ArticleReproductive health2020
Household fuel use and adverse pregnancy outcomes in a Ghanaian cohort study.
Article in Reproductive health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Association of cooking fuel type with hypertension risk: a systematic review and meta-analysis.BMC public health · 2026Pooled it
- Exposure to indoor air pollution and adverse pregnancy outcomes in low and middle-income countries: a systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- Household polluting cooking fuels and adverse birth outcomes: An updated systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- Effects of Household Air Pollution (HAP) on Cardiovascular Diseases in Low- and Middle-Income Countries (LMICs): A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- Effect of a chimney-fitted improved stove on pregnancy outcomes in Northwest Ethiopia: a randomized controlled trial.BMC pregnancy and childbirth · 2024Trial
- Effects of a LPG stove and fuel intervention on adverse maternal outcomes: A multi-country randomized controlled trial conducted by the Household Air Pollution Intervention Network (HAPIN).Environment international · 2023Trial
- Pregnant Women's Exposure to Household Air Pollution in Rural Bangladesh: A Feasibility Study for Poriborton: The CHANge Trial.International journal of environmental research and public health · 2022Trial
- Household air pollution, ultrasound measurement, fetal biometric parameters and intrauterine growth restriction.Environmental health : a global access science source · 2021Trial
- Joint associations between maternal exposure to ambient air pollutants during pregnancy and low Apgar score in newborns: a birth cohort study in China.BMC public health · 2026Article
- Exploring Effects of Household Air Pollution on Pregnant Mothers and Their Offspring in Africa: A Scoping Review.International journal of environmental research and public health · 2026Article
- Household cooking fuel use and risk of adverse birth outcomes: a prospective follow-up study in eastern Ethiopia.Scientific reports · 2025Article
- Unclean cooking fuel use and stillbirth in Ghana: evidence from the 2022 DHS.Frontiers in global women's health · 2025Article
- Article
- Influence of type of cooking fuel on risk of hypertension among reproductive-age women in sub-Saharan Africa: insights from nationally representative cross-sectional surveys.International health · 2024Article
- Article
- Using household survey data to explore the effects of the domiciliary environment on weight at birth: a multilevel mixed-effects analysis of the 2016 Ethiopian Demographic Health Survey.BMC pregnancy and childbirth · 2023Article
- Kitchen fine particulate matter (PMFrontiers in public health · 2023Article
- Unraveling the effect of gender dimensions and wood fuel usage on household food security: evidence from Ghana.Heliyon · 2022Article
- The feasibility and acceptability of clean fuel use among rural households. A pilot study in Central Ghana.Journal of public health in Africa · 2022Article
- Social inequality influences the impact of household air pollution on birth outcomes.The Science of the total environment · 2022Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccruing 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.
methodsSelf-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.
results34% (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.
conclusionsWe 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).
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.