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A recent risk assessment in pregnant women of Tacna, of this same population performed by our group, found that 70.25% were exposed to arsenic concentrations in drinking water\u2009\u2265\u200925\u00a0\u03bcg\/L. The present study aimed to evaluate the relationship between prenatal total urinary arsenic (U-tAs) and inorganic arsenic (U-iAs) with adverse birth outcomes. A total of 147 pregnant women from the province of Tacna, Peru, during February\u2013March, 2019, were evaluated for U-tAs and U-iAs exposure during their second trimester of pregnancy, while the birth records of their children were collected from the local hospital. The geometric mean U-tAs was 43.97\u2009\u00b1\u200925.88\u00a0\u03bcg\/L (P<jats:sub>50<\/jats:sub> 22.30, range 5.99\u2013181.94\u00a0\u03bcg\/L) and U-iAs was 5.27\u2009\u00b1\u20092.91\u00a0\u03bcg\/L. Controlling for maternal age, pre-pregnancy BMI, parity, mother\u2019s education, and newborn sex, no relationship was observed between tertile of U-tAs and the birth outcomes considered, although we found an apparent but statistically non-significant dose\u2013response relationship for small for gestational age 2.38% (95% CI 0.003, 0.16), versus 7.32% (95% CI 0.02, 0.21%), and versus 8.57% (95% CI\u00a00.03, 0.25%). This finding requires further evaluation considering other factors such as metabolic arsenic species, additional maternal covariates, and ethnicity.<\/jats:p>","DOI":"10.1007\/s12403-020-00377-2","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T15:03:48Z","timestamp":1598972628000},"page":"133-140","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Total Urinary Arsenic and Inorganic Arsenic Concentrations and Birth Outcomes in Pregnant Women of Tacna, Peru: A Cross-Sectional Study"],"prefix":"10.1007","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7172-0521","authenticated-orcid":false,"given":"Diego","family":"Fano-Sizgorich","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cinthya","family":"V\u00e1squez-Vel\u00e1squez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Yucra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"V\u00e1squez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricio","family":"Tokeshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio","family":"Aguilar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Ram\u00edrez-Atencio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana Boyd","family":"Barr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo F.","family":"Gonzales","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,9,1]]},"reference":[{"key":"377_CR1","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1016\/j.envres.2017.05.010","volume":"157","author":"KS Almberg","year":"2017","unstructured":"Almberg KS, Turyk ME, Jones RM, Rankin K, Freels S, Graber JM, Stayner LT (2017) Arsenic in drinking water and adverse birth outcomes in Ohio. 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