“…However, the health impacts of LFS on susceptible pregnant women, another highly vulnerable group due to gestation-related physiological changes, such as an increased breathing rate during pregnancy 10 , are rarely discussed. Previous studies have shown that gestational exposure to air pollutants, including those derived from LPS and other emissions, are associated with abnormal placental vascular function and, consequently, low birthweight (LBW) 11 , preterm birth 12 , and small for gestational age 13 . Exposure to air pollution induces subclinical disorders, such as inflammation, oxidative stress, increased blood viscosity, mitochondrial methylation, and hypoxia 14,15 , which renders the association between LFS and adverse maternal outcomes biologically plausible.…”