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Maternal Exposure to Ambient Air Pollution and Pregnancy Complications in Victoria, Australia

Author

Listed:
  • Shannon M. Melody

    (Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart, TAS 7001, Australia)

  • Karen Wills

    (Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart, TAS 7001, Australia)

  • Luke D. Knibbs

    (School of Public Health, The University of Queensland, Herston, QLD 4006, Australia)

  • Jane Ford

    (Clinical and Population Perinatal Health Research, Kolling Institute, Northern Sydney Local Health District, St Leonards, NSW 2065, Australia)

  • Alison Venn

    (Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart, TAS 7001, Australia)

  • Fay Johnston

    (Menzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart, TAS 7001, Australia)

Abstract

The relationship between maternal exposure to ambient air pollution and pregnancy complications is not well characterized. We aimed to explore the relationship between maternal exposure to ambient nitrogen dioxide (NO 2 ) and fine particulate matter (PM 2.5 ) and hypertensive disorders of pregnancy, gestational diabetes mellitus (GDM) and placental abruption. Using administrative data, we defined a state-wide cohort of singleton pregnancies born between 1 March 2012 and 31 December 2015 in Victoria, Australia. Annual average NO 2 and PM 2.5 was assigned to maternal residence at the time of birth. 285,594 singleton pregnancies were included. An IQR increase in NO 2 (3.9 ppb) was associated with reduced likelihood of hypertensive disorders of pregnancy (RR 0.89; 95%CI 0.86, 0.91), GDM (RR 0.92; 95%CI 0.90, 0.94) and placental abruption (RR 0.81; 95%CI 0.69, 0.95). Mixed observations and smaller effect sizes were observed for IQR increases in PM 2.5 (1.3 µg/m 3 ) and pregnancy complications; reduced likelihood of hypertensive disorders of pregnancy (RR 0.95; 95%CI 0.93, 0.97), increased likelihood of GDM (RR 1.02; 95%CI 1.00, 1.03) and no relationship for placental abruption. In this exploratory study using an annual metric of exposure, findings were largely inconsistent with a priori expectations and further research involving temporally resolved exposure estimates are required.

Suggested Citation

  • Shannon M. Melody & Karen Wills & Luke D. Knibbs & Jane Ford & Alison Venn & Fay Johnston, 2020. "Maternal Exposure to Ambient Air Pollution and Pregnancy Complications in Victoria, Australia," IJERPH, MDPI, vol. 17(7), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2572-:d:343238
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    References listed on IDEAS

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    1. van Buuren, Stef & Groothuis-Oudshoorn, Karin, 2011. "mice: Multivariate Imputation by Chained Equations in R," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 45(i03).
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    Cited by:

    1. Monika Bączkowska & Katarzyna Kosińska-Kaczyńska & Magdalena Zgliczyńska & Robert Brawura-Biskupski-Samaha & Beata Rebizant & Michał Ciebiera, 2022. "Epidemiology, Risk Factors, and Perinatal Outcomes of Placental Abruption—Detailed Annual Data and Clinical Perspectives from Polish Tertiary Center," IJERPH, MDPI, vol. 19(9), pages 1-14, April.
    2. Gabriela Martins Costa Gomes & Wilfried Karmaus & Vanessa E. Murphy & Peter G. Gibson & Elizabeth Percival & Philip M. Hansbro & Malcolm R. Starkey & Joerg Mattes & Adam M. Collison, 2021. "Environmental Air Pollutants Inhaled during Pregnancy Are Associated with Altered Cord Blood Immune Cell Profiles," IJERPH, MDPI, vol. 18(14), pages 1-16, July.
    3. Amal Rammah & Kristina W. Whitworth & Christopher I. Amos & Marisa Estarlich & Mònica Guxens & Jesús Ibarluzea & Carmen Iñiguez & Mikel Subiza-Pérez & Martine Vrijheid & Elaine Symanski, 2021. "Air Pollution, Residential Greenness and Metabolic Dysfunction during Early Pregnancy in the INfancia y Medio Ambiente (INMA) Cohort," IJERPH, MDPI, vol. 18(17), pages 1-12, September.

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