Bisphenols, parabens, and triclosan (TCS) are common
endocrine
disrupters used in various consumer products. These chemicals have
been shown to cross the placental barrier and affect intrauterine
development of fetuses. In this study, we quantified serum levels
of six bisphenols, five parabens, and TCS in 483 pregnant women from
southern China. Quantile-based g-computation showed that combined
exposure to bisphenols, parabens, and TCS was significantly (p < 0.05) and negatively associated with birth weight
(β = −39.9, 95% CI: −73.8, −6.1), birth
length (β = −0.19, 95% CI: −0.34, −0.04),
head circumference (β = −0.13, 95% CI: −0.24,
−0.02), and thoracic circumference (β = −0.16,
95% CI: −0.29, −0.04). An inverse correlation was also
identified between mixture exposure and gestational age (β =
−0.12, 95% CI: −0.24, −0.01). Bisphenol A (BPA),
bisphenol Z (BPZ), bisphenol AP (BPAP), propylparaben (PrP), and TCS
served as the dominant contributors to the overall effect. In subgroup
analyses, male newborns were more susceptible to mixture exposure
than females, whereas the exposure–outcome link was prominent
among pregnant women in the first and second trimesters. More evidence
is warranted to elucidate the impacts of exposure to mixtures on birth
outcomes, as well as the underlying mechanisms.