Associations between metal concentrations in whole blood and placenta previa and placenta accreta: the Japan Environment and Children's Study (JECS)

BACKGROUND@#Placenta previa and placenta accreta associate with high morbidity and mortality for both mothers and fetus. Metal exposure may have relationships with placenta previa and placenta accreta. This study analyzed the associations between maternal metal (cadmium [Cd], lead [Pb], mercury [Hg], selenium [Se], and manganese [Mn]) concentrations and placenta previa and placenta accreta.@*METHODS@#We recruited 17,414 women with singleton pregnancies. Data from a self-administered questionnaire regarding the first trimester and medical records after delivery were analyzed. Maternal blood samples were collected to measure metal concentrations. The subjects were classified into four quartiles (Q1, Q2, Q3, and Q4) according to metal concentrations.@*RESULTS@#The odds ratio for placenta previa was significantly higher among subjects with Q4 Cd than those with Q1 Cd. The odds ratio for placenta previa was significantly higher for subjects with Q2 Pb than those with Q1 Pb.@*CONCLUSION@#Participants with placenta previa had higher Cd concentrations. However, this study was cross-sectional and lacked important information related to Cd concentration, such as detailed smoking habits and sources of Cd intake. In addition, the subjects in this study comprised ordinary pregnant Japanese women, and it was impossible to observe the relationship between a wide range of Cd exposure and placenta previa. Therefore, epidemiological and experimental studies are warranted to verify the relationship between Cd exposure and pregnancy abnormalities.

Un método para evaluar el enriquecimiento de metales en sedimentos marinos en Costa Rica / A method to evaluate metal enrichment in marine sediments

A method to evaluate metal enrichment in marine sediments. In order to evaluate metal enrichment in sediments , a method is proposed and tested in Bahia Culebra and the Golfo de Nicoya, Costa Rica through the normalization of the elements against aluminum, and by linear regression of the logarithm of the concentrations of different elements respect to aluminum. The distributions of the elements manganese, and strontium of Bahía Culebra did not satisfy the tests of normalization and linear regression, indicating a nonnatural distribution or enrichment of these elements in this region. In the Golfo de Nicoya the elements copper , zinc , rubidium and the strontium did not satisfy the test of normality or the linear regression with respect to aluminum, indicating a possible enrichment of these elements. The majority of the concentrations of the elements in two sample sites, with the exception of chromium, are within the natural ranges in rocks or clays of marine sediments, and within the concentration ranges of other studies done in these same regions. Chromium has average values beyond the natural concentrations, the values of some samples in the Golfo de Nicoya are up to 10 times greater than the concentration value of a typical bay with high contamination of this element.

Se propone un método para evaluar enriquecimiento de metales en sedimentos de Bahía Culebra y en el Golfo de Nicoya de Costa Rica a través de la normalización de los elementos y el aluminio usando la regresión lineal de las concentraciones de los elementos y el Aluminio. Las distribuciones de los elementos manganeso y el estroncio de Bahía Culebra no cumplen con las pruebas de normalización y de regresión lineal, indicando una distribución no natural o enriquecimiento de estos elementos en esta región. En el Golfo de Nicoya los elementos cobre, zinc, rubidio y el estroncio no cumplen ya sea con la hipótesis de normalidad o con la regresión lineal respecto al aluminio, indicando un posible enriquecimiento de estos elementos en esta región. La mayoría de las concentraciones de los elementos tanto en ambos sitios de muestreo, con excepción del cromo, se encuentran dentro de los ámbitos naturales encontrados en las rocas o en las arcillas de sedimentos marinos a nivel mundial, y dentro de los ámbitos de las concentraciones de otros estudios realizados en estas mismas regiones. El cromo muestra valores promedio más allá de las concentraciones naturales, siendo la concentración de algunas muestras en el Golfo de Nicoya hasta diez veces mayores que el valor de una bahía con alta contaminación de este elemento.