Associations between exposure to air pollutants and in vitro fertilization outcomes: a systematic review and meta-analysis

We have undertaken a systematic review and meta-analysis to investigate the association between maternal exposure to air pollutants and outcomes of in vitro fertilization (IVF). Studies were identified through a comprehensive online search. After standardizing all air pollution concentrations to 10 mu g/m3, we analyzed the levels of six air pollutants (PM2.5, PM10, O3, NO2, CO, and SO2) by applying a random effects model. A total of five articles met inclusion criteria upon final reviewing. Exposure to PM10, NO2, and CO was linked to the risk of ectopic pregnancy, while exposure to O3 was found to have a reverse association with biochemical pregnancy. Additionally, our analysis indicated a negative association between exposure to PM10, NO2, CO, and SO2 and live birth rates, as well as between NO2 exposure and intrauterine pregnancy. Our study emphasized the relationship between exposure to ambient air pollution and negative effects on pregnancy outcomes for women undergoing IVF.