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Blood Lead Levels in Pregnant Women and the Source of Exposure in Northern Coastal Area of Brebes Regency

1Faculty of Public Health, Majoring in Environmental Health, Diponegoro University, Indonesia

2Environmental Health, Public Health Faculty, Diponegoro University, Indonesia

Received: 6 Sep 2018; Published: 16 Nov 2018.
Open Access Copyright (c) 2018 Journal of Public Health for Tropical and Coastal Region

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Background: Lead has no advantage for health, pregnant women are vulnerable to lead exposure. Blood Lead Levels (BLLs) in pregnant women that exceed the quality standard in accordance with Center for Disease Control (CDC) (>5 μg/dL) can encounter spontaneous miscarriage and fatigue easily during pregnancy, BLLs in pregnant women < 10 μg/dL can induce health problem during pregnancy such as hypertension, preeclampsia, and eclampsia which is the cause of mortality in pregnant women and high maternal mortality. The aim of study to measure BBLs and the source of exposure.

Methods: Pregnant women in 2nd and 3rd trimester were recruited in 4 Subdistricts. Cross sectional study is used with 86 pregnant women located in Wanasari Subdistrict, Bulakamba Subdistrict, Losari Subdistrict and Tanjung Subdistrict with purposive sampling method. BLLs during pregnancy were determined by Atomic Adsorpiton Spectrometer.

Results: The results shows that mean of BLLs in pregnant women in this study were 42.437 + 19.758 μg/dL. The source of lead exposure are the habit of consuming seafood (44.2%), wrapping food using newspaper (80.2%), being involve in agricultural activity (37.2%), and passive smoking (70.9%).

Conclusions: To recapitulate, BBLs in pregnant women in the northern area of Brebes Regency have exceeded the standard set by the CDC of 5 μg/dL. The dominant source of lead exposure are the habit of wrapping food using newspaper and passive smoking.

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Keywords: Pregnant women; blood lead levels; coastal area

Article Metrics:

  1. G. Flora, D. Gupta, A. Tiwari. Toxicity of
  2. Lead: A Review with Recent Updates. Int. Tox
  3. , 47-58 (2012)
  4. A. Navas-Acien, E. Guallar, E.K. Sibergeld,
  5. S.J. Rothenberg. Lead Exposure and
  6. Cardiovascular Disease-A Systematic Review
  7. Env. Health. Pres. 115, 472-482 (2007)
  8. N.V. Solenkova, et. all. Metal Pollutants and
  9. Cardiovascular Disease. Amr. Heart. J. 168,
  10. -822 (2014)
  11. L. Zhou, et. all. Prenatal Maternal Stress in
  12. Relation to the Effects of Prenatal Lead
  13. Exposure on toddler cognitive development
  14. Neurotoxicology. 71-78 (2017)
  15. F. Bayat, S.A.A. Albari, A. Dabirioskeoi,
  16. M.Nasiri, A.Mellati. The Relationship between
  17. BLL and Preeclampsia. Elec. Phys. 8, 34503455
  18. (2016)
  19. Committee on Obsteric Practice. Lead
  20. Screening During Pregnancy and Lactation
  21. T.Amr. Coll. Of Obs ad Gyneco. 533,1-4
  22. (2012)
  23. I. Al Saleh, N. Shinwari, A. Mashhour, G.D
  24. Mohamed, A. Rabah. Heavy Metals in
  25. Meternal, Cord Blood, and Placenta of Healthy
  26. Women. Int. J. Hyg. Environ.Health. 214, 79101
  28. m-lead_toxicity_508.pdf
  29. BPS Brebes Regency. Kabupaten Brebes
  30. dalam Angka. 1-271 (2016)
  31. Suhartono, Budiyono, A. Kartini. Laporan
  32. Hasil Penelitian Kadar Pb dalam Darah dan
  33. Fungsi Tiroid pada Ibu Hamil di Daerah
  34. Pantai, Kabupaten Brebes (2016) (to be
  35. published)
  36. Guidelines for the identification and
  37. management of lead exposure in pregnant and
  38. lactating woman. (2010)
  40. lead_levels.htm
  41. A.L. Wani, A. Ara, J.A. Usmani. Lead
  42. toxicity: a review. Int.Tox. 8, 55-64 (2015)
  43. S. Li, J. Xu, Z. Lui, C.Yan. The non-linear
  44. association between low-level lead exposure
  45. and maternal stress among pregnant women
  46. Neuro. Toxic. 59,191-196 (2017)
  47. M.D. Esteban-vasallo, N. Aroganes, M.Pollan,
  48. G. Lopez-Abente, B. Perez-Gomez. Mercury, Cadmium, and Lead Levels in Human Placenta: A Systematic Review. Enviro
  49. Health. Pres. 120, 1369-1376 (2012)
  50. D.R. Wallace. Toxicity and Hazard of
  51. Agrochemicals: Environmental Pesticides and
  52. Heavy Metals-Role in Breast Cancer. Intech
  53. -70 (2015)
  54. B.E. Brigisdottir, H.K. Knutsen, M. Haugen,
  55. I.M Gjelstad, M.T.S, Jenssen, D.G. Ellingsen,
  56. Y. Thomassen, et. all. Essential and toxic
  57. element consentrations in blood and urine and
  58. their associations with diet: Results from a
  59. Norwegian population study including highconsumers of seafood and game. Sci. Total. Enviro. 463-464 (2013)
  60. E. Hartanti. Kadar Pb dalam Darah pada
  61. Wanita Usia Subur di Daerah Pertanian. J
  62. Viskes. 9, 70-78 (2010)
  63. E. Hartanti. Kadar Plumbum Dalam Umbi
  64. Bawang merah di kecamatan Kersana
  65. Kabupaten Brebes. J. Viskes. 10, 69-75 (2011)
  66. M.W. Ashraf. Levels of Heavy Metals in
  67. Popular Cigarette Brands and Exposure to
  68. These Metals via Smoking. The Sci World. J
  69. -5 (2012)
  70. M. Chelchowska, K. Jablonka-salach, S
  71. Ambroszkiewicz, T. Maciejewski, J
  72. Gajewiska, E. Bulska, T. Laskowska-Klita, J
  73. Leibschang, J. Bariciszewski. Effect of
  74. Cigarette Smoking on Blood Lead Levels in
  75. Pregnant Women. Med Wieku Rozwoj. 16,
  76. -204. (2012)
  78. /#fft
  79. A. Dursun, K. Yurdakok, S.S Yalcin, G
  80. Tekinalp, O, Aykut, G. Orhan, G.K. Morgil
  81. Maternal Risk Factors Associated with Lead,
  82. Mercury, and Cadmium in umbilical cord
  83. blood, breast milk, and newborn hair
  84. Maternal-Fetal and Neonatal Med. J. (2015)
  86. K. Liu, J. Hao, J. Shi, C. Dai, X. Guo. Blood
  87. Lead Levels During Pregnancy and Its
  88. Influencing Factors in Nanjing, China
  89. Chinese Med. Sci. J. 28, 95-101 (2013)
  90. B. Sharma, S. Singh, N.J Siddiqi. Biomedical
  91. Implications of Heavy Metals Induced
  92. Imbalances in Redox Systems. BioMed R. Int
  93. -26. (2014)
  94. A.S. Ettinger, H. Hu, M.H. Avila Dietary
  95. Calcium Supplementation to Lower Blood
  96. Lead Levels in Pregnancy and Lactation. J
  97. Nutr Biochem. 18: 1-5. (2007)

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