Chemical exposure during pregnancy and oral clefts in newborns

Author:

Leite Isabel Cristina Gonçalves1,Paumgartten Francisco José Roma1,Koifman Sérgio1

Affiliation:

1. Fundação Oswaldo Cruz, Brasil

Abstract

This article presents a literature review on the risk factors for oral clefts (lip and/or palate), emphasizing discussion of maternal exposure to endocrine disruptors. Several studies have identified the risk of cigarette smoking and alcohol consumption, use of anticonvulsivant drugs, and exposure to organic solvents. A protective effect has been shown for supplementation with folic acid. As with other chemicals, the risk associated with exposure to sex hormones is still obscure, although some authors describe a moderate risk level. New studies addressing this hypothesis need to be conducted, while the population exposed to these endocrine disrupters is increasing.

Publisher

FapUNIFESP (SciELO)

Subject

Public Health, Environmental and Occupational Health

Reference72 articles.

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2. Teratology society public affairs committee position paper: Developmental toxicity of endocrine disruptors to humans;BARLOW S.;Teratology,1999

3. Testing for interaction between maternal smoking and TGFA genotype among oral cleft cases born in Maryland, 1992-1996;BEATY T. H.;Cleft Palate-Craniofacial Journal,1997

4. Congenital malformations and maternal occupation: A registry-based case-control study;BIANCHI F.;Occupational and Environmental Medicine,1997

5. Oral contraception and congenital malformations in offspring: A review and meta-analysis of the prospective studies;BRACKEN M. B.;Obstetric and Gynecology,1990

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