
Erika Krumbeck, ND, FABNP
Read time: 3 minutes

Per- and polyfluoroalkyl substances (PFAS) are persistent environmental pollutants linked to various health concerns. A recent study sheds light on their alarming connection to inflammation during pregnancy, particularly among African American women. How do these chemicals affect maternal and fetal health, and what can be done to mitigate the risks? Let’s explore the latest scientific findings.
Unveiling PFAS and Their Impact on Pregnancy
PFAS are synthetic chemicals found in everyday products like food packaging, nonstick cookware, and personal care items. Their persistence in the environment means they can accumulate in human blood, with growing evidence of their ability to cross the placenta and impact fetal development.
A study conducted within the Atlanta African American Maternal-Child Cohort analyzed PFAS levels in pregnant women and their potential links to inflammatory biomarkers. The results highlight a concerning association between PFAS exposure and elevated inflammation, which could contribute to adverse pregnancy outcomes.
Key Findings from the Study
1. PFAS Detected in Over 90% of Participants
Researchers found that PFAS were present in the blood of more than 90% of the 425 pregnant women studied, with some chemicals detected at significantly high levels. This widespread exposure raises concerns about their long-term health effects.
2. Increased Inflammation in Late Pregnancy
The study measured inflammatory markers such as tumor necrosis factor-alpha (TNF-α), interleukin 6 (IL-6), and C-reactive protein (CRP). PFAS exposure was associated with heightened inflammation, particularly in the later stages of pregnancy. Elevated TNF-α levels were observed at 24–30 weeks, with a 29% increase linked to higher PFAS concentrations.
3. PFOS as the Main Culprit
Among the different PFAS analyzed, perfluorooctane sulfonic acid (PFOS) was consistently identified as the strongest driver of inflammation. This chemical, widely used in industrial applications, has been linked to immune system disruption and adverse birth outcomes in previous research.
Potential Health Implications
- Higher Risk of Pregnancy Complications: Chronic inflammation is associated with conditions like preeclampsia, preterm birth, and restricted fetal growth.
- Disrupted Immune Function: PFAS may interfere with cytokine balance, impacting the body’s ability to regulate inflammation effectively.
- Long-Term Effects on Child Development: Prenatal exposure to inflammatory stressors has been linked to developmental delays and increased risk of chronic diseases later in life.
What Can Be Done?
The study underscores the need for more stringent regulations on PFAS use and further research into their health effects. In the meantime, individuals can take steps to reduce exposure by:
- Choosing natural fiber clothing and personal care products free of PFAS
- Using PFAS-free cookware and food packaging
- Filtering drinking water to remove contaminants
The Takeaway
The link between PFAS exposure and increased inflammation during pregnancy highlights a pressing environmental health issue. While more research is needed to fully understand the long-term consequences, these findings call for urgent action to minimize exposure, particularly among vulnerable populations.
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