Ecological risk assessment The teratogenic index (TI) of NSAIDs in the urban water cycle is shown in Fig. 3. A teratogen is any agent that can cause malformation or abnormality in foetal development during pregnancy. Teratogens are usually discovered after an increased prevalence of a particular congenital disability (District of Columbia Department of Health, 2010). The TI values can estimate the risk of teratogenic effects of contaminants on embryo development.