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Identification and Prioritization of Environmental Reproductive Hazards: A First Step in Establishing Environmental Perinatal Care

Author

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  • Raphaëlle Teysseire

    (Department of Occupational Medicine, Bordeaux Hospital, 33076 Bordeaux, France
    Environmental health platform dedicated to reproduction, ARTEMIS center, 33076 Bordeaux, France)

  • Patrick Brochard

    (Department of Occupational Medicine, Bordeaux Hospital, 33076 Bordeaux, France
    Environmental health platform dedicated to reproduction, ARTEMIS center, 33076 Bordeaux, France
    Bordeaux Population Health Research Center, Inserm UMR1219-EPICENE, University of Bordeaux, 33000 Bordeaux, France)

  • Loïc Sentilhes

    (Environmental health platform dedicated to reproduction, ARTEMIS center, 33076 Bordeaux, France
    Department of Obstetrics and Gynecology, Bordeaux Hospital, 33076 Bordeaux, France)

  • Fleur Delva

    (Department of Occupational Medicine, Bordeaux Hospital, 33076 Bordeaux, France
    Environmental health platform dedicated to reproduction, ARTEMIS center, 33076 Bordeaux, France
    Bordeaux Population Health Research Center, Inserm UMR1219-EPICENE, University of Bordeaux, 33000 Bordeaux, France)

Abstract

In 2015, the International Federation of Gynecology and Obstetrics established the prevention of exposures to environmental reprotoxic substances as a priority for health professionals. However, available information about reproductive hazards is voluminous, dispersed, and complex, and this is a severe limitation for physicians to incorporate the prevention of environmental exposure into standard preventive care. One difficulty frequently cited by physicians is the lack of evidence-based information. The objective of our study was to identify a list of environmental chemical hazards to reproduction. We used lists present in relevant regulations or included in scientific reports or databases to identify reproductive hazards. The reproductive hazards were prioritized according to the strength of evidence concerning their impact on fertility or development of the offspring. We identified 1251 reproductive hazards. Our prioritization approach resulted in a high-priority classification for 462 risk factors belonging to the following eight classes: drugs ( n = 206), metals ( n = 116), pesticides ( n = 38), organic solvents ( n = 27), synthesizing and/or processing agents in industrial processes ( n = 23), phthalates ( n = 13), perfluorinated compounds ( n = 13), and other compounds ( n = 26). Despite the limitations of this work, the generated lists constitute a useful working basis to put in place innovative environmental preventive measures according to the principle of evidence-based medicine.

Suggested Citation

  • Raphaëlle Teysseire & Patrick Brochard & Loïc Sentilhes & Fleur Delva, 2019. "Identification and Prioritization of Environmental Reproductive Hazards: A First Step in Establishing Environmental Perinatal Care," IJERPH, MDPI, vol. 16(3), pages 1-14, January.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:3:p:366-:d:201456
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    References listed on IDEAS

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    1. Cécile Marie & Didier Lémery & Françoise Vendittelli & Marie-Pierre Sauvant-Rochat, 2016. "Perception of Environmental Risks and Health Promotion Attitudes of French Perinatal Health Professionals," IJERPH, MDPI, vol. 13(12), pages 1-16, December.
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    Cited by:

    1. Raphaëlle Teysseire & Marion Lecourt & Jim Canet & Guyguy Manangama & Loïc Sentilhes & Fleur Delva, 2019. "Perception of Environmental Risks and Behavioral Changes during Pregnancy: A Cross-Sectional Study of French Postpartum Women," IJERPH, MDPI, vol. 16(4), pages 1-13, February.
    2. Fleur Delva & Guyguy Manangama & Patrick Brochard & Raphaëlle Teysseire & Loïc Sentilhes, 2020. "The ARTEMIS Center: An Environmental Health Prevention Platform Dedicated to Reproduction," IJERPH, MDPI, vol. 17(3), pages 1-13, January.

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