Effects of maternal smoking on neonatal morbidity

In this paper a prospective study of the association between maternal smoking and neonatal morbidity variables is presented. Caucasian nulliparous women (n = 115) were studied throughout pregnancy, childbirth and puerperal period. Birthweight(-centiles), Apgar scores, mode of delivery, umbilical arterial and venous blood gas analyses, admission incidence to the neonatal ward and the neurological examination according to Prechtl were considered to be representatives for the starting condition of the newborns. The babies of smokers were statistically significantly at a disadvantage compared to babies of non-smokers for birthweight(-centiles), pH of the umbilical vein (medians: smokers 7.29, non-smokers 7.30) and the score of the neurological examination (medians: smokers 57, non-smokers 58).

[1]  F. Voorhorst,et al.  Assessment of tobacco-exposure during pregnancy; behavioural and biochemical changes. , 1991, European journal of obstetrics, gynecology, and reproductive biology.

[2]  J. Hebel,et al.  Prenatal exposure to tobacco: I. Effects on physical growth at age three. , 1990, International journal of epidemiology.

[3]  H. Bauchner,et al.  Jitteriness in full-term neonates: prevalence and correlates. , 1990, Pediatrics.

[4]  S Greenland,et al.  Risk factors for sudden infant death syndrome in the US Collaborative Perinatal Project. , 1989, International journal of epidemiology.

[5]  S. Cnattingius,et al.  Cigarette smoking as risk factor for late fetal and early neonatal death. , 1988, BMJ.

[6]  C. Stumpf,et al.  [Effect of risk factors on premature labor and neonatal condition following delivery]. , 1988, Zeitschrift fur Geburtshilfe und Perinatologie.

[7]  G H Land,et al.  The effects of maternal smoking on fetal and infant mortality. , 1988, American journal of epidemiology.

[8]  P. Yudkin,et al.  Obstetric factors associated with cord blood gas values at birth. , 1987, European journal of obstetrics, gynecology, and reproductive biology.

[9]  W. Gruber,et al.  Rauchen in der Schwangerschaft , 1986 .

[10]  W. Blackburn,et al.  Trend Associations of Smoking With Maternal, Fetal, and Neonatal Morbidity , 1986, Obstetrics and gynecology.

[11]  M. Lievaart,et al.  Acid‐Base Equilibrium in Umbilical Cord Blood and Time of Cord Clamping , 1984, Obstetrics and gynecology.

[12]  S. Garn,et al.  Effect of maternal cigarette smoking on Apgar scores. , 1981, American journal of diseases of children.

[13]  M. Smrkovsky,et al.  Obstetrical condition and neonatal neurological morbidity. An analysis with the help of the optimality concept. , 1980, Early human development.

[14]  I. Asmussen ULTRASTRUCTURE OF THE VILLI AND FETAL CAPILLARIES IN PLACENTAS FROM SMOKING AND NONSMOKING MOTHERS , 1980, British journal of obstetrics and gynaecology.

[15]  J G Aarnoudse,et al.  Arterial or venous umbilical pH as a measure of neonatal morbidity? , 1979, Early human development.

[16]  D. Saxton,et al.  The behaviour of infants whose mothers smoke in pregnancy. , 1978, Early human development.

[17]  R. Naeye EFFECTS OF MATERNAL CIGARETTE SMOKING ON THE FETUS AND PLACENTA , 1978, British journal of obstetrics and gynaecology.

[18]  J. Low,et al.  Intrapartum fetal asphyxia: clinical characteristics, diagnosis, and significance in relation to pattern of development. , 1977, American journal of obstetrics and gynecology.

[19]  A. Streissguth,et al.  Maternal alcohol ingestion and cigarette smoking and their effects on newborn conditioning. , 1977, Alcoholism, clinical and experimental research.

[20]  B. Källén,et al.  A Prospective Study of Smoking and Pregnancy , 1971 .

[21]  G. J. Kloosterman On Intrauterine Growth , 1970 .

[22]  M. McGraw,et al.  The Neurological Examination of the Full Term Newborn Infant. , 1964 .

[23]  W. Simpson,et al.  A preliminary report on cigarette smoking and the incidence of prematurity. , 1957, American journal of obstetrics and gynecology.