Associations of Maternal Cell-Phone Use During Pregnancy With Pregnancy Duration and Fetal Growth in 4 Birth Cohorts. Issue 7 (17th April 2019)

• Record Type: Journal Article
• Authors: Tsarna, Ermioni; Reedijk, Marije; Birks, Laura Ellen; Guxens, Mònica; Ballester, Ferran; Ha, Mina; Jiménez-Zabala, Ana; Kheifets, Leeka; Lertxundi, Aitana; Lim, Hyung-Ryul; Olsen, Jorn; González Safont, Llúcia; Sudan, Madhuri; Cardis, Elisabeth; Vrijheid, Martine; Vrijkotte, Tanja; Huss, Anke; Vermeulen, Roel
• Is Part Of: American journal of epidemiology. Volume 188:Issue 7(2019)
• Page Start: 1270
• Page End: 1280
• Publication Date: 2019-04-17
• Subjects: birth outcomes -- cell phones -- exposure -- preterm birth -- radio-frequency electromagnetic fields; Epidemiology -- Periodicals; Public health -- Periodicals; 614.4
• DOI: 10.1093/aje/kwz092
• Languages: English
• ISSNs: 0002-9262

Abstract

Abstract: Results from studies evaluating potential effects of prenatal exposure to radio-frequency electromagnetic fields from cell phones on birth outcomes have been inconsistent. Using data on 55, 507 pregnant women and their children from Denmark (1996–2002), the Netherlands (2003–2004), Spain (2003–2008), and South Korea (2006–2011), we explored whether maternal cell-phone use was associated with pregnancy duration and fetal growth. On the basis of self-reported number of cell-phone calls per day, exposure was grouped as none, low (referent), intermediate, or high. We examined pregnancy duration (gestational age at birth, preterm/postterm birth), fetal growth (birth weight ratio, small/large size for gestational age), and birth weight variables (birth weight, low/high birth weight) and meta-analyzed cohort-specific estimates. The intermediate exposure group had a higher risk of giving birth at a lower gestational age (hazard ratio = 1.04, 95% confidence interval: 1.01, 1.07), and exposure-response relationships were found for shorter pregnancy duration ( P < 0.001) and preterm birth ( P = 0.003). We observed no association with fetal growth or birth weight. Maternal cell-phone use during pregnancy may be associated with shorter pregnancy duration and increased risk of preterm birth, but these results should be interpreted with caution, since they may reflect stress during pregnancy or other residual confounding rather than a direct effect of cell-phone exposure.