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Air Quality Criteria for Lead Volume II of II - (NEPIS)(EPA) - US ...

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AX6-169<br />

Table AX6-6.1. Placental Transfer <strong>of</strong> <strong>Lead</strong> from Mother to Fetus<br />

Reference and<br />

Study Location Study Description Pb Measurement Findings, Interpretation<br />

United States<br />

Harville et al. (2005)<br />

Pittsburgh, PA<br />

Angell and Lavery<br />

(1982)<br />

Louisville, KY<br />

Bogden et al. (1978)<br />

Newark, NJ<br />

159 mother-infant pairs. Maternal blood Pb at delivery:<br />

Mean 1.93 µg/dL (range 0.55-4.70)<br />

635 cord blood specimens. 154 maternal<br />

and infant blood samples collected 24 h<br />

postpartum from these deliveries.<br />

25 deliveries <strong>of</strong> infants with birth weights<br />

between 1,500-2,500g and 50 matched<br />

controls with birth weights above 2,500g.<br />

Cord blood Pb:<br />

Mean 1.64 µg/dL (range 0.05-3.95)<br />

Maternal blood Pb:<br />

Mean 9.85 µg/dL (SD 4.4)<br />

Infant blood Pb:<br />

Mean 9.82 µg/dL (SD 4.8)<br />

Cord blood Pb:<br />

Mean 9.78 µg/dL (SD 4.1)<br />

Low birth weight infants:<br />

Maternal blood Pb:<br />

Mean 16.2 µg/dL (SD 4.5)<br />

Cord blood Pb:<br />

Mean 13.8 µg/dL (SD 4.4)<br />

Normal birth weight infants:<br />

Maternal blood Pb:<br />

Mean 15.3 µg/dL (SD 5.2)<br />

Cord blood Pb:<br />

Mean 13.1 µg/dL (SD 4.3)<br />

Correlation coefficient = 0.79<br />

On avg, cord blood Pb was lower than maternal<br />

blood Pb by 0.03 µg/dL (95% CI: 0.21, 0.38).<br />

Maternal-infant blood Pb:<br />

Correlation coefficient = 0.73, ∃ = 0.73<br />

Maternal-cord blood Pb:<br />

Correlation coefficient = 0.60, ∃ = 0.55<br />

Cord-infant blood Pb:<br />

Correlation coefficient = 0.77, ∃ = 0.90<br />

No significant differences in maternal blood to<br />

cord blood ratios in low birth weight and normal<br />

birth weight infants.<br />

Correlation coefficient = 0.55

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