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09, 95% CI 1.01-1.18) and stillbirth, but the association between the maternal exposure to PM (per 10μg/m increased) in the first trimester (OR 1.01, 95% CI 0.90-1.13) and second trimester (OR 1.06, 95% CI 0.98-1.14) and stillbirth was not statistically significant. Besides, there was no publication bias. Maternal exposure to PM in the entire pregnancy and third trimester was associated with elevated risk of stillbirth. However, due to the high heterogeneity, further pathophysiological researches and high quality population studies were