Prenatal Secondhand Smoke Exposure: Correlation Between Nicotine in Umbilical Cord Blood and Neonatal Anthropometry

Objectives Nicotine narrows uterine blood vessels reducing the flow of oxygen and nutrients to the developing fetus. This study examined the effects of fetal exposure to secondhand smoke on neonatal anthropometry. Methods This cross sectional study recruited 128 pregnant women in the third trimester...

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Main Authors: Mery Ramadani, Budi Utomo, Endang L Achadi, Hartono Gunardi
Format: Article
Language:English
Published: Korea Disease Control and Prevention Agency 2019-08-01
Series:Osong Public Health and Research Perspectives
Subjects:
Online Access:http://ophrp.org/upload/phrp-10-4/ophrp-10-234.pdf
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author Mery Ramadani
Budi Utomo
Endang L Achadi
Hartono Gunardi
author_facet Mery Ramadani
Budi Utomo
Endang L Achadi
Hartono Gunardi
author_sort Mery Ramadani
collection DOAJ
description Objectives Nicotine narrows uterine blood vessels reducing the flow of oxygen and nutrients to the developing fetus. This study examined the effects of fetal exposure to secondhand smoke on neonatal anthropometry. Methods This cross sectional study recruited 128 pregnant women in the third trimester of single pregnancies who had no chronic illness, were not active or ex-smokers, and who were willing to participate in the study. Pregnant women who were exposed to secondhand smoke had umbilical cord blood nicotine concentrations of ≥ 1 ng/mL. Neonatal anthropometry was assessed according to the newborn birth weight and length. The independent t-test was used to determine the neonatal difference in mean birth weight and length between the women who were exposed to secondhand smoke, and those who were not exposed. A multiple linear regression analysis was employed to assess the effect of secondhand smoke exposure on birth weight and birth length, controlling for potential confounding variables (weight gain during pregnancy, body mass index, parity, maternal age, and maternal hemoglobin). Results There were 35 women exposed to secondhand smoke (nicotine ≥ 1 ng/mL). Neonate birth weight and birth length were lower among mothers who were exposed to secondhand smoke. However, only neonate birth weight was significantly reduced by exposure to secondhand smoke (p = 0.005). The mean birth weight of these neonates was 2,916.5 g ± 327.3 g which was 205.6 g less than in unexposed fetuses. Conclusion Exposure of mothers to secondhand smoke during pregnancy reduces fetal development and neonatal weight.
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spelling doaj.art-420c4ed8a02d464bbcebab893ac6f7322023-08-02T05:12:39ZengKorea Disease Control and Prevention AgencyOsong Public Health and Research Perspectives2210-90992019-08-0110423423910.24171/j.phrp.2019.10.4.063459Prenatal Secondhand Smoke Exposure: Correlation Between Nicotine in Umbilical Cord Blood and Neonatal AnthropometryMery RamadaniBudi UtomoEndang L AchadiHartono GunardiObjectives Nicotine narrows uterine blood vessels reducing the flow of oxygen and nutrients to the developing fetus. This study examined the effects of fetal exposure to secondhand smoke on neonatal anthropometry. Methods This cross sectional study recruited 128 pregnant women in the third trimester of single pregnancies who had no chronic illness, were not active or ex-smokers, and who were willing to participate in the study. Pregnant women who were exposed to secondhand smoke had umbilical cord blood nicotine concentrations of ≥ 1 ng/mL. Neonatal anthropometry was assessed according to the newborn birth weight and length. The independent t-test was used to determine the neonatal difference in mean birth weight and length between the women who were exposed to secondhand smoke, and those who were not exposed. A multiple linear regression analysis was employed to assess the effect of secondhand smoke exposure on birth weight and birth length, controlling for potential confounding variables (weight gain during pregnancy, body mass index, parity, maternal age, and maternal hemoglobin). Results There were 35 women exposed to secondhand smoke (nicotine ≥ 1 ng/mL). Neonate birth weight and birth length were lower among mothers who were exposed to secondhand smoke. However, only neonate birth weight was significantly reduced by exposure to secondhand smoke (p = 0.005). The mean birth weight of these neonates was 2,916.5 g ± 327.3 g which was 205.6 g less than in unexposed fetuses. Conclusion Exposure of mothers to secondhand smoke during pregnancy reduces fetal development and neonatal weight.http://ophrp.org/upload/phrp-10-4/ophrp-10-234.pdfbirth weightnicotinepregnancysecondhand smoke
spellingShingle Mery Ramadani
Budi Utomo
Endang L Achadi
Hartono Gunardi
Prenatal Secondhand Smoke Exposure: Correlation Between Nicotine in Umbilical Cord Blood and Neonatal Anthropometry
Osong Public Health and Research Perspectives
birth weight
nicotine
pregnancy
secondhand smoke
title Prenatal Secondhand Smoke Exposure: Correlation Between Nicotine in Umbilical Cord Blood and Neonatal Anthropometry
title_full Prenatal Secondhand Smoke Exposure: Correlation Between Nicotine in Umbilical Cord Blood and Neonatal Anthropometry
title_fullStr Prenatal Secondhand Smoke Exposure: Correlation Between Nicotine in Umbilical Cord Blood and Neonatal Anthropometry
title_full_unstemmed Prenatal Secondhand Smoke Exposure: Correlation Between Nicotine in Umbilical Cord Blood and Neonatal Anthropometry
title_short Prenatal Secondhand Smoke Exposure: Correlation Between Nicotine in Umbilical Cord Blood and Neonatal Anthropometry
title_sort prenatal secondhand smoke exposure correlation between nicotine in umbilical cord blood and neonatal anthropometry
topic birth weight
nicotine
pregnancy
secondhand smoke
url http://ophrp.org/upload/phrp-10-4/ophrp-10-234.pdf
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AT endanglachadi prenatalsecondhandsmokeexposurecorrelationbetweennicotineinumbilicalcordbloodandneonatalanthropometry
AT hartonogunardi prenatalsecondhandsmokeexposurecorrelationbetweennicotineinumbilicalcordbloodandneonatalanthropometry