Persistent Organochlorine Exposure and Pregnancy Loss: A Prospective Cohort Study

Pollack, AZ; Buck Louis, GM; Lynch, CD; Kostyniak, PJ

HERO ID

1510335

Reference Type

Journal Article

Year

2011

Language

English

PMID

22140635

HERO ID 1510335
In Press No
Year 2011
Title Persistent Organochlorine Exposure and Pregnancy Loss: A Prospective Cohort Study
Authors Pollack, AZ; Buck Louis, GM; Lynch, CD; Kostyniak, PJ
Journal Journal of Environmental Protection
Volume 2
Issue 6
Page Numbers 683-691
Abstract Polychlorinated biphenyls (PCBs) and 1,1-dichloro-2,2-bis(p-chlorophenyl)ethylene (DDE) are suspected reproductive toxicants. We assessed serum concentration of 76 PCB congeners, DDE, and risk of human chorionic gonadotropin confirmed pregnancy loss among 79 women followed for up to 12 menstrual cycles or until pregnancy. 55 women had live births, 14 experienced pregnancy losses, and 10 did not achieve pregnancy. PCBs and DDE were quantified using gas chromatography with electron capture. PCBs were grouped a priori by biologic activity. Cox proportional hazard regression adjusting for age (categorized 24 - 29, 30 - 34) and average standardized alcohol and cigarette intake (continuous) was used to estimate hazard ratios (HR) of pregnancy loss. Estrogenic PCBs (HR = 1.66, 95% CI: 0.68, 4.02), anti-estrogenic PCBs (HR = 0.10, 95% CI: <0.01, 67.07) and DDE (HR = 1.43, 95% CI: 0.45, 4.52) were not statistically significantly associated with pregnancy loss. Our results provide some signal that estrogenic and antiestrogenic PCBs may be differentially associated with pregnancy loss. Further research is needed to elucidate these associations.
Doi 10.4236/jep.2011.26079
Pmid 22140635
Is Certified Translation No
Dupe Override No
Comments Journal: Journal of environmental protection ISSN: 2152-2197
Is Public Yes
Language Text English