How to Control for Gestational Age in Studies Involving Environmental Effects on Fetal Growth
2008

Controlling for Gestational Age in Environmental Studies on Fetal Growth

publication

Author Information

Author(s): Rémy Slama, Babak Khoshnood, Monique Kaminski

Primary Institution: INSERM U823, Grenoble, France

Hypothesis

Does the method of estimating gestational age affect the perceived impact of environmental factors on fetal growth?

Conclusion

Ultrasound-based gestational age estimates may lead to underestimating the effects of environmental pollutants on fetal growth.

Supporting Evidence

  • Ultrasound measurements are often used to estimate gestational age, but they may not be reliable.
  • Using last menstrual period data can introduce errors due to recall issues and variability in menstrual cycles.
  • Environmental pollutants may affect fetal growth as early as the first trimester.

Takeaway

When studying how the environment affects babies growing in the womb, it's important to measure how far along the pregnancy is accurately, or we might get the wrong idea about the effects.

Potential Biases

There is a risk of bias in estimating the effects of environmental factors due to inaccuracies in gestational age estimation.

Limitations

The accuracy of gestational age estimates can be affected by various factors, including reliance on ultrasound and last menstrual period data.

Digital Object Identifier (DOI)

10.1289/ehp.11105

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