dc.contributor.author |
Mashau, Funanani
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|
dc.contributor.author |
Ncube, Esper Jacobeth
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|
dc.contributor.author |
Voyi, K.V.V. (Kuku)
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|
dc.date.accessioned |
2020-03-06T05:53:13Z |
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dc.date.available |
2020-03-06T05:53:13Z |
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dc.date.issued |
2019-12 |
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dc.description.abstract |
The current study aimed to determine the association between trichloroacetic acid (TCAA) levels and adverse pregnancy outcomes among third-trimester pregnant women who were exposed to chlorinated drinking water. A total of 205 pregnant women who participated in the disinfection by-products exposure and adverse pregnancy outcome study in South Africa were randomly asked to participate in this study by providing their morning urine sample voids. Samples were analysed for urinary creatinine and TCAA. Furthermore, participants gave individual data using a structured questionnaire. The mean (median) concentration of creatinine-adjusted urinary TCAA was 2.34 (1.95) μg/g creatinine. Elevated levels of creatinine-adjusted TCAA concentrations showed an increased risk of premature birth, small for gestational age (SGA) and low birth weight. There was no significant statistical correlation observed between creatinine-adjusted TCAA concentrations and the total volume of cold water ingested among the study population. No statistically significant association was observed between creatinine-adjusted urinary TCAA and premature birth, SGA and low birth weight newborns among the study subjects. However, the urinary TCAA concentrations identified in this study suggest potential health risks towards women and foetus. Therefore, further studies are warranted to prevent further adverse pregnancy outcomes. |
en_ZA |
dc.description.department |
School of Health Systems and Public Health (SHSPH) |
en_ZA |
dc.description.librarian |
hj2020 |
en_ZA |
dc.description.sponsorship |
The South African NRF Grant (SFH150625121049) |
en_ZA |
dc.description.uri |
http://jwh.iwaponline.com |
en_ZA |
dc.identifier.citation |
Mashau, F., Ncube, E.J. & Voyi, K. 2019, 'Maternal urinary levels of trichloroacetic acid and association with adverse pregnancy outcomes', Journal of Water and Health, vol. 17, no. 6, pp. 884-895. |
en_ZA |
dc.identifier.issn |
1477-8920 |
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dc.identifier.other |
10.2166/wh.2019.109 |
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dc.identifier.uri |
http://hdl.handle.net/2263/73649 |
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dc.language.iso |
en |
en_ZA |
dc.publisher |
IWA Publishing |
en_ZA |
dc.rights |
© 2019 The Authors. This is an Open Access article distributed under the terms of the Creative Commons Attribution Licence (CC BY-NC-ND 4.0). |
en_ZA |
dc.subject |
Trichloroacetic acid (TCAA) |
en_ZA |
dc.subject |
Adverse pregnancy outcomes |
en_ZA |
dc.subject |
Creatinine-adjusted urinary TCAA |
en_ZA |
dc.subject |
Drinking water |
en_ZA |
dc.subject |
Low birth weight (LBW) |
en_ZA |
dc.subject |
Premature birth |
en_ZA |
dc.subject |
Small for gestational age (SGA) |
en_ZA |
dc.title |
Maternal urinary levels of trichloroacetic acid and association with adverse pregnancy outcomes |
en_ZA |
dc.type |
Article |
en_ZA |