Maternal and fetal blood lead concentrations under non-occupational lead exposure and associated factors in Pakistan

This study in selected Pakistani populations was conducted to determine the blood lead levels (BLL) in mothers and their developing fetuses. Associated factors were correlated with the maternal BLL. Blood samples from 113 pregnant women and their umbilical cords were examined for BLL and cord blood lead levels through a graphite furnace-attached atomic absorption spectrophotometer. A structured questionnaire was also used to obtain sociodemographic and obstetric data based on basic demographic data, reproductive history, hemoglobin levels, gestational age, parity, mode of delivery, maternal and baby weight, drinking water, menarche age, blood pressure, lead (Pb)-containing eye liner use, smoking, and nutritional status. In order to assess the strength of the relationship between different parameters, Pearson's coefficient correlation was utilized and their significance was determined by applying the t-test. Data demonstrated that the maternal BLL were always higher than the recommended concentrations of 10 µg/dl and many factors contributed towards such results. Drinking water seemed to affect the Pb concentration as women using spring water had relatively higher BLL. The calcium concentration in pregnant women and their fetuses ranged from 9 to 13 mg/dl. Majority of the pregnant women were undergraduates with 12 years of education (equivalent to high school in the United States). Evidence indicates that the avoidance of Pb intake and its associated factors in the study area will diminish risk to newborns.