Risk of stillbirth from occupational and residential exposures
OBJECTIVES: To analyse the risk of stillbirth from 12 residential and occupational maternal exposures during pregnancy. METHODS: Stillbirths and neonatal deaths in 1984 within 24 hours of birth from 10 California counties were identified from death certificates. Controls were randomly selected from...
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| Veröffentlicht in: | Occupational and environmental medicine (London, England) England), 1997-07, Vol.54 (7), p.511-518 |
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| creator | Pastore, L M Hertz-Picciotto, I Beaumont, J J |
| description | OBJECTIVES: To analyse the risk of stillbirth from 12 residential and occupational maternal exposures during pregnancy. METHODS: Stillbirths and neonatal deaths in 1984 within 24 hours of birth from 10 California counties were identified from death certificates. Controls were randomly selected from live births born in 1984 and frequency matched to cases by maternal age and county. Data sources included vital statistics and a self-administered postal questionnaire. Logistic regression and proportional hazards modelling were performed; the proportional hazards considered the truncated opportunity for exposure among cases. Special focus was given to two cause of deaths groups: congenital anomalies (12% of deaths) and complications of the placenta, cord, and membranes (37% of deaths). RESULTS: Occupational exposure to pesticides during the first two months of gestation was positively associated with stillbirths due to congenital anomalies (odds ratio (OR) 2.4, 95% confidence interval (95% CI) 1.0 to 5.9), and during the first and second trimesters with stillbirths due to all causes of death (risk ratios (RR) 1.3-1.4, 95% CI 1.0 to 1.7) and stillbirths due to complications of the placenta, cord, and membranes (RR 1.6-1.7, 95% CI 1.1 to 2.3). Occupational exposure to video display terminals in the third trimester was found to have a modest inverse association with stillbirths (RR 0.7, 95% CI 0.6, 0.9). Home pesticide exposure was positively associated with stillbirths due to congenital anomalies (OR 1.7, 95% CI 1.0 to 2.9). CONCLUSIONS: Occupational exposure to pesticides, especially during early pregnancy, had a clear positive association with stillbirths regardless of cause of death. Methodologically, this study of stillbirths is unique in its analysis of specific causes of death and use of time specific exposure windows. |
| doi_str_mv | 10.1136/oem.54.7.511 |
| format | Article |
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METHODS: Stillbirths and neonatal deaths in 1984 within 24 hours of birth from 10 California counties were identified from death certificates. Controls were randomly selected from live births born in 1984 and frequency matched to cases by maternal age and county. Data sources included vital statistics and a self-administered postal questionnaire. Logistic regression and proportional hazards modelling were performed; the proportional hazards considered the truncated opportunity for exposure among cases. Special focus was given to two cause of deaths groups: congenital anomalies (12% of deaths) and complications of the placenta, cord, and membranes (37% of deaths). RESULTS: Occupational exposure to pesticides during the first two months of gestation was positively associated with stillbirths due to congenital anomalies (odds ratio (OR) 2.4, 95% confidence interval (95% CI) 1.0 to 5.9), and during the first and second trimesters with stillbirths due to all causes of death (risk ratios (RR) 1.3-1.4, 95% CI 1.0 to 1.7) and stillbirths due to complications of the placenta, cord, and membranes (RR 1.6-1.7, 95% CI 1.1 to 2.3). Occupational exposure to video display terminals in the third trimester was found to have a modest inverse association with stillbirths (RR 0.7, 95% CI 0.6, 0.9). Home pesticide exposure was positively associated with stillbirths due to congenital anomalies (OR 1.7, 95% CI 1.0 to 2.9). CONCLUSIONS: Occupational exposure to pesticides, especially during early pregnancy, had a clear positive association with stillbirths regardless of cause of death. Methodologically, this study of stillbirths is unique in its analysis of specific causes of death and use of time specific exposure windows.</description><identifier>ISSN: 1351-0711</identifier><identifier>EISSN: 1470-7926</identifier><identifier>DOI: 10.1136/oem.54.7.511</identifier><identifier>PMID: 9282129</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Births ; California - epidemiology ; Case-Control Studies ; Causes of death ; Computer terminals ; Congenital anomalies ; Congenital defects ; Death Certificates ; Environmental pollutants toxicology ; Exposure ; Female ; Fetal death ; Fetal Death - epidemiology ; Fetal Death - etiology ; General aspects ; Humans ; Insecticides - adverse effects ; Maternal Exposure - adverse effects ; Medical sciences ; Mortality ; Obstetric labor complications ; Occupational Exposure - adverse effects ; Pesticides ; Placenta ; Predisposing factors ; Pregnancy ; Proportional Hazards Models ; Stillbirth ; Toxicology ; Vital statistics</subject><ispartof>Occupational and environmental medicine (London, England), 1997-07, Vol.54 (7), p.511-518</ispartof><rights>1997 INIST-CNRS</rights><rights>Copyright BMJ Publishing Group LTD Jul 1997</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b688t-447d84da5c1a08a072be8936c15b372b9707053e9906aa764c17125d5c278773</citedby><cites>FETCH-LOGICAL-b688t-447d84da5c1a08a072be8936c15b372b9707053e9906aa764c17125d5c278773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/27730776$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/27730776$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,727,780,784,803,885,27924,27925,53791,53793,58017,58250</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2770307$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9282129$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pastore, L M</creatorcontrib><creatorcontrib>Hertz-Picciotto, I</creatorcontrib><creatorcontrib>Beaumont, J J</creatorcontrib><title>Risk of stillbirth from occupational and residential exposures</title><title>Occupational and environmental medicine (London, England)</title><addtitle>Occup Environ Med</addtitle><description>OBJECTIVES: To analyse the risk of stillbirth from 12 residential and occupational maternal exposures during pregnancy. METHODS: Stillbirths and neonatal deaths in 1984 within 24 hours of birth from 10 California counties were identified from death certificates. Controls were randomly selected from live births born in 1984 and frequency matched to cases by maternal age and county. Data sources included vital statistics and a self-administered postal questionnaire. Logistic regression and proportional hazards modelling were performed; the proportional hazards considered the truncated opportunity for exposure among cases. Special focus was given to two cause of deaths groups: congenital anomalies (12% of deaths) and complications of the placenta, cord, and membranes (37% of deaths). RESULTS: Occupational exposure to pesticides during the first two months of gestation was positively associated with stillbirths due to congenital anomalies (odds ratio (OR) 2.4, 95% confidence interval (95% CI) 1.0 to 5.9), and during the first and second trimesters with stillbirths due to all causes of death (risk ratios (RR) 1.3-1.4, 95% CI 1.0 to 1.7) and stillbirths due to complications of the placenta, cord, and membranes (RR 1.6-1.7, 95% CI 1.1 to 2.3). Occupational exposure to video display terminals in the third trimester was found to have a modest inverse association with stillbirths (RR 0.7, 95% CI 0.6, 0.9). Home pesticide exposure was positively associated with stillbirths due to congenital anomalies (OR 1.7, 95% CI 1.0 to 2.9). CONCLUSIONS: Occupational exposure to pesticides, especially during early pregnancy, had a clear positive association with stillbirths regardless of cause of death. Methodologically, this study of stillbirths is unique in its analysis of specific causes of death and use of time specific exposure windows.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Births</subject><subject>California - epidemiology</subject><subject>Case-Control Studies</subject><subject>Causes of death</subject><subject>Computer terminals</subject><subject>Congenital anomalies</subject><subject>Congenital defects</subject><subject>Death Certificates</subject><subject>Environmental pollutants toxicology</subject><subject>Exposure</subject><subject>Female</subject><subject>Fetal death</subject><subject>Fetal Death - epidemiology</subject><subject>Fetal Death - etiology</subject><subject>General aspects</subject><subject>Humans</subject><subject>Insecticides - adverse effects</subject><subject>Maternal Exposure - adverse effects</subject><subject>Medical sciences</subject><subject>Mortality</subject><subject>Obstetric labor complications</subject><subject>Occupational Exposure - adverse effects</subject><subject>Pesticides</subject><subject>Placenta</subject><subject>Predisposing factors</subject><subject>Pregnancy</subject><subject>Proportional Hazards Models</subject><subject>Stillbirth</subject><subject>Toxicology</subject><subject>Vital 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L M</creator><creator>Hertz-Picciotto, I</creator><creator>Beaumont, J J</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group</general><general>BMJ</general><general>BMJ Publishing Group 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Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Occupational and environmental medicine (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pastore, L M</au><au>Hertz-Picciotto, I</au><au>Beaumont, J J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk of stillbirth from occupational and residential exposures</atitle><jtitle>Occupational and environmental medicine (London, England)</jtitle><addtitle>Occup Environ Med</addtitle><date>1997-07-01</date><risdate>1997</risdate><volume>54</volume><issue>7</issue><spage>511</spage><epage>518</epage><pages>511-518</pages><issn>1351-0711</issn><eissn>1470-7926</eissn><abstract>OBJECTIVES: To analyse the risk of stillbirth from 12 residential and occupational maternal exposures during pregnancy. METHODS: Stillbirths and neonatal deaths in 1984 within 24 hours of birth from 10 California counties were identified from death certificates. Controls were randomly selected from live births born in 1984 and frequency matched to cases by maternal age and county. Data sources included vital statistics and a self-administered postal questionnaire. Logistic regression and proportional hazards modelling were performed; the proportional hazards considered the truncated opportunity for exposure among cases. Special focus was given to two cause of deaths groups: congenital anomalies (12% of deaths) and complications of the placenta, cord, and membranes (37% of deaths). RESULTS: Occupational exposure to pesticides during the first two months of gestation was positively associated with stillbirths due to congenital anomalies (odds ratio (OR) 2.4, 95% confidence interval (95% CI) 1.0 to 5.9), and during the first and second trimesters with stillbirths due to all causes of death (risk ratios (RR) 1.3-1.4, 95% CI 1.0 to 1.7) and stillbirths due to complications of the placenta, cord, and membranes (RR 1.6-1.7, 95% CI 1.1 to 2.3). Occupational exposure to video display terminals in the third trimester was found to have a modest inverse association with stillbirths (RR 0.7, 95% CI 0.6, 0.9). Home pesticide exposure was positively associated with stillbirths due to congenital anomalies (OR 1.7, 95% CI 1.0 to 2.9). CONCLUSIONS: Occupational exposure to pesticides, especially during early pregnancy, had a clear positive association with stillbirths regardless of cause of death. Methodologically, this study of stillbirths is unique in its analysis of specific causes of death and use of time specific exposure windows.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>9282129</pmid><doi>10.1136/oem.54.7.511</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Occupational and environmental medicine (London, England), 1997-07, Vol.54 (7), p.511-518 |
| issn | 1351-0711 1470-7926 |
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| source | MEDLINE; JSTOR Archive Collection A-Z Listing; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adolescent Adult Biological and medical sciences Births California - epidemiology Case-Control Studies Causes of death Computer terminals Congenital anomalies Congenital defects Death Certificates Environmental pollutants toxicology Exposure Female Fetal death Fetal Death - epidemiology Fetal Death - etiology General aspects Humans Insecticides - adverse effects Maternal Exposure - adverse effects Medical sciences Mortality Obstetric labor complications Occupational Exposure - adverse effects Pesticides Placenta Predisposing factors Pregnancy Proportional Hazards Models Stillbirth Toxicology Vital statistics |
| title | Risk of stillbirth from occupational and residential exposures |
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