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Occup Environ Med 66:456-463 doi:10.1136/oem.2008.041772
  • Original article

Maternal occupational exposure to solvents and congenital malformations: a prospective study in the general population

Table 5 Relation between solvent exposure and subgroups of major congenital malformations (chromosomal and genetic malformations excluded)
Self-reported exposure JEM-assessed exposure
Never or occasional Regular No exposure Exposure
No malformations (n = 2897) 1904 810 2154 576
Nervous system (n = 4) 1 3 3 1
    OR (95% CI) 1 7.05 (0.7 to 67.9) 1 1.25 (0.1 to 12.0)
    OR* (95% CI) 1 6.58 (0.7 to 63.9) 1 1.30 (0.1 to 12.5)
Cardiac malformations (n = 6) 5 1 5 1
    OR (95% CI) 1 0.47 (0.1 to 4.0) 1 0.75 (0.1 to 6.4)
    OR† (95% CI) 1 0.47 (0.1 to 4.0) 1 0.75 (0.1 to 6.5)
Oro-facial clefts (n = 8) 3 5 2 6
    OR (95% CI) 1 3.92 (0.9 to 16.4) 1 11.22 (2.3 to 55.7)
    OR‡ (95% CI) 1 3.60 (0.8 to 16.0) 1 12.85 (2.6 to 64.7)
Urinary malformations (n = 13) 4 7 6 6
    OR (95% CI) 1 4.11 (1.2 to 14.1) 1 3.74 (1.2 to 11.6)
    OR§ (95% CI) 1 2.18 (0.6 to 8.0) 1 3.40 (1.1 to 10.8)
Male genital malformations¶ (n = 12) 5 7 8 4
    OR (95% CI) 1 3.43 (1.1 to 10.9) 1 1.98 (0.6 to 6.6)
    OR** (95% CI) 1 3.57 (1.1 to 11.4) 1 2.06 (0.6 to 6.9)
Limb malformations (n = 20) 12 7 15 5
    OR (95% CI) 1 1.37 (0.5 to 3.5) 1 1.24 (0.5 to 3.4)
    OR‡ (95% CI) 1 1.46 (0.6 to 3.9) 1 1.29 (0.5 to 3.6)
Other major malformations (n = 8) 7 1 8 0
    OR (95% CI) 1 0.34 (0.0 to 2.7)
    OR* (95% CI) 1 0.32 (0.0 to 2.6)
  • *Adjusted for tobacco and alcohol consumption.

  • †Adjusted for alcohol consumption.

  • ‡Adjusted for maternal age, tobacco and alcohol consumption and education level.

  • §Adjusted for maternal age, tobacco consumption and education level.

  • ¶Analyses restricted to boys only.

  • **Adjusted for tobacco and alcohol consumption and preterm birth.

  • JEM, job-exposure matrix; OR, odds ratio.

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