17/10/2026
New research has looked at whether the air we breathe during pregnancy can affect a child’s development later on.
Researchers followed mothers and children in Ulaanbaatar and found that higher indoor PM₂.₅ exposure during pregnancy was associated with lower cognitive scores at age four, with the strongest association in the first trimester.
It’s one observational study and it has limitations. Exposure was modelled, pollution levels were much higher than in most of the UK and the confidence interval crossed zero, so it does not prove PM₂.₅ lowers IQ by a specific number of points.
But it doesn’t sit on its own.
In the same research programme, pregnant women were randomly given HEPA air cleaners or no air cleaner. The HEPA group had lower particle exposure and their children scored higher on average on cognitive testing at age four.
A 2024 review of 4,860 children also found higher PM₂.₅ exposure during pregnancy and childhood was associated with lower cognitive performance overall.
For me, the bigger point is this: we should be protecting babies and children from air pollution from the very beginning.
If exposure during pregnancy may affect a developing brain, why would our concern stop at birth?
When I was pregnant and travelling on the London Underground, I wore an FFP3 because the particulate pollution down there is so high. After a couple of wears you could see what had collected on the mask 🤮
At home, I ran HEPA filters on high-pollution days and avoided adding unnecessary pollution indoors.
PM indoors can come from candles and incense, frying, wood burning, smoking and va**ng, fragrance products and outdoor pollution coming in.
None of us can remove every exposure. Air pollution is a public-health problem too. But there are things we can do to reduce it.
You can sign up for Government air-quality alerts and get notified when pollution is forecast to be high in your area.
If you’re an employer, teacher, childminder, governor or parent and want to understand how your setting can reduce pollution exposure, you can enquire about Clean Air Where training.
Studies in comments.