Exposure to trihalomethanes in drinking water and small-for-gestational-age births

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Summerhayes, R, Morgan, G, Edwards, H, Lincoln, D, Earnest, A, Rahman, B & Beard, J 2012, 'Exposure to trihalomethanes in drinking water and small-for-gestational-age births', Epidemiology, vol. 23, no. 1, pp. 15-22.

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BACKGROUND: Trihalomethanes in drinking water have been associated with higher occurrence of small-for-gestational-age (SGA) births, although results have been inconsistent.

METHOD: We geocoded residential address for mother of live, singleton, term births to 33 water distribution systems in a large metropolitan area of New South Wales, Australia (314,982 births between 1998 and 2004) and classified births into≥ 10 percentile of weight for gestational age. Mean trihalomethane exposure was estimated by trimester and for the entire pregnancy based on monthly sampling in each of the 33 water distribution systems. We estimated the relative risk (RR) of SGA for exposure to trihalomethanes using log-binomial regression adjusting for confounding.

RESULTS: SGA births increased with mother's third-trimester exposure to chloroform (RR = 1.04 [95% confidence interval = 1.02-1.06], across an interquartile range [IQR] = 25

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