Evidence map›Paper›PMID 42681959›Full record

SynthesisJournal of pregnancy2026

Hair Dyes in Pregnancy: A Systematic Review and Meta-Analysis.

Stefano Uccella, Chiara Casprini, Giada Scaggiante, Nikolaos Papadopoulos, Pier Carlo Zorzato, Giulia Biancotto, Mariachiara Bosco, Simone Garzon

Abstract readSystematic ReviewMeta-AnalysisReview
In one paragraph

Synthesis in Journal of pregnancy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

8 authors.

Stefano UccellaUnit of Obstetrics and Gynecology, Department of Surgery, Dentistry, Pediatrics, and Gynecology, AOUI Verona, University of Verona, Verona, Italy, univr.it.ORCID https://orcid.org/0000-0002-4456-0822
Chiara CaspriniUnit of Obstetrics and Gynecology, Department of Surgery, Dentistry, Pediatrics, and Gynecology, AOUI Verona, University of Verona, Verona, Italy, univr.it.ORCID https://orcid.org/0009-0001-8434-1587
Giada ScaggianteUnit of Obstetrics and Gynecology, Department of Surgery, Dentistry, Pediatrics, and Gynecology, AOUI Verona, University of Verona, Verona, Italy, univr.it.
Nikolaos PapadopoulosUnit of Obstetrics and Gynecology, Department of Surgery, Dentistry, Pediatrics, and Gynecology, AOUI Verona, University of Verona, Verona, Italy, univr.it.
Pier Carlo ZorzatoUnit of Obstetrics and Gynecology, Department of Surgery, Dentistry, Pediatrics, and Gynecology, AOUI Verona, University of Verona, Verona, Italy, univr.it.
Giulia BiancottoUnit of Obstetrics and Gynecology, Department of Surgery, Dentistry, Pediatrics, and Gynecology, AOUI Verona, University of Verona, Verona, Italy, univr.it.ORCID https://orcid.org/0009-0005-9700-2057
Mariachiara BoscoUnit of Obstetrics and Gynecology, Department of Surgery, Dentistry, Pediatrics, and Gynecology, AOUI Verona, University of Verona, Verona, Italy, univr.it.ORCID https://orcid.org/0000-0002-2109-6182
Simone GarzonUnit of Obstetrics and Gynecology, Department of Surgery, Dentistry, Pediatrics, and Gynecology, AOUI Verona, University of Verona, Verona, Italy, univr.it.ORCID https://orcid.org/0000-0002-5840-699X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe main objective is to investigate the association between periconceptional or pregnancy exposure to hair dyes and obstetric and pediatric outcomes.

methodsA systematic literature search was conducted in Scopus, PubMed/MEDLINE, Web of Science, and CINAHL Ultimate from database inception to August 31, 2024. Studies were included based on PECO criteria: pregnant women and their newborns (population), exposure to hair dyes during periconception or pregnancy (exposure), no exposure (comparator), and any obstetric or pediatric complication (outcome). After screening 311 records and removing duplicates, 179 abstracts were reviewed, 29 full texts assessed, and 20 observational studies included. Four reviewers assessed bias and extracted data. Meta-analyses were performed using a random-effects model when appropriate.

resultsFew studies distinguished hair dye types or exposure timing. Periconceptional or pregnancy hair dye exposure was reported to be associated with stillbirth, low birth weight (Pooled OR 2.30; 95% CI 1.24-4.25), and low hormone levels; in the offspring, with allergic rhinitis, leukemia, neuroblastoma (pooled OR 1.79; 95% CI 1.20-2.68), Wilms tumor (pooled OR 6.00; 95% CI 1.22-29.46), germ cell tumors, and membranous ventricular septal defect. No association was observed with asthma (pooled OR 1.19; 95% CI 0.86-1.65), childhood brain tumors (pooled OR 1.06; 95% CI 0.88-1.28), or mental retardation. Based on the GRADE assessment, the certainty of evidence was low or very low.

conclusionsCurrent observational evidence suggests a potential association between periconceptional or pregnancy exposure to hair dyes and some adverse obstetric and pediatric outcomes. However, given the low and very low certainty of evidence and the retrospective nature of most included studies, these findings are hypothesis-generating and preclude causal inference. Further prospective studies are needed to confirm these preliminary associations and define the specific chemicals involved.

Indexed as

Hair DyesMaternal ExposurePrenatal Exposure Delayed EffectsFemaleHumansInfant, NewbornPregnancyPregnancy OutcomeHair Dyescarcinogen exposurechemical exposurecosmeticfetal malformationoccupational hazardteratogenstoxin

Identifiers

PMID42681959
PMCPMC13535154

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.