Evaluations of environmental hazards to pregnancy often overlook the potent
ial for chemicals to disrupt the final event, childbirth. There are relativ
ely few epidemiologic studies on this topic and even fewer toxicologic inve
stigations. Mechanistic-based approaches offset many of the difficulties th
at are anticipated with intact laboratory animals, such as interspecies var
iability in the initiating events, and may allow for rapid and relevant ass
essment of potential chemical hazards. In vitro systems based on knowledge
of the cellular events that underlie parturition may, therefore, facilitate
investigation of toxicologic aspects of parturition. Nonetheless, limitati
ons of in vitro mechanistic-based approaches exist. Ultimately, the greates
t understanding of risk to pregnancy from environmental chemicals is likely
to result from the collaborative efforts of laboratory scientists and epid
emiologists.