CC BY 4.0 · Rev Bras Ginecol Obstet 2021; 43(11): 870-877
DOI: 10.1055/s-0041-1736173
Review Article

Can Prenatal and Postnatal Cell Phone Exposure Increase Adverse Maternal, Infant and Child Outcomes?

A exposição pré-natal e pós-natal a telefones celulares pode aumentar os resultados adversos para mães, bebês e crianças?
1   Department of Midwifery, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
,
2   Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran
,
3   Department of Gynecology and Obstetrics, Shahid Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
,
2   Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran
,
4   Clinical Research Unit, Mashhad University of Medical Sciences, Mashhad, Iran
,
5   Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
,
6   Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
› Author Affiliations

Abstract

Objective To determine the association between maternal mobile phone use and adverse outcomes in infants, children, and mothers.

Method In March 202, we conducted a search on the MEDLINE, Embase, and Scopus databases. Data extraction and an assessment of the quality of the studies were performed by two authors. The quality of the studies was assessed using the checklist of the Newcastle-Ottawa scale.

Results Studies assessing behavioral problems in infants aged 6 to 18 months reported null findings. However, an increased risk of emotional and behavioral disorders was observed in children aged between 7 and 11 years whose mothers had been exposed to cell phones. The findings regarding the association between maternal cell phone exposure and adverse outcomes in children aged 3 to 5 are controversial. A study found a significant association between the call time (p = 0.002) or the history of mobile phone use (in months) and speech disorders in the children (p = 0.003). However, another study found that maternal cell phone use during pregnancy was not significantly associated with child psychomotor and mental developments. Inconclusive results were observed about the adverse outcomes in fetuses, such as fetal growth restriction or t scores for birth weight in cell phone users as opposed to non-users. On the contrary, the children of mothers who were cell phone users had a lower risk of scoring low on motor skills. Similar results were observed regarding the adverse outcomes of cell phone use in infants, such as fetal growth restriction or low birth weight, and the risk of preeclampsia was lower among subjects with medium and high cell phone exposure, as opposed to those with low exposure.

Conclusion Studies on behavioral problems have reported different postnatal results, such as null findings among infants and a positive association in children.

Resumo

Objetivo Determinar a associação entre o uso de telefone celular pela mãe e os resultados adversos em recém-nascidos crianças e mães.

Método Em março de 2020 realizou-se uma pesquisa nas bases de dados MEDLINE, Embase e Scopus. A extração de dados e avaliação da qualidade dos estudos foram realizadas por dois autores. A qualidade dos estudos foi avaliada por meio da lista de verificação da escala Newcastle-Ottawa.

Resultados Estudos que avaliavam problemas comportamentais em recém-nascidos de 6 a 18 meses relataram resultados nulos. No entanto um risco aumentado de transtornos emocionais e comportamentais foi observado em crianças de 7 a 11 anos de idade cujas mães foram expostas a telefones celulares. Os resultados relacionados à associação entre a exposição materna a celulares e resultados adversos em crianças de 3 a 5 anos são controversos. Um estudo encontrou associação significativa entre o tempo de ligação (p = 0.002) ou o histórico de uso de celular (em meses) e distúrbios de fala nas crianças (p = 0.003). No entanto outro estudo descobriu que o uso de telefone celular pela mãe durante a gravidez não estava significativamente associado ao desenvolvimento psicomotor e mental da criança. Resultados inconclusivos foram observados com relação aos resultados adversos de fetos como restrição de crescimento intrauterino ou valores de t para peso ao nascer em usuárias de telefone celular em oposição a não usuárias. Pelo contrário os filhos de mães usuárias de telefone celular apresentaram menor risco de pontuação baixa em habilidades motoras. Resultados semelhantes foram observados com relação a resultados adversos em recém-nascidos como restrição de crescimento intrauterino ou valores de peso ao nascere o risco de pré-eclâmpsia foi menor em indivíduos com exposição média e alta a celulares em oposição àqueles com baixa exposição.

Conclusão Estudos sobre problemas comportamentais relataram resultados diferentes no pós-natal como achados nulos em recém-nascidos e associação positiva em crianças.

Contributors

All authors participated in the concept and design of the study, as well as in the analysis and interpretation of data, draft or revision of the manuscript, and they have approved the manuscript as submitted. All authors are responsible for the reported research.




Publication History

Received: 16 December 2020

Accepted: 08 August 2021

Article published online:
06 December 2021

© 2021. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • References

  • 1 Sumarlam S, Marmanto S. Politeness and Impoliteness in Directives: A Study on the Students-Lecturers Interaction. 2018
  • 2 Tanvir S, Thuroczy G, Selmaoui B, Pires-Antonietti VS, Sonnet P, Lévêque P. et al., editors. Effects of cell phone radiofrequency exposure on the human cytochrome P450 reductase. Journées Scientifiques URSI-France JS'12 “Champs électromagnétiques: de la dosimétrie à la santé humaine”. 2012
  • 3 Lu X, Oda M, Ohba T, Mitsubuchi H, Masuda S, Katoh T. Association of excessive mobile phone use during pregnancy with birth weight: an adjunct study in Kumamoto of Japan Environment and Children's Study. Environ Health Prev Med 2017; 22 (01) 52 DOI: 10.1186/s12199-017-0656-1.
  • 4 Papadopoulou E, Haugen M, Schjølberg S, Magnus P, Brunborg G, Vrijheid M. et al. Maternal cell phone use in early pregnancy and child's language, communication and motor skills at 3 and 5 years: the Norwegian mother and child cohort study (MoBa). BMC Public Health 2017; 17 (01) 685 DOI: 10.1186/s12889-017-4672-2.
  • 5 Birks L, Guxens M, Papadopoulou E, Alexander J, Ballester F, Estarlich M. et al. Maternal cell phone use during pregnancy and child behavioral problems in five birth cohorts. Environ Int 2017; 104: 122-131 DOI: 10.1016/j.envint.2017.03.024.
  • 6 Shirai T, Wang J, Kawabe M, Wake K, Watanabe SI, Takahashi S. et al. No adverse effects detected for simultaneous whole-body exposure to multiple-frequency radiofrequency electromagnetic fields for rats in the intrauterine and pre- and post-weaning periods. J Radiat Res (Tokyo) 2017; 58 (01) 48-58 DOI: 10.1093/jrr/rrw085.
  • 7 Choi KH, Ha M, Ha EH, Park H, Kim Y, Hong YC. et al. Neurodevelopment for the first three years following prenatal mobile phone use, radio frequency radiation and lead exposure. Environ Res 2017; 156: 810-817 DOI: 10.1016/j.envres.2017.04.029.
  • 8 Sudan M, Olsen J, Arah OA, Obel C, Kheifets L. Prospective cohort analysis of cellphone use and emotional and behavioural difficulties in children. J Epidemiol Community Health 2016; 70 (12) 1207-1213 DOI: 10.1136/jech-2016-207419.
  • 9 Divan HA, Kheifets L, Obel C, Olsen J. Prenatal and postnatal exposure to cell phone use and behavioral problems in children. Epidemiology 2008; 19 (04) 523-529 DOI: 10.1097/EDE.0b013e318175dd47.
  • 10 Divan HA, Kheifets L, Obel C, Olsen J. Cell phone use and behavioural problems in young children. J Epidemiol Community Health 2012; 66 (06) 524-529 DOI: 10.1136/jech.2010.115402.
  • 11 Zarei S, Mortazavi SM, Mehdizadeh AR, Jalalipour M, Borzou S, Taeb S. et al. A challenging issue in the etiology of speech problems: the effect of maternal exposure to electromagnetic fields on speech problems in the offspring. J Biomed Phys Eng 2015; 5 (03) 151-154
  • 12 Vrijheid M, Martinez D, Forns J, Guxens M, Julvez J, Ferrer M. et al. Prenatal exposure to cell phone use and neurodevelopment at 14 months. Epidemiology 2010; 21 (02) 259-262 DOI: 10.1097/EDE.0b013e3181cb41e0.
  • 13 Divan HA, Kheifets L, Olsen J. Prenatal cell phone use and developmental milestone delays among infants. Scand J Work Environ Health 2011; 37 (04) 341-348 DOI: 10.5271/sjweh.3157.
  • 14 Guxens M, van Eijsden M, Vermeulen R, Loomans E, Vrijkotte TG, Komhout H. et al. Maternal cell phone and cordless phone use during pregnancy and behaviour problems in 5-year-old children. J Epidemiol Community Health 2013; 67 (05) 432-438 DOI: 10.1136/jech-2012-201792.
  • 15 Sudan M, Kheifets L, Arah O, Olsen J, Zeltzer L. Prenatal and postnatal cell phone exposures and headaches in children. Open Pediatr Med J 2012; 6 (2012): 46-52 DOI: 10.2174/1874309901206010046.
  • 16 Baste V, Oftedal G, Møllerløkken OJ, Mild KH, Moen BE. Prospective study of pregnancy outcomes after parental cell phone exposure: the Norwegian Mother and Child Cohort Study. Epidemiology 2015; 26 (04) 613-621 DOI: 10.1097/EDE.000000000000029.
  • 17 Bellieni CV, Pinto I. Fetal and neonatal effects of EMF [Internet]. BioInitiative Working Group; 2012 [cited 2020 Jul 12]. Available from: https://bioinitiative.org/wp-content/uploads/pdfs/sec19_2012_Fetal_neonatal_effects_EMF.pdf
  • 18 Kühn S, Cabot E, Christ A, Capstick M, Kuster N. Assessment of the radio-frequency electromagnetic fields induced in the human body from mobile phones used with hands-free kits. Phys Med Biol 2009; 54 (18) 5493-5508 DOI: 10.1088/0031-9155/54/18/010.
  • 19 Leena K, Tomi L, Arja R. Intensity of mobile phone use and health compromising behaviours – how is information and communication technology connected to health-related lifestyle in adolescence?. Journal of adolescence 2005; 28 (01) 35-47
  • 20 Ferraro FR, Holfeld B, Frankl S, Frye N, Halvorson N. Texting/iPod dependence, executive function and sleep quality in college students. Comput Human Behav 2015; 49: 44-49 DOI: 10.1016/j.chb.2015.02.043.
  • 21 Mishra RK, Pandey R, Chaki N, Choudhury S. Eds. “NeSen”-a tool for measuring link quality and stability of heterogeneous cellular network. Proceedings of the IEEE International Conference on Advanced Networks and Telecommuncations Systems (ANTS); 2015 Dec 15–18; Kolkata, India. Piscataway: IEEE; 2015.