title: Reproductive Outcomes Following Maternal Exposure to the Events of September 11, 2001, at the World Trade Center, in New York City.
abstract: To estimate associations between exposure to the events of September 11, 2001, (9/11) and low birth weight (LBW), preterm delivery (PD), and small size for gestational age (SGA).
  
  
  
  We matched birth certificates filed in New York City for singleton births between 9/11 and the end of 2010 to 9/11-related exposure data provided by mothers who were World Trade Center Health Registry enrollees. Generalized estimating equations estimated associations between exposures and LBW, PD, and SGA.
  
  
  
  Among 3360 births, 5.8% were LBW, 6.5% were PD, and 9% were SGA. Having incurred at least 2 of 4 exposures, having performed rescue or recovery work, and probable 9/11-related posttraumatic stress disorder 2 to 3 years after 9/11 were associated with PD and LBW during the early study period.
  
  
  
  Disasters on the magnitude of 9/11 may exert effects on reproductive outcomes for several years. Women who are pregnant during and after a disaster should be closely monitored for physical and psychological sequelae.
  
  
  
  In utero and maternal disaster exposure may affect birth outcomes. Researchers studying effects of individual disasters should identify commonalities that may inform postdisaster responses to minimize disaster-related adverse birth outcomes.
authors.affiliation: Carey B. Maslow, Kimberly Caramanica, Jiehui Li, Steven D. Stellman, and Robert M. Brackbill are with the World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, Long Island City, NY. Steven D. Stellman is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.
authors.forename: Carey B
authors.initials: CB
authors.lastname: Maslow
authors.affiliation: Carey B. Maslow, Kimberly Caramanica, Jiehui Li, Steven D. Stellman, and Robert M. Brackbill are with the World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, Long Island City, NY. Steven D. Stellman is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Caramanica
authors.affiliation: Carey B. Maslow, Kimberly Caramanica, Jiehui Li, Steven D. Stellman, and Robert M. Brackbill are with the World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, Long Island City, NY. Steven D. Stellman is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.
authors.forename: Jiehui
authors.initials: J
authors.lastname: Li
authors.affiliation: Carey B. Maslow, Kimberly Caramanica, Jiehui Li, Steven D. Stellman, and Robert M. Brackbill are with the World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, Long Island City, NY. Steven D. Stellman is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.
authors.forename: Steven D
authors.initials: SD
authors.lastname: Stellman
authors.affiliation: Carey B. Maslow, Kimberly Caramanica, Jiehui Li, Steven D. Stellman, and Robert M. Brackbill are with the World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, Long Island City, NY. Steven D. Stellman is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.
authors.forename: Robert M
authors.initials: RM
authors.lastname: Brackbill
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D018811:Maternal Exposure / Q000009:adverse effects / Q000706:statistics & numerical data; D009519:New York City / Q000453:epidemiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D047928:Premature Birth / Q000453:epidemiology; D012042:Registries / Q000706:statistics & numerical data; D012307:Risk Factors; D047851:September 11 Terrorist Attacks / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology