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2349576 
Journal Article 
The relationship between birth weight, gestational age and perfluorooctanoic acid (PFOA)-contaminated public drinking water 
Nolan, LA; Nolan, JM; Shofer, FS; Rodway, NV; Emmett, EA 
2009 
Reproductive Toxicology
ISSN: 0890-6238
EISSN: 1873-1708 
PERGAMON-ELSEVIER SCIENCE LTD 
OXFORD 
27 
3-4 
231-238 
English 
BACKGROUND: Recent studies have examined the associations between perfluorooctanoic acid (PFOA) levels in cord blood and maternal plasma with lowered birth weight and gestational age in humans; however, no study has examined these effects in a population of known high PFOA exposure. Residents drinking PFOA-contaminated water from the Little Hocking Water Association (LHWA) in Washington County, Ohio have serum PFOA levels approximately 80 times those in the general U.S. population.

OBJECTIVES: To compare birth weights and gestational ages of neonates born to mothers residing in zip codes with water service provided completely, partially or not at all by the LHWA.

METHODS: Multiple logistic and linear regression analyses were performed on singleton neonatal birth weight data supplied by the Ohio Department of Health to examine the associations between LHWA water service category (used as a surrogate for PFOA exposure) with mean birth weight, mean gestational age, the likelihood of low birth weight (<2500 g), and the likelihood of preterm birth (<37 completed weeks of gestation). All models were adjusted for maternal age, gestational age, sex, race and population-level socioeconomic status.

RESULTS: The incidence of low birth weight, preterm birth, mean birth weight and mean gestational age of neonates did not significantly differ among water service categories.

CONCLUSION: Markedly elevated PFOA exposure, as categorized by water service category, is not associated with increased risk of lowered birth weight or gestational age. This study does not confirm earlier findings of an association between PFOA and lowered birth weight observed at normal population levels. 
Perflurooctanoic acid; PFOA; C8; Birth weight; Low birth weight; Gestational age; Preterm gestation; Fetal development; Little hocking water 
Workshop on Perfluorooctanoic Acid Toxicokinetics and Mechanisms of Toxicity 
Res Triangle Pk, NC 
PFAS
• Additional PFAS (formerly XAgency)
     Literature Search November 2019
          Other Sources
               ATSDR
     Screened Studies
          Excluded
               Exclude (TIAB)
• Expanded PFAS SEM (formerly PFAS 430)
     Litsearch: September 2019
          PubMed
     Not prioritized for screening
     Potassium perfluorooctanoate
     Sodium perfluorooctanoate
• PFAS 150
     Literature Search August 2019
          PubMed
          Web of Science
          Other sources
               ATSDR
     Screened Studies
          Excluded
               Exclude (TIAB)
     Ammonium perfluorooctanoate
     Perfluorooctanoic acid
• PFAS Universe
     Data Source
          Web of Science
          Pubmed
     Perfluorooctanoate
     Perfluorooctanoic acid