| The impact of tobacco smoking on perinatal outcome among patients with gestational diabetes. | |
| | |
MedLine Citation:
|
PMID: 19907429 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To determine the effects of tobacco use on perinatal outcomes among patients with gestational diabetes (GDM). STUDY DESIGN: This was a retrospective cohort study of singleton pregnancies with GDM and live births from 2003 to 2006. The primary outcome, large for gestational age (LGA) infants, was compared between smoking and nonsmoking groups. Secondary outcomes included cesarean deliveries, shoulder dystocia, birth trauma, peripartum complications, macrosomia, 5-min Apgar score < or =3, birth defects, and neonatal intensive care unit (NICU) admissions. chi(2) and Student t-tests compared the two groups; a P-value <0.05 was statistically significant and odds ratios (OR) were reported with 95% confidence intervals (CI). A multivariate logistic regression analysis controlled for variables known to affect outcomes in GDM. RESULT: We identified 915 patients with GDM, of which 130 (14.2%) smoked during pregnancy. Women who smoked during pregnancy were less likely to have LGA infants (22.4 vs 31.2%; OR, 0.61; 95% CI, 0.39 to 0.95). In a logistic regression analysis, the inverse relationship between smoking and LGA persisted (OR, 0.59; 95% CI, 0.36 to 0.97) after controlling for maternal age, multiparity, ethnicity, weight status before pregnancy, weight gain during pregnancy, and male gender. Preterm labor, preeclampsia, Cesareans, shoulder dystocia, and birth trauma were similar in both groups. PPROM was more likely to occur in nonsmokers (0 vs 4%, P=0.03), but postpartum hemorrhage was more common among smokers (OR, 2.3; 95% CI, 1.02 to 5.31). Macrosomia, low 5-min Apgar score, birth defects, and NICU admissions were similar between the groups. CONCLUSION: Patients with GDM who smoke during pregnancy were 40% less likely to have LGA infants. However, smoking was not protective of other common morbidities associated with GDM. |
| | |
Authors:
|
K R Contreras; M A Kominiarek; T W Zollinger |
Related Documents
:
|
16712439 - Age of smoking onset as a predictor of smoking cessation during pregnancy. 20833459 - The 'quit' smoker and stillbirth risk: a review of contemporary literature in the light... 1990859 - Increased risk of ectopic pregnancy with maternal cigarette smoking. 17299499 - Duration of pregnancy in relation to fish oil supplementation and habitual fish intake:... 15919779 - Sidestream smoking is equally as damaging as mainstream smoking on ivf outcomes. 18629319 - Meeting report: measuring endocrine-sensitive endpoints within the first years of life. 7959329 - Tubal anastomosis in the rat using the tissue adhesive cyanoacrylate (histoacryl). 23600369 - Overexpression of cd39 protects in a mouse model of preeclampsia. 400869 - Cellular hyperreactivity to placenta in toxemia of pregnancy. |
Publication Detail:
|
Type: Journal Article Date: 2009-11-12 |
Journal Detail:
|
Title: Journal of perinatology : official journal of the California Perinatal Association Volume: 30 ISSN: 1476-5543 ISO Abbreviation: J Perinatol Publication Date: 2010 May |
Date Detail:
|
Created Date: 2010-04-29 Completed Date: 2010-09-14 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8501884 Medline TA: J Perinatol Country: United States |
Other Details:
|
Languages: eng Pagination: 319-23 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN 60153, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Birth Weight* Body Mass Index Cohort Studies Diabetes, Gestational / epidemiology*, psychology* Female Humans Infant, Newborn Male Pregnancy Pregnancy Outcome Retrospective Studies Risk Factors Smoking* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Testing a scalable community-based approach to improve maternal and neonatal health in rural Nepal.
Next Document: The perfusion index derived from a pulse oximeter for predicting low superior vena cava flow in very...