The members of the Knowledge Synthesis Group on Determinants of LBW/preterm births are as follows: Vibhuti Shah, Kellie E. Murphy, Fran Scott, Joseph Beyene, University of Toronto, Toronto; Sarah D McDonald, Eileen Hutton, McMaster University, Hamilton; Christine Newburn-Cook, University of Alberta, Edmonton; Corine Frick, University of Calgary, Calgary; Victoria Allen, Dalhousie University, Halifax, Canada.
Effects of the September 11, 2001 disaster on pregnancy outcomes: a systematic review
Article first published online: 26 NOV 2010
© 2010 The Authors Acta Obstetricia et Gynecologica Scandinavica© 2010 Nordic Federation of Societies of Obstetrics and Gynecology
Acta Obstetricia et Gynecologica Scandinavica
Volume 90, Issue 1, pages 6–18, January 2011
How to Cite
OHLSSON, A., SHAH, P. S. and the Knowledge Synthesis Group of Determinants of Preterm/LBW births (2011), Effects of the September 11, 2001 disaster on pregnancy outcomes: a systematic review. Acta Obstetricia et Gynecologica Scandinavica, 90: 6–18. doi: 10.1111/j.1600-0412.2010.01020.x
Conflict of interest The authors have stated explicitly that there are no conflicts of interest in connection with this article.
- Issue published online: 5 JAN 2011
- Article first published online: 26 NOV 2010
- Accepted manuscript online: 18 OCT 2010 07:29AM EST
- Received: 26 June 2010Accepted: 25 September 2010
- World Trade Center;
- terrorist attack;
- pregnancy outcomes;
Background. The terrorist explosions of the World Trade Center in New York City and the other events on the Pentagon and in Pennsylvania on 11 September 2001 were stressful events that affected people around the world. Pregnant women and their offspring are especially vulnerable during and after such a terrorist attack. The objective was to systematically review the risks of adverse pregnancy outcomes after the terrorist attacks on Sept 11, 2001. Methods. The Meta-analysis of Observational Studies in Epidemiology (MOOSE) criteria were used for reporting of this review. Statistical analyses were performed using RevMan 5.0. Results. Ten reports of low-to-moderate risk of methodological bias were included. There was increased risks of infants with birthweight of 1,500 g–1,999 g (adjusted odds ratio [AOR] 1.67 [95%CI 1.11–2.52]) and small-for-gestational age births (AOR 1.90; 95%CI 1.05–3.46) in New York. There was increased risks of low birthweight (relative risk 2.25; 95%CI 1.29–3.90) and preterm births (relative risk 1.50; 95%CI 1.06–2.14) among ethnically Arabic women living in California There was a reduction in birthweight by 276 g and in head circumference by 1 cm when DNA adducts, a marker for environmental toxin exposure, were doubled in maternal blood. In Holland, a 48-g reduction in birthweight was reported. Conclusions. The World Trade Center disaster influenced pregnancy outcomes in New York, among ethnically Arab women living in California and among Dutch women. The adverse outcomes are likely due to environmental pollution and stress in New York, ethnic harassment in California and communal bereavement and stress in Holland.