Evidence map›Paper›PMID 42196757›Full record

SynthesisInternational journal of environmental research and public health2026

In-Utero Exposure to Electronic Waste Heavy Metals and Adverse Pregnancy and Neonatal Outcomes: A Systematic Review.

Jianna R D Sparrow, George Gray, Jordan Fischbach

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 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

3 authors.

Jianna R D SparrowDepartment of Environmental and Occupational Health, Milken Institute of Public Health, The George Washington University, Washington, DC 20052, USA.ORCID 0009-0002-2416-0052
George GrayDepartment of Environmental and Occupational Health, Milken Institute of Public Health, The George Washington University, Washington, DC 20052, USA.ORCID 0000-0001-9995-7889
Jordan FischbachDepartment of Environmental and Occupational Health, Milken Institute of Public Health, The George Washington University, Washington, DC 20052, USA.ORCID 0009-0002-8821-3520

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Electronic waste (e-waste) recycling releases heavy metals into surrounding environments, creating potential health risks for nearby populations, particularly pregnant women and developing fetuses. This systematic review evaluated human evidence linking prenatal exposure to heavy metals originating from informal e-waste recycling with adverse pregnancy and neonatal outcomes. Electronic databases, including PubMed and Scopus, were searched through 23 September 2025, for studies measuring heavy metal exposure among pregnant women or neonates living in e-waste-affected communities. Following the Navigation Guide methodology, eight observational studies met the inclusion criteria and were assessed for risk of bias and strength of evidence. Across studies, concentrations of heavy metals were higher in exposed populations and were detected in maternal blood, placenta, cord blood, urine, and meconium samples from exposed populations. Prenatal exposure was consistently associated with adverse outcomes, with many studies reporting statistically significant associations between heavy metal exposure and reduced birth weight, length, head circumference, gestational age, neonatal body mass index, lower Apgar scores, impaired neonatal neurobehavioral development, placental molecular alterations, endocrine disruption, and increased neonatal DNA damage. Overall, the evidence was rated as moderate quality with sufficient evidence linking prenatal heavy-metal exposure from e-waste to impaired fetal growth and neonatal development, and limited evidence for pregnancy complications. These findings highlight the need for improved regulation of e-waste recycling and strengthened public health protections for vulnerable populations.

Indexed as

Electronic WasteEnvironmental PollutantsMaternal ExposureMetals, HeavyPrenatal Exposure Delayed EffectsFemaleHumansInfant, NewbornPregnancyPregnancy OutcomeRecyclingEnvironmental PollutantsMetals, Heavybiomonitoringelectronic wastefetal growthheavy metalsinformal recyclingneonatal outcomespregnancy outcomesprenatal exposure

Identifiers

PMID42196757
PMCPMC13206999

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.