Steven Stellman - Reproductive Outcomes Following Maternal Exposure to the Events of September 11, 2001, at the World Trade Center, in New York City

Document created by Steven Stellman on Dec 1, 2016
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  Publication Details (including relevant citation   information):

  Maslow, C. B., Caramanica, K., Li, J., Stellman, S. D.,   Brackbill, R. M. e1-e8-

  Abstract: OBJECTIVES: To estimate associations   between exposure to the events of September 11, 2001, (9/11) and   low birth weight (LBW), preterm delivery (PD), and small size for   gestational age (SGA). METHODS: We matched birth certificates   filed in New York City for singleton births between 9/11 and the   end of 2010 to 9/11-related exposure data provided by mothers who   were World Trade Center Health Registry enrollees. Generalized   estimating equations estimated associations between exposures and   LBW, PD, and SGA. RESULTS: Among 3360 births, 5.8% were LBW, 6.5%   were PD, and 9% were SGA. Having incurred at least 2 of 4   exposures, having performed rescue or recovery work, and probable   9/11-related posttraumatic stress disorder 2 to 3 years after   9/11 were associated with PD and LBW during the early study   period. CONCLUSIONS: Disasters on the magnitude of 9/11 may exert   effects on reproductive outcomes for several years. Women who are   pregnant during and after a disaster should be closely monitored   for physical and psychological sequelae. PUBLIC HEALTH   IMPLICATIONS: In utero and maternal disaster exposure may affect   birth outcomes. Researchers studying effects of individual   disasters should identify commonalities that may inform   postdisaster responses to minimize disaster-related adverse birth   outcomes. (Am J Public Health. Published online ahead of print   August 23, 2016: e1-e8. doi:10.2105/AJPH.2016.303303).

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