“…There is robust epidemiologic literature exploring the relationships between various birth defects and environmental exposures, including air, land, sociodemographic and water environments (Blaidsell, Turyk, Almberg, Jones, & Stayner, 2019; Brender et al, 2013; Brender, Zhan, Langlois, Suarez, & Scheuerle, 2008; Canfield et al, 2006; Cedergren, Selbing, Löfman, & Källen, 2002; Foster et al, 2017; Gilboa et al, 2005; Grazuleviciene, Kapustinskiene, Vencloviene, Buinauskiene, & Nieuwenhuijsen, 2013; Luben et al, 2009; Lupo et al, 2011; Marie et al, 2018; Messer et al, 2010; Padula et al, 2017; Rappazzo et al, 2016; Rocheleau et al, 2015; Rudani et al, 2014; Sanders et al, 2014; Spinder et al, 2017; Stingone et al, 2014; Vrijheid et al, 2000; Waller, Paul, Peterson, & Hitti, 2010; Wang et al, 2015; Wright, Evans, Kaufman, Rivera‐Núñez, & Narotsky, 2017; Zhou et al, 2017; Zhu et al, 2015). However, the majority of these studies examine only a single pollutant occurring in a single environmental domain.…”