Determination of eight phthalate metabolites in urine of pregnant women and evaluation of neonatal birth outcomes based on solid-phase extraction-high performance liquid chromatography-tandem mass spectrometry
2025

Measuring Phthalate Metabolites in Pregnant Women's Urine and Their Impact on Newborn Outcomes

Sample size: 497 publication Evidence: high

Author Information

Author(s): WANG Zihao, XU Mengfei, LI Beini, WU Ping, WU Wei

Primary Institution: Hubei University of Chinese Medicine

Hypothesis

Exposure to phthalates during pregnancy negatively affects newborn growth and development.

Conclusion

The study found that exposure to certain phthalates during pregnancy can adversely affect newborn birth weight, length, and gestational age.

Supporting Evidence

  • 497 pregnant women were found to be widely exposed to phthalates.
  • Monobutyl phthalate (MBP) had the highest median level of 104.46 ng/mL.
  • Linear regression showed that each natural log increase in monoethyl phthalate (MEP) levels decreased gestational age by 0.11 weeks.
  • Each natural log increase in mono(2-ethyl-5-oxohexyl) phthalate (MEOHP) and mono(2-ethylhexyl) phthalate (MECPP) levels decreased birth weight by 39.28 g and 39.62 g, respectively.

Takeaway

Pregnant women can have chemicals in their bodies that might hurt their babies, and this study looked at how those chemicals affect baby growth.

Methodology

The study developed a method using solid-phase extraction and high-performance liquid chromatography-tandem mass spectrometry to detect eight phthalate metabolites in urine samples from pregnant women.

Limitations

Further large-scale cohort studies are needed to validate these findings.

Participant Demographics

{"average_age":28.66,"education_level":"61.6% of participants had a university degree or higher","average_BMI":20.74,"delivery_mode":"C-section in 415 out of 497 cases"}

Statistical Information

Confidence Interval

{"MEP":"95% CI: -0.18~-0.03","MEOHP":"95% CI: -76.48~-2.09","MECPP":"95% CI: -73.73~-5.52"}

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3724/SP.J.1123.2023.12032

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