Evidence map›Paper›PMID 42062526›Full record

ReviewJournal of perinatology : official journal of the California Perinatal Association2026

A scoping review of uranium and other radioactive heavy metals in breast milk and their impact on early life health.

Aditya Hemendra Bhatt, Somashekhar Marutirao Nimbalkar, Dipen Vasudev Patel, Reshma Kushal Pujara

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In one paragraph

Review in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Aditya Hemendra BhattDepartment of Neonatology, Pramukhswami Medical College, Bhaikaka University, Karamsad, Gujarat, India. adityabhatt47@gmail.com.ORCID http://orcid.org/0000-0002-7284-2915
Somashekhar Marutirao NimbalkarDepartment of Neonatology, Pramukhswami Medical College, Bhaikaka University, Karamsad, Gujarat, India.ORCID http://orcid.org/0000-0003-2825-2819
Dipen Vasudev PatelDepartment of Neonatology, Pramukhswami Medical College, Bhaikaka University, Karamsad, Gujarat, India.ORCID http://orcid.org/0000-0003-0671-8462
Reshma Kushal PujaraDepartment of Neonatology, Pramukhswami Medical College, Bhaikaka University, Karamsad, Gujarat, India.ORCID http://orcid.org/0000-0002-8487-376X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRadioactive heavy metals, including uranium, strontium-90, caesium-137, radium, thorium, and plutonium, pose potential health risks to nursing infants through breast milk transfer. Understanding the extent of contamination, transfer mechanisms, and health implications is critical for public health policy.

objectiveThis scoping review synthesises evidence on radioactive heavy metal contamination in breast milk, maternal-infant transfer mechanisms, and associated health impacts on early life development.

methodsA comprehensive scoping literature search was conducted in December 2024 across multiple electronic databases. After deduplication, 161 unique papers remained. An AI-assisted relevance scoring approach (SciSpace biomedical agent) was used to prioritize screening; final eligibility decisions and data extraction were performed by the authors. Thirty studies were included for synthesis.

resultsEvidence demonstrates measurable concentrations of strontium-90, caesium-137, uranium, and radium in breast milk following environmental contamination events (Chernobyl, Techa River, nuclear weapons testing) and in regions with naturally elevated radioactivity. Transfer rates vary by radionuclide, with strontium-90 showing significant maternal-infant transfer. Biokinetic models indicate dose-dependent accumulation in infant tissues. Limited direct evidence exists for specific health outcomes, though theoretical risk assessments suggest potential impacts on hematopoietic development, bone metabolism, and long-term cancer risk.

conclusionsWhile breast milk contamination with radioactive heavy metals is documented in specific contexts, the health benefits of breastfeeding generally outweigh risks except in acute high-exposure scenarios. Gaps remain in understanding long-term neurodevelopmental and growth impacts. Enhanced biomonitoring and longitudinal studies are needed to inform evidence-based public health guidance.

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Registered trials

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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.