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Household Air Pollution and Pregnancy Outcome

Not Applicable
Completed
Conditions
Pregnancy
Interventions
Other: Traditional Cookstove
Other: Clean Cookstove
Registration Number
NCT02394574
Lead Sponsor
University of Chicago
Brief Summary

Exposure to Household air pollution (HAP) from burning biomass fuels is responsible for an estimated 2.5 million premature deaths and 3.7% of the loss of disability-adjusted life years (DALY) every year in developing countries.52-54 Of all environmental risks, such as unsafe water, poor sanitation, climate change and lead exposure, HAP accounts for the most mortality and DALY.55 Despite the magnitude of the problems associated with HAP, research on its health effects has been hindered by lack of accurate data on exposure and health outcomes. There are few studies available that report HAP exposures and development of adverse pregnancy outcomes from households using biomass fuels.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
307
Inclusion Criteria
  • Pregnant women who present to the hospital
  • Who cook exclusively with either kerosene or firewood
  • Before the fourteenth week of pregnancy as determined by ultrasound imaging
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Exclusion Criteria
  • Smoking women or women with smoking family members

  • Women with a high-risk pregnancy defined as:

    • Women with uncontrolled hypertension
    • Women greater than 35 years old carrying their first child
    • Women having triplets or more
    • Women who have had a previous C-section
    • Women carrying babies with fetal abnormalities or as determined by the obstetrician.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Traditional CookstoveTraditional CookstoveSubjects will use traditional firewood or kerosine cookstove and receive education on how to reduce air pollution exposures
Clean CookstoveClean CookstoveSubjects will use ethanol stoves using bioethanol
Primary Outcome Measures
NameTimeMethod
Adverse Pregnancy OutcomesAt birth

(first trimester miscarriages, intrauterine growth retardation, low birth weight (300gm less weight in controls relative to intervention group, premature deliveries (deliveries before 37 weeks of pregnancy) and still births.

Secondary Outcome Measures
NameTimeMethod
Reduction in personal exposure to PM2.5, CO and PAHAt birth

Reduction in personal exposure to PM2.5, CO and PAH in the Ethanol intervention group relative to the control (kerosene/firewood) group

Trial Locations

Locations (1)

College of Medicine. University of lbadan, Ibadan

🇳🇬

Ibadan, Nigeria

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