Table 4.
Relations of Urinary Concentrations of Di-(2-Ethylhexyl) Phthalate Metabolites in Pregnant Women to Clinical Outcomes Related to Parturition and Labor in Logistic Regression Models (n = 283), Study for Future Families, 2000–2004a
Outcome | No. of Subjects | % | MEHP |
MEOHP |
MEHHP |
|||
OR | 95% CI | OR | 95% CI | OR | 95% CI | |||
Gestational age >41 weeks | 7 | 2 | ||||||
Adjusted for creatinine | 1.8* | 1.1, 3.0 | 2.1** | 1.2, 3.4 | 1.9* | 1.1, 3.2 | ||
Adjusted for creatinine + covariatesb | 2.0* | 1.1, 3.5 | 2.2** | 1.3, 4.0 | 2.1* | 1.3, 3.7 | ||
Preterm delivery (<37 weeks) | 14 | 5 | ||||||
Adjusted for creatinine | 0.5* | 0.3, 0.9 | 0.5* | 0.2, 0.9 | 0.5* | 0.3, 0.9 | ||
Adjusted for creatinine + covariatesc | 0.5* | 0.3, 0.9 | 0.4* | 0.2, 0.9 | 0.5* | 0.3, 0.9 | ||
Cesarean section delivery | 62 | 22 | ||||||
Adjusted for creatinine | 1.3 | 1.0, 1.6 | 1.4* | 1.1, 1.9 | 1.4* | 1.1, 1.8 | ||
Adjusted for creatinine + covariatesd | 1.3* | 1.0, 1.6 | 1.5** | 1.1, 1.9 | 1.4* | 1.1, 1.8 | ||
Failure to progress as reason for cesarean section delivery | 18 | 6 | ||||||
Adjusted for creatinine | 1.3 | 0.9, 1.8 | 1.6* | 1.1, 2.4 | 1.5* | 1.1, 2.2 | ||
Adjusted for creatinine + covariatese | 1.2 | 0.9, 1.7 | 1.6* | 1.1, 2.3 | 1.5* | 1.0, 2.1 |
Abbreviations: CI, confidence interval; MEHHP, mono-2-ethylhexyl phthalate; MEHP, mono-2-ethylhexyl phthalate; MEOHP, mono-2-ethyl-5-oxohexyl phthalate; OR, odds ratio.
* P < 0.05; **P < 0.01.
Change in log odds per log-unit increase in urinary di-(2-ethylhexyl) phthalate metabolite concentration.
Adjusted for geographic site (Minnesota vs. California, Iowa, and Missouri) and respiratory conditions.
Adjusted for high blood pressure and nongestational diabetes.
Adjusted for mother's age (≥35 years vs. <35 years), geographic site (Minnesota vs. California, Iowa, and Missouri), nongestational diabetes, and fibroids.
Adjusted for parity, thyroid conditions, and high blood pressure. Information on the reason for cesarean section was missing for 2 subjects.