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Erschienen in: Endocrine 3/2023

02.02.2023 | Review

Environmental factors affecting pregnancy outcomes

verfasst von: Anastasia-Konstantina Sakali, Maria Papagianni, Alexandra Bargiota, Aleksandra Rasic-Markovic, Djuro Macut, George Mastorakos

Erschienen in: Endocrine | Ausgabe 3/2023

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Abstract

Introduction

Pregnancy represents a fragile period in the life of a woman, vulnerable to hazardous environmental substances which might affect maternal and fetal metabolism. The possible influence of environmental factors, including endocrine disrupting chemicals (EDCs), upon the mother and the fetus before and/or during pregnancy might be associated directly and/or indirectly to deleterious pregnancy outcomes. Because the existence of such associations would be, to our view, of major importance to the scientific community, their investigation is the scope of this critical review.

Methods

This critical review includes in vivo animal and human studies regarding the role of environmental factors, including EDCs, on pregnancy outcomes complying with the SANRA (a scale for the quality assessment of narrative review articles) questions for narrative reviews. Studies were identified by searching the MEDLINE (PubMed and PubMed Central), the Cochrane library and the Google Scholar databases till October 2022 with the combinations of the appropriate key words (detailed environmental factors including EDCs AND detailed negative pregnancy outcomes) as well as by scanning references from already included articles and relevant reviews manually. Because environmental factors and EDCs have been associated to epigenetic alterations, special care has been given to EDC-induced transgenerational effects on pregnancy outcomes.

Results

The existing evidence suggests positive associations between specific environmental factors and negative pregnancy outcomes such as ectopic pregnancies, pregnancy losses, gestational diabetes, hypertensive disorders of pregnancy, preterm births, birth defects, intrauterine growth restriction, and small or large for gestational age babies.

Conclusion

Environmental factors and EDCs may have a catalytic effect on the course and the outcomes of pregnancy.
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Metadaten
Titel
Environmental factors affecting pregnancy outcomes
verfasst von
Anastasia-Konstantina Sakali
Maria Papagianni
Alexandra Bargiota
Aleksandra Rasic-Markovic
Djuro Macut
George Mastorakos
Publikationsdatum
02.02.2023
Verlag
Springer US
Erschienen in
Endocrine / Ausgabe 3/2023
Print ISSN: 1355-008X
Elektronische ISSN: 1559-0100
DOI
https://doi.org/10.1007/s12020-023-03307-9

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