The Environmental Factors and Embryonic Development Project was set up to investigate environmental exposures and behavioral factors responsible for embryonic dysplasia and gestational complications in pregnant women.
The Environmental Factors and Embryonic Development Project is about to recruit pregnant women from 16 cities, including Beijing, Guangzhou, Jinan, Nanjing, Hangzhou, Wuhan, Zunyi, Xiangyang, Nantong, Suizhou, Huangshi, Changzhou, Suqian, Shiyan, Xiaogan, and Huanggang. The project plans to recruit 6000-12000 participants in each city. Biological samples, questionnaires and data for embryonic dysplasia and gestational complications of pregnant women will be collected. The study includes four stages. In the first stage, the investigators will identify external environmental factors and behavioral factors that are associated with embryonic dysplasia and gestational complications in pregnant women based on external exposure monitoring strategies. In the second and third stages, the investigators will conduct several nested case-control studies based on our prospective cohort. Internal exposure monitoring will be applied to identify environmental endocrine disruptors which are associated with embryonic dysplasia and gestational complications in pregnant women in the second stage. In the third stage, the investigators will conduct genome-wide association study (GWAS) to screen susceptible genes or polymorphisms that are associated with embryonic dysplasia and gestational complications in pregnant women, identify any gene-environmental interactions with reference to the findings of the 1st and 2nd stages, and finally establish a comprehensive disease risk prediction model. In the fourth stage, the investigators will build animal models in order to identify the mechanisms how high-risk environmental exposures or behavioral factors as identified in the above stages may lead to embryonic dysplasia and gestational complications in pregnant women. The research team of the 16 cities are from Peking University (Beijing), Sun Yat-sen University (Guangzhou), Shandong University (Jinan), Chinese People's Liberation Army Eastern Theater General Hospital (Nanjing, Nantong, Changzhou, and Suqian), Zhejiang University (Hangzhou), Huazhong University of Science and Technology (Wuhan, Xiangyang, Suizhou, Huangshi, Shiyan, Xiaogan, and Huanggang), Zunyi Medical University (Zunyi), respectively. The core members of each research team are composed of experts from different disciplines in the field of public health.
Study Type
OBSERVATIONAL
Enrollment
100,000
This is a multi-city observational cohort study without intervention.
Haidian Maternal and Child Healthcare Hospital
Beijing, Beijing Municipality, China
RECRUITINGGuangdong General Hospital
Guangzhou, Guangdong, China
ACTIVE_NOT_RECRUITINGMeitan People's Hospital
Zunyi, Guizhou, China
ACTIVE_NOT_RECRUITINGRenhuai Hospital of Traditional Chinese Medicine
Zunyi, Guizhou, China
ACTIVE_NOT_RECRUITINGThe First Affiliated Hospital of Zunyi Medical University
Zunyi, Guizhou, China
ACTIVE_NOT_RECRUITINGThe Second Affliated Hospital of Zunyi Medical University
Zunyi, Guizhou, China
ACTIVE_NOT_RECRUITINGPeople's Hospital of Qichun County
Huanggang, Hubei, China
ACTIVE_NOT_RECRUITINGHuangshi Maternal and Child Healthcare Hospital
Huangshi, Hubei, China
ACTIVE_NOT_RECRUITINGShiyan Maternal and Child Healthcare Hospital
Shiyan, Hubei, China
ACTIVE_NOT_RECRUITINGMaternal and Child Healthcare and Family Planning Service Center of Zengdu District
Suizhou, Hubei, China
ACTIVE_NOT_RECRUITING...and 9 more locations
Incidence of spontaneous abortion
Time frame: up to 28 gestational weeks
Incidence of fetal death/stillbirth
Time frame: after 20 gestational weeks to delivery
Incidence of birth defects
Time frame: Delivery
Incidence of low birth weight
Time frame: Delivery
Incidence of preterm birth
Time frame: Delivery
Incidence of pregnancy with heart disease
Time frame: During pregnancy (up to 10 months)
Incidence of pregnancy with hyperthyroidism
Time frame: During pregnancy (up to 10 months)
Incidence of gestational diabetes
Time frame: During pregnancy (up to 10 months)
Incidence of gestational hypertension
Time frame: During pregnancy (up to 10 months)
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