Poor sanitation practices, particularly open defecation, among mothers to be are associated with a higher risk of adverse pregnancy outcomes than that among women with access to a latrine, according to a study carried out by an international team of researchers (Padhi BK et al. PLoS Med. 2015;12:e1001851).
Globally more than 1 billion people—638 million living in India—practice open defecation. This practice can expose people to contact with human feces, promoting infection. Such practices may contribute to adverse pregnancy outcomes, although a clear causal link has not been demonstrated.
Friedrich MJ. Poor Sanitation Practices Associated With Adverse Pregnancy Outcomes. JAMA. 2015;314(11):1107. doi:10.1001/jama.2015.11112