| Effects of heavy maternal smoking on intrauterine growth patterns in sudden infant death victims and surviving infants. | |
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MedLine Citation:
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PMID: 9537495 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Sudden infant death (SID) is associated with both intrauterine growth retardation and maternal smoking during pregnancy. Here, we investigated if the statistical association between maternal smoking and SID is direct or mediated through the well-known growth retarding effects of heavy maternal smoking on the fetoplacental unit. We analysed data from a population-based prospective cohort study (181 cases, total newborn population 227,791 births) within the Westphalian Perinatal Inquiry in Germany between 1990 and 1994. SID victims whose mothers did not smoke had a normal mean birth weight (mean 3415.5 vs 3431.5 g), length (mean 51.46 vs 51.66 cm), and body mass index (BMI) (mean 12.8 vs 12.8 kg/m2) when compared to surviving children. In contrast, SID victims of mothers who smoked heavily (> ten cigarettes per day) had a significantly lower birth weight (2911.21 g vs 3148.34 g), length (48.98 vs 50.39 cm), and BMI (11.8 vs 12.4 kg/m2) when compared to surviving children whose mothers smoked heavily. Stratification for gestational age revealed that these differences are mainly caused by preterm SID infants. CONCLUSION: The statistical association between maternal smoking and SID mainly results from effects of tobacco smoke on the fetoplacental unit which, in later SID victims, appears to be more susceptible to the growth retarding effects of cigarette smoking. |
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Authors:
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J Schellscheidt; G Jorch; J Menke |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: European journal of pediatrics Volume: 157 ISSN: 0340-6199 ISO Abbreviation: Eur. J. Pediatr. Publication Date: 1998 Mar |
Date Detail:
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Created Date: 1998-06-05 Completed Date: 1998-06-05 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7603873 Medline TA: Eur J Pediatr Country: GERMANY |
Other Details:
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Languages: eng Pagination: 246-51 Citation Subset: IM |
Affiliation:
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Department of Paediatrics, University of Muenster, Münster, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Birth Weight Cohort Studies Data Collection Evaluation Studies as Topic Female Fetal Growth Retardation / epidemiology*, etiology Germany / epidemiology Humans Incidence Infant, Newborn Infant, Premature* Male Maternal Exposure Pregnancy Pregnancy Complications* Prospective Studies Risk Factors Smoking / adverse effects*, epidemiology Sudden Infant Death / epidemiology*, etiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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