Table 2. Summary of findings on the associations between prenatal pesticide exposure and the four most frequently reported outcomes (birth weight, birth length, low birth weight, and preterm birth).
| Most frequently reported outcomes in included studies | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Birth weight | Birth length | Low birth weight | Preterm birth | ||||||||||||
| Direction | Effect estimate | Refs | Direction | Effect estimate | Refs | Direction | Effect estimate | Refs | Direction | Effect estimate | Refs | ||||
| Organochlorines | Positive | 0.008 to 0.25 SMD | (Arrebola et al., 2016; Bravo et al., 2019; Steinholt et al., 2020; Xu et al., 2017) | Positive | 0.21 to 0.25 SMD | (Bravo et al., 2019; Steinholt et al., 2020) | Positive | – | No studies | Positive | No estimate reported | (Cioroiu et al., 2010) | |||
| Negative | -0.009 SMD; -5.81 to -55.14 g | (Anand & Taneja, 2020; X. Yang et al., 2020) | Negative | -0.25 to -0.32 SMD | (Steinholt et al., 2020) | Negative | – | No studies | Negative | No estimate reported | (Cioroiu et al., 2010) | ||||
| Null | -32.9 g to 6.09 g | (Abdel Hamid et al., 2020; Fang et al., 2019; H. Guo et al., 2014; Van Tung et al., 2016) | Null | -0.37 to 0.358 cm | (Abdel Hamid et al., 2020; Anand & Taneja, 2020; Arrebola et al., 2016; Fang et al., 2019; Xu et al., 2017) | Null | 8 to 13.1 pp | (Toichuev et al., 2018; Van Tung et al., 2016) | Null | – | No studies | ||||
| Organophosphates | Positive | – | No studies | Positive | – | No studies | Positive | RR 2.13 6 pp | (Jaacks et al., 2019; Silvia et al., 2020) | Positive | RR 1.44 to RR 3.57 6 pp | (Jaacks et al., 2019; Silvia et al., 2020) | |||
| Negative | -170±60 g | (Jaacks et al., 2019) | Negative | -0.372 cm | (Cecchi et al., 2021) | Negative | – | No studies | Negative | – | No studies | ||||
| Null | -116 to 135 g | (Cecchi et al., 2021; Hanke et al., 2003; Jaacks et al., 2019; Jurewicz et al., 2005; Liu et al., 2016; Naksen et al., 2015; Silvia et al., 2020; P. Wang et al., 2012; X. Yang et al., 2020) | Null | -0.47 to 0.12 cm | (Liu et al., 2016; Naksen et al., 2015; Silvia et al., 2020; P. Wang et al., 2012) | Null | OR 0.48 2.63 to 6.29 pp | (Jurewicz et al., 2005; Moreno-Banda et al., 2009) | Null | RR 1.17 to RR 0.95 1.63 to 5.8 pp | (Cecchi et al., 2021; Jaacks et al., 2019; Jurewicz et al., 2005) | ||||
| Pyrethroids | Positive | – | No studies | Positive | – | No studies | Positive | – | No studies | Positive | – | No studies | |||
| Negative | -96.76 to -233.3 g | (Ding et al., 2015; Hanke et al., 2003) | Negative | – | No studies | Negative | – | No studies | Negative | – | No studies | ||||
| Null | 29 to 102 g | (Jaacks et al., 2019; Jurewicz et al., 2005) | Null | 0.13 to 0.25 cm | (Ding et al., 2015) | Null | RR 0.78 2.63 to 6.29 pp | (Jaacks et al., 2019; Jurewicz et al., 2005) | Null | RR 0.99 1.63 to 5.8 pp | (Jaacks et al., 2019; Jurewicz et al., 2005) | ||||
| Carbamates | Positive | – | No studies | Positive | – | No studies | Positive | – | No studies | Positive | 6 pp | (Silvia et al., 2020) | |||
| Negative | – | No studies | Negative | -0.372 cm | (Cecchi et al., 2021) | Negative | – | No studies | Negative | – | No studies | ||||
| Null | -3.594 to 0.23 g | (Cecchi et al., 2021; Hanke et al., 2003; Silvia et al., 2020; X. Yang et al., 2020; Zhang et al., 2018) | Null | -0.155 cm | (Zhang et al., 2018) | Null | No estimate reported | (Cecchi et al., 2021) | Null | No estimate reported | (Cecchi et al., 2021) | ||||
| Chlorophenols non-specific to organochlorines | Positive | – | No studies | Positive | – | No studies | Positive | – | No studies | Null | – | No studies | |||
| Negative | -30 to -37 g | (J. Guo et al., 2016) | Null | -0.01 to -0.14 cm | (Guo et al., 2016) | Negative | – | No studies | Null | – | No studies | ||||
| Null | – | No studies | Null | – | No studies | Null | – | No studies | Null | – | No studies | ||||
Abbreviations: OR; odds ratio; pp, percentage points; Refs, references; RR, relative risk; SMD, standardised mean difference.