Household fuel use and adverse pregnancy outcomes in a Ghanaian cohort study (2024)

Weber, E., Adu-Bonsaffoh, K., Vermeulen, R., Klipstein-Grobusch, K., Grobbee, D. E., Browne, J. L. (2020). Household fuel use and adverse pregnancy outcomes in a Ghanaian cohort study. Reproductive Health Matters, 17(1), 1-8. Article 29. https://doi.org/10.1186/s12978-020-0878-3

Weber, Eartha ; Adu-Bonsaffoh, Kwame ; Vermeulen, Roel et al. / Household fuel use and adverse pregnancy outcomes in a Ghanaian cohort study. In: Reproductive Health Matters. 2020 ; Vol. 17, No. 1. pp. 1-8.

@article{ecbfa7f7667b4968ad8aea1aca0c6c63,

title = "Household fuel use and adverse pregnancy outcomes in a Ghanaian cohort study",

abstract = "BACKGROUND: Accruing epidemiological evidence suggests that prenatal exposure to emissions from cooking fuel is associated with increased risks of adverse maternal and perinatal outcomes including hypertensive disorders of pregnancy, low birth weight, stillbirth and infant mortality. We aimed to investigate the relationship between cooking fuel use and various pregnancy related outcomes in a cohort of urban women from the Accra region of Ghana.METHODS: Self-reported cooking fuel use was divided into {"}polluting{"} (wood, charcoal, crop residue and kerosene) and {"}clean{"} fuels (liquid petroleum gas and electricity) to examine 12 obstetric outcomes in a prospective cohort of pregnant women (N = 1010) recruited at < 17 weeks of gestation from Accra, Ghana. Logistic and multivariate linear regression analyses adjusted for BMI, maternal age, maternal education and socio-economic status asset index was conducted.RESULTS: 34% (n = 279) of 819 women with outcome data available for analysis used polluting fuel as their main cooking fuel. Using polluting cooking fuels was associated with perinatal mortality (aOR: 7.6, 95%CI: 1.67-36.0) and an adverse Apgar score (< 7) at 5 min (aOR:3.83, 95%CI: (1.44-10.11). The other outcomes (miscarriage, post-partum hemorrhage, pre-term birth, low birthweight, caesarian section, hypertensive disorders of pregnancy, small for gestational age, and Apgar score at 1 min) had non-statistically significant findings.CONCLUSIONS: We report an increased likelihood of perinatal mortality, and adverse 5-min Apgar scores in association with polluting fuel use. Further research including details on extent of household fuel use exposure is recommended to better quantify the consequences of household fuel use.STUDY REGISTRATION: Ghana Service Ethical Review Committee (GHS-ERC #: 07-9-11).",

keywords = "Cooking fuel, Perinatal mortality, Apgar score, Pregnancy outcomes, Perinatal outcomes",

author = "Eartha Weber and Kwame Adu-Bonsaffoh and Roel Vermeulen and Kerstin Klipstein-Grobusch and Grobbee, {Diederick E} and Browne, {Joyce L} and Downward, {George S}",

year = "2020",

month = feb,

day = "22",

doi = "10.1186/s12978-020-0878-3",

language = "English",

volume = "17",

pages = "1--8",

journal = "Reproductive Health Matters",

issn = "0968-8080",

publisher = "Elsevier BV",

number = "1",

}

Weber, E, Adu-Bonsaffoh, K, Vermeulen, R, Klipstein-Grobusch, K, Grobbee, DE, Browne, JL 2020, 'Household fuel use and adverse pregnancy outcomes in a Ghanaian cohort study', Reproductive Health Matters, vol. 17, no. 1, 29, pp. 1-8. https://doi.org/10.1186/s12978-020-0878-3

Household fuel use and adverse pregnancy outcomes in a Ghanaian cohort study. / Weber, Eartha; Adu-Bonsaffoh, Kwame; Vermeulen, Roel et al.
In: Reproductive Health Matters, Vol. 17, No. 1, 29, 22.02.2020, p. 1-8.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Household fuel use and adverse pregnancy outcomes in a Ghanaian cohort study

AU - Weber, Eartha

AU - Adu-Bonsaffoh, Kwame

AU - Vermeulen, Roel

AU - Klipstein-Grobusch, Kerstin

AU - Grobbee, Diederick E

AU - Browne, Joyce L

AU - Downward, George S

PY - 2020/2/22

Y1 - 2020/2/22

N2 - BACKGROUND: Accruing epidemiological evidence suggests that prenatal exposure to emissions from cooking fuel is associated with increased risks of adverse maternal and perinatal outcomes including hypertensive disorders of pregnancy, low birth weight, stillbirth and infant mortality. We aimed to investigate the relationship between cooking fuel use and various pregnancy related outcomes in a cohort of urban women from the Accra region of Ghana.METHODS: Self-reported cooking fuel use was divided into "polluting" (wood, charcoal, crop residue and kerosene) and "clean" fuels (liquid petroleum gas and electricity) to examine 12 obstetric outcomes in a prospective cohort of pregnant women (N = 1010) recruited at < 17 weeks of gestation from Accra, Ghana. Logistic and multivariate linear regression analyses adjusted for BMI, maternal age, maternal education and socio-economic status asset index was conducted.RESULTS: 34% (n = 279) of 819 women with outcome data available for analysis used polluting fuel as their main cooking fuel. Using polluting cooking fuels was associated with perinatal mortality (aOR: 7.6, 95%CI: 1.67-36.0) and an adverse Apgar score (< 7) at 5 min (aOR:3.83, 95%CI: (1.44-10.11). The other outcomes (miscarriage, post-partum hemorrhage, pre-term birth, low birthweight, caesarian section, hypertensive disorders of pregnancy, small for gestational age, and Apgar score at 1 min) had non-statistically significant findings.CONCLUSIONS: We report an increased likelihood of perinatal mortality, and adverse 5-min Apgar scores in association with polluting fuel use. Further research including details on extent of household fuel use exposure is recommended to better quantify the consequences of household fuel use.STUDY REGISTRATION: Ghana Service Ethical Review Committee (GHS-ERC #: 07-9-11).

AB - BACKGROUND: Accruing epidemiological evidence suggests that prenatal exposure to emissions from cooking fuel is associated with increased risks of adverse maternal and perinatal outcomes including hypertensive disorders of pregnancy, low birth weight, stillbirth and infant mortality. We aimed to investigate the relationship between cooking fuel use and various pregnancy related outcomes in a cohort of urban women from the Accra region of Ghana.METHODS: Self-reported cooking fuel use was divided into "polluting" (wood, charcoal, crop residue and kerosene) and "clean" fuels (liquid petroleum gas and electricity) to examine 12 obstetric outcomes in a prospective cohort of pregnant women (N = 1010) recruited at < 17 weeks of gestation from Accra, Ghana. Logistic and multivariate linear regression analyses adjusted for BMI, maternal age, maternal education and socio-economic status asset index was conducted.RESULTS: 34% (n = 279) of 819 women with outcome data available for analysis used polluting fuel as their main cooking fuel. Using polluting cooking fuels was associated with perinatal mortality (aOR: 7.6, 95%CI: 1.67-36.0) and an adverse Apgar score (< 7) at 5 min (aOR:3.83, 95%CI: (1.44-10.11). The other outcomes (miscarriage, post-partum hemorrhage, pre-term birth, low birthweight, caesarian section, hypertensive disorders of pregnancy, small for gestational age, and Apgar score at 1 min) had non-statistically significant findings.CONCLUSIONS: We report an increased likelihood of perinatal mortality, and adverse 5-min Apgar scores in association with polluting fuel use. Further research including details on extent of household fuel use exposure is recommended to better quantify the consequences of household fuel use.STUDY REGISTRATION: Ghana Service Ethical Review Committee (GHS-ERC #: 07-9-11).

KW - Cooking fuel

KW - Perinatal mortality

KW - Apgar score

KW - Pregnancy outcomes

KW - Perinatal outcomes

U2 - 10.1186/s12978-020-0878-3

DO - 10.1186/s12978-020-0878-3

M3 - Article

C2 - 32087720

SN - 0968-8080

VL - 17

SP - 1

EP - 8

JO - Reproductive Health Matters

JF - Reproductive Health Matters

IS - 1

M1 - 29

ER -

Weber E, Adu-Bonsaffoh K, Vermeulen R, Klipstein-Grobusch K, Grobbee DE, Browne JL et al. Household fuel use and adverse pregnancy outcomes in a Ghanaian cohort study. Reproductive Health Matters. 2020 Feb 22;17(1):1-8. 29. doi: 10.1186/s12978-020-0878-3