Maternal Exposure to Air Pollution Is Associated with Neonatal Jaundice: A Retrospective Cohort Study

Chen, Chian-Chi; Chen, Shan-Ming; Chang, Yan‐Zin; Sun, Hai-Lun; Ku, Min‐Sho

doi:10.1016/j.jpeds.2021.09.064

Cited by 5 publications

(5 citation statements)

References 27 publications

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“…Interestingly, studies from the last decade have examined the relationship between fetal exposure and air pollution and the relationship with postpartum morbidity. Associations between in utero exposure to high concentrations of specific air pollutants (CO, SO 2 , O 3 , PM10, PM2.5, NO, NO 2 , NMHC, and CH4) and a higher risk of developing hyperbilirubinemia were found [7,8]. Similarly, other studies have shown a relationship between exposure to higher concentrations of specific air pollutants and a greater risk of postnatal phototherapy treatment [9].…”

Section: Introductionmentioning

confidence: 74%

“Light” on Phototherapy—Complications and Strategies for Shortening Its Duration, A Review of the Literature

Shoris,

Gover,

Toropine

et al. 2023

Children

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Neonatal hyperbilirubinemia is an extremely common metabolic complication of the neonatal period which may be associated with bilirubin encephalopathy and even death. Adverse neurological consequences are preventable if a timely diagnosis and treatment are provided. Phototherapy is usually the preferred option to decrease hyperbilirubinemia. Although considered to be safe, evidence in recent years has shown that this treatment may not be free of side effects and short- and long-term unfavorable outcomes. These are usually mild or rare, but should be decreased or avoided if possible. Many useful complementary measures and treatments have been described that could shorten the duration of exposure to phototherapy. However, there is no current unequivocal recommendation to use any of the methods presented in this review. Our review aims to depict the wide range of possible complementary treatments to phototherapy, and to provide the scientific and clinical evidence available regarding their usefulness. It is essential that, while utilizing the full potential of phototherapy to treat hyperbilirubinemia, caregivers are aware of its side effects and possible inherent dangers, and seek ways to minimize the exposure to phototherapy to what is really needed for the newborn. Further studies are needed to clarify the preferred complementary treatments that could reduce the duration of exposure to phototherapy without impairing its effectiveness.

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Section: Introductionmentioning

confidence: 74%

“Light” on Phototherapy—Complications and Strategies for Shortening Its Duration, A Review of the Literature

Shoris,

Gover,

Toropine

et al. 2023

Children

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“…The structured questionnaire and extraction checklist were adapted from previous literature. 11 , 24 , 26 - 29 …”

Section: Methodsmentioning

confidence: 99%

“…The structured questionnaire and extraction checklist were adapted from previous literature. 11,24,[26][27][28][29] An interviewer-administered questionnaire was used to collect information on the mother's age, religion, marital status, parity, occupation, educational level, place of residence, antenatal (ANC) follow-up, method of feeding the neonate, and its frequency. A checklist was used to extract data from the maternal and neonatal records regarding the sex of the neonate, their age, types of delivery, duration of labor, blood type and Rh status, Rh-, and ABO-incompatibility, birth weight, sepsis, birth trauma, hypothermia, hypoglycemia, meconium aspiration syndrome (MAS), and premature rupture of the membranes (PROM).…”

Section: Data Sources and Measurementmentioning

confidence: 99%

Determinants of Jaundice Among Neonates Admitted to Neonatal Intensive Care Unit of Mizan Tepi University Teaching Hospital, Southwest Ethiopia, 2021: Unmatched Case Control Study

Adugna,

Ado

2023

Global Pediatric Health

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Background. Jaundice is a common problem in the neonatal period, and it is one of multiple factors found in children who die. Despite the majority of pathological jaundice public health consequences, there is no evidence on risk factors of pathological jaundice among neonates in Southwest Ethiopia. Therefore, this study aimed to identify factors associated with jaundice requiring phototherapy management in neonates admitted to the neonatal unit of a university teaching hospital in Southwest Ethiopia (Mizan-Tepi). Methods. Facility-based, unmatched case-control study was conducted among 240 (80 cases and 160 controls) in the Neonatal Intensive Care Unit of Mizan-Tepi University Teaching Hospital. Neonates with pathological jaundice and neonates without pathological jaundice were considered as cases and controls, respectively. Data were collected using a structured questionnaire, and extraction checklist, including information on maternal demographics, obstetrics, and neonatal factors. Simple random sampling techniques were used to select respondents. Bivariate and multivariable analyses were used to examine the association. Finally, statistical significance was declared at a P-value < .05. Results. In this study, 237 mothers with their neonates were included, making a response rate of 98.7%. The mean birth weight of cases and controls was 2330.3 ± 698.9 and 2699.3 ± 686.7 g, respectively. Hypothermia (AOR = 4.28; 95% CI: [1.72-10.67], cesarean delivery (AOR = 4.09; 95% CI: [1.69-9.93]), breast milk feeding (AOR = 2.97; 95% CI: [1.04-8.47]) and being male (AOR = 2.67; 95% CI: [1.17-6.13]) were significantly associated with jaundice. Conclusion. Most of the risk factors of neonatal jaundice were found to be modifiable. Therefore, early prevention and recognition of identified factors are recommended.

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“…Both prenatal and postnatal exposure to ambient air pollution especially gaseous pollutants were associated with a higher risk of neonatal hyperbilirubinemia, and the association was stronger in male newborns. 77 , 78 Short-term exposure to particles was associated with acute otitis media among infants under two years of age. 79 Prenatal exposure to PM 10 was associated with some of the inflammation markers such as c-reactive proteins, alteration of immune response (i.e., decreased levels of CD4+ T cells) and cytokines.…”

Section: Ambient Air Pollution and Other Relevant Outcomesmentioning

confidence: 99%

Ambient air pollution and infant health: a narrative review

Lin

Chen

et al. 2023

eBioMedicine

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Maternal Exposure to Air Pollution Is Associated with Neonatal Jaundice: A Retrospective Cohort Study

Cited by 5 publications

References 27 publications

“Light” on Phototherapy—Complications and Strategies for Shortening Its Duration, A Review of the Literature

“Light” on Phototherapy—Complications and Strategies for Shortening Its Duration, A Review of the Literature

Determinants of Jaundice Among Neonates Admitted to Neonatal Intensive Care Unit of Mizan Tepi University Teaching Hospital, Southwest Ethiopia, 2021: Unmatched Case Control Study

Ambient air pollution and infant health: a narrative review

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