BMJ76:8, s. 537-5441351-07111470-7926

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Occupational Hea ...

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