Chemical exposures at work in early pregnancy and congenital defect: a case-referent study

McDonald, JC; Lavoie, J; Cote, R; McDonald, AD

HERO ID

68303

Reference Type

Journal Article

Year

1987

Language

English

PMID

3651351

HERO ID 68303
In Press No
Year 1987
Title Chemical exposures at work in early pregnancy and congenital defect: a case-referent study
Authors McDonald, JC; Lavoie, J; Cote, R; McDonald, AD
Journal Occupational and Environmental Medicine
Volume 44
Issue 8
Page Numbers 527-533
Abstract Three hundred and one women who in their most recent pregnancy had given birth to an infant with an important congenital defect were individually matched with 301 women whose children were normal. Both cases and referents were drawn from a comprehensive survey of pregnancies in Montreal, 1982-4, and limited to women employed 30 or more hours a week until at least the 13th week of gestation. Occupational exposure to chemicals was investigated and the results classified without knowledge of case-referent status. In matched pair analysis the overall frequency of chemical exposure was higher in cases than referents (63:47), due to excesses in the cardiac and miscellaneous defect groups (ratios of 10:5 and 15:7 respectively). In analyses by nine chemical categories only exposure to aromatic solvents showed a clear excess (18:8; p approximately equal to 0.04), most evident in the urinary tract group (9:0). A comparison of cases and referents exposed to aromatic solvents showed that most of the excess was associated with toluene; the defects were varied but predominantly renal-urinary or gastrointestinal.
Pmid 3651351
Is Certified Translation No
Dupe Override No
Comments circumflex above o in Cote, acute above e in Cote.Br. J. Ind. Med. 44: 527-533.
Is Public Yes
Language Text English
Is Qa No