Passive smoking and pregnancy outcome in central Poland

1 The present investigation was undertaken to evaluate the effect of environmental tobacco smoke (ETS) on the risk of preterm delivery (PD) and small-for-gestational age (SGA) infants in a female non-smoking population of central Poland. 2 The study group were 1751 women classified as non-smokers in the comprehensive project on 'ocio-economic and environmental risk factors of preterm delivery and small-for-gestational-age babies in cen-tral Poland' conducted on a randomly selected population of 2080 women who gave birth to a child between June 1, 1996 and May 31, 1997. The PD group comprised 95 non-smoking women who delivered before 37 weeks of pregnancy and the SGA group included 111 non-smoking mothers of babies with birthweight below the loth percentile of the standard curves for central Poland. Passive exposure to tobacco smoke was determined based on a structured interview. 3 In the stepwise multiple logistic regression model maternal passive smoke exposure lasting 7 h or more was found to be a significant risk factor for preterm delivery. No significant effect of passive smoking on the risk of SGA was observed. 4 The information about the adverse effects of ETS exposure on pregnancy duration and outcome should be incorporated in the health promotion programmes for women.

[1]  W. Hanke,et al.  Sociodemographic and environmental risk factors of preterm delivery and small-for-gestational-age babies , 1998 .

[2]  V. Haufroid,et al.  Urinary cotinine as a tobacco-smoke exposure index: a minireview , 1998, International archives of occupational and environmental health.

[3]  M. Hedegaard,et al.  The relation between psychosocial job strain, and preterm delivery and low birthweight for gestational age. , 1994, International journal of epidemiology.

[4]  I. Fortier,et al.  Passive smoking during pregnancy and the risk of delivering a small-for-gestational-age infant. , 1994, American journal of epidemiology.

[5]  J Pikkarainen,et al.  Objectively measured tobacco exposure during pregnancy: neonatal effects and relation to maternal smoking , 1993, British journal of obstetrics and gynaecology.

[6]  J. Zhang,et al.  Paternal smoking and birthweight in Shanghai. , 1993, American journal of public health.

[7]  S. Tominaga,et al.  Passive smoking by pregnant women and fetal growth. , 1991, Journal of epidemiology and community health.

[8]  L. Bodin,et al.  Tobacco smoke exposure and pregnancy outcome among working women. A prospective study at prenatal care centers in Orebro County, Sweden. , 1991, American journal of epidemiology.

[9]  S. Kira,et al.  Respiratory nicotine absorption in non-smoking females during passive smoking , 1991, International archives of occupational and environmental health.

[10]  L. Pederson,et al.  PASSIVE SMOKING AND LOW BIRTHWEIGHT , 1989, The Lancet.

[11]  P. Dowling.  Effects on birth weight of smoking, alcohol, caffeine, socioeconomic factors, and psychosocial stress , 1989 .

[12]  H. R. Anderson,et al.  Effects on birth weight of smoking, alcohol, caffeine, socioeconomic factors, and psychosocial stress. , 1989, BMJ.

[13]  Yue Chen,et al.  Passive smoking and low birthweight [letter] , 1989 .

[14]  J. Haddow,et al.  Second-trimester serum cotinine levels in nonsmokers in relation to birth weight. , 1988, American journal of obstetrics and gynecology.

[15]  J. Adams,et al.  Toxic and carcinogenic agents in undiluted mainstream smoke and sidestream smoke of different types of cigarettes. , 1987, Carcinogenesis.

[16]  M. Bracken,et al.  Association of low birth weight with passive smoke exposure in pregnancy. , 1986, American journal of epidemiology.

[17]  J. Leventhal,et al.  EFFECT OF PASSIVE SMOKING ON BIRTH-WEIGHT , 1986, The Lancet.

[18]  M. Horstmann.  Simple high-performance liquid chromatographic method for rapid determination of nicotine and cotinine in urine. , 1985, Journal of chromatography.

[19]  L. Gilstrap,et al.  Passive Smoking and Thiocyanate Concentrations in Pregnant Women and Newborns , 1984, Obstetrics and gynecology.

[20]  B. R. Kuhnert,et al.  Maternal passive smoking and fetal serum thiocyanate levels. , 1982, American journal of obstetrics and gynecology.

[21]  C. Rolles,et al.  TERTIARY SMOKING BY THE FETUS , 1982, The Lancet.

[22]  J. Iams,et al.  COTININE IN AMNIOTIC FLUIDS FROM PASSIVE SMOKERS , 1982, The Lancet.

[23]  J. Yerushalmy,et al.  The relationship of parents' cigarette smoking to outcome of pregnancy--implications as to the problem of inferring causation from observed associations. , 1971, American journal of epidemiology.

[24]  L M Dubowitz,et al.  Clinical assessment of gestational age in the newborn infant. , 1970, The Journal of pediatrics.

[25]  O'lane Jm,et al.  Parental smoking empirically related to pregnancy outcome. , 1967 .

[26]  M. Alpert,et al.  Infant weight and parental smoking habits. , 1965, American journal of epidemiology.