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. 2020 Oct 30;46(6):599–608. doi: 10.5271/sjweh.3912

Table 2c.

Prevalence, crude and adjusted odds ratio (ORcrude/ORadj) of maternal occupational exposure and congenital heart defects (CHD) in the offspring. [CI=confidence interval; d-TGA=dextro-transposition of the great arteries; LVOTO/RVOTO=left/right ventricular outflow tract obstruction; HLHS=hypoplastic left heart syndrome; P(v)S=pulmonary (valve) stenosis; CoA=coarctation of aorta; VSD=ventricular septal defect; ASD=atrial septal defect; AVSD=atrioventricular septal defect; APVR=anomalous pulmonary venous return; NC=not calculated due to sparse data]. BOLD indicates significant values (P<0.05).

CHD classification Total Pesticides exposure Metal dust and fumes exposure


N % ORcrude 95% CI ORadj a 95% CI N % ORcrude 95% CI ORadj a 95% CI
Controls 5602 131 2.3 Ref Ref 20 0.4 Ref Ref
Total CHD 1174 34 2.9 1.25 0.85–1.83 1.20 0.79–1.81 12 1.0 2.88 1.41–5.91 2.40 1.09–5.30
Conotruncal 174 <5 NC NC <5 NC NC
d-TGA 74 <5 NC NC <5 NC NC
Tetralogy of Fallot 60 <5 NC NC <5 NC NC
Truncus arteriosus 10 <5 NC NC <5 NC NC
LVOTO 173 7 4.0 1.76 0.81–3.83 1.73 0.77–3.87 <5 NC NC
HLHS 50 <5 NC NC <5 NC NC
Aortic stenosis 31 <5 NC NC <5 NC NC
Coarctation of aorta 42 <5 NC NC <5 NC NC
Bicuspid aortic valve 42 <5 NC NC <5 NC NC
RVOTO 139 5 3.6 1.56 0.63–3.87 1.45 0.57–3.67 <5 NC NC
P(v)S 104 <5 NC NC <5 NC NC
Pulmonary atresia 13 <5 NC NC <5 NC NC
Septal 544 16 2.9 1.27 0.75–2.14 1.20 0.69–2.09 6 1.1 3.11 1.25–7.78 2.47 0.92–6.64
Perimembranous VSD 117 5 4.3 1.86 0.75–4.64 1.80 0.70–4.61 <5 NC NC
Muscular VSD 248 5 2.0 0.86 0.35–2.12 0.87 0.35–2.20 <5 NC NC
Other VSD 78 <5 NC NC <5 NC NC
ASD 98 <5 NC NC <5 NC NC
AVSD 28 <5 NC NC <5 NC NC
APVR 17 <5 NC NC <5 NC NC
Total APVR 11 <5 NC NC <5 NC NC
Complex 45 <5 NC NC <5 NC NC
Single ventricle 14 <5 NC NC <5 NC NC
Associations
CoA + VSD 15 <5 NC NC <5 NC NC
P(v)S + VSD 19 <5 NC NC <5 NC NC
a

Adjusted for child sex, maternal age at delivery (as continuous variable), education level, maternal BMI (as continuous variable), smoking and alcohol use during pregnancy, folic acid supplementation, and fertility problems.