Table 3

Risk of PROM associated with the levels of Pb in maternal urine, stratified by parity

Pb levels*
(μg/g creatinine)
Primiparous (n=6159)Multiparous (n=1131)P for interaction
NOR (95% CI)OR (95% CI)NOR† (95% CI)OR‡(95% CI)
T12201.001.00201.001.00<0.01
T22681.25 (1.04 to 1.51)1.24 (1.03 to 1.50)241.21 (0.66 to 2.23)1.21 (0.65 to 2.25)
T33181.52 (1.27 to 1.83)1.52 (1.27 to 1.83)311.59 (0.89 to 2.84)1.57 (0.87 to 2.83)
P for trend<0.01<0.010.110.13
  • *Pb levels: primiparous, T1 (<2.66), T2 (2.66–4.71), T3 (≥4.71); multiparous, T1 (<2.61), T2 (2.61–4.61), T3 (≥4.61).

  • †Unadjusted OR.

  • ‡Adjusted for maternal age, family income, pre-BMI, passive smoking and pregnancy-induced hypertension.

  • BMI, body mass index; Pb, lead; PROM, premature rupture of membranes; T, tertile.