Associations of Prenatal Agricultural Farm Work with Fetal Overgrowth and Pregnancy Complications in State of Arizona Birth Records.

J Occup Environ Med

From the Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona (K.L.P., R.B.H., L.V.F.); Department of Obstetrics and Gynecology, College of Medicine-Tucson, University of Arizona, Tucson, Arizona (L.V.F.); and Environmental Health Sciences, Department of Community, Environment, and Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona (P.B., M.F.).

Published: August 2023

AI Article Synopsis

  • The study investigates the effects of agricultural worker households on fetal growth outcomes using Arizona birth certificate data from 2006 to 2013, analyzing a total of 623,185 live births.
  • Results indicate that newborns of agricultural workers are at a higher risk for several conditions, including macrosomia, being large for gestational age, postterm birth, and low 5-minute APGAR scores, while they show lower risks for low birth weight and preterm birth.
  • The findings suggest that having a parent working in agriculture is associated with increased likelihood of fetal overgrowth and poorer immediate health outcomes for newborns.

Article Abstract

Objective: The purpose of this study is to examine fetal growth outcomes from agricultural worker households.

Methods: Using Arizona 2006 to 2013 birth certificates with parental occupation, we identified N = 623,185 live births by agricultural household status. Logistic regression models estimated adjusted odds ratios (aORs) for macrosomia (>4000 g), postterm birth (>41 weeks), low birth weight (<2500 g), preterm birth (<37 weeks), large for GA, small for GA, and 5-minute APGAR (<7).

Results: Newborns of agricultural households (n = 6371) had a higher risk of macrosomia (aOR, 1.15; 95% CI, 1.05-1.26), large for GA (aOR, 1.12; 95% CI, 1.03-1.22), postterm birth (aOR, 1.20; 95% CI, 1.09-1.33), and low 5-minute APGAR (aOR, 1.39; 95% CI, 1.07-1.81), whereas low birth weight (aOR, 0.85; 95% CI, 0.76-0.96) and preterm birth (aOR, 0.82; 95% CI, 0.74-0.92) were inversely related.

Conclusions: Having an agriculture working parent increased the likelihood of fetal overgrowth and low APGAR.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10523987PMC
http://dx.doi.org/10.1097/JOM.0000000000002877DOI Listing

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