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[西班牙吸烟母亲所生新生儿的社会文化、产科及人体测量特征]

[Socio-cultural, obstetric and anthropometric characteristics of newborn children of mothers who smoke in Spain].

作者信息

Delgado Peña Y P, Rodríguez Martínez G, Samper Villagrasa M P, Caballero Pérez V, Cuadrón Andrés L, Alvarez Sauras M L, Moreno Aznar L A, Olivares López J L

机构信息

Departamento de Pediatría, Radiología y Medicina Física, Universidad de Zaragoza, Hospital Clínico Universitario Lozano Blesa, España.

出版信息

An Pediatr (Barc). 2012 Jan;76(1):4-9. doi: 10.1016/j.anpedi.2011.07.002. Epub 2011 Sep 8.

Abstract

INTRODUCTION

One in every four women smoke at the beginning of the pregnancy in Spain; of these, 25-50% give up smoking during gestation and most of them smoke again after childbirth. Maternal smoking has harmful effects on babies, such as low birth-weight with its resulting morbidity. The objective of this study is to compare the anthropometric and socio-cultural characteristics between newborns from smoking motheŕs and those from non- smoking ones.

MATERIALS AND METHODS

Smoking habits and the socio-cultural characteristics were assessed from a sample of 1499 pregnant women, as well as their newborn anthropometric variables of their newborn babies during 2009 in the Aragon region of Spain.

RESULTS

In the sample of 1499 pregnant women the prevalence of smoking during pregnancy was 19.6%; among the Spanish women, 23% of them smoked during the gestation compared with only 11% in women from other countries. The smoker mothers were younger and they had a lower educational level than the non smoker ones; however, there were no statistical differences between their anthropometric characteristics. Newborns from smoker women in Aragon had a lower weigh at delivery (3155 vs. 3295 grams: p<.001) and a relative risk of low weight at birth for their gestational age of 2.1 (95% CI: 1.35 - 2.97). The length and the rest of newborn anthropometric variables were also affected.

CONCLUSION

The prevalence of smoking during gestation is high in Aragon. The mothers who smoke are younger and have different socio-cultural characteristics compared with non-smoker mothers. Maternal smoking habits have a harmful effect on newborn nutritional status, representing an avoidable risk of low weight at birth.

摘要

引言

在西班牙,每四名女性中就有一人在怀孕初期吸烟;其中,25%至50%的女性在孕期戒烟,但她们中的大多数在产后又开始吸烟。母亲吸烟对婴儿有有害影响,比如导致低出生体重及其引发的发病率。本研究的目的是比较吸烟母亲所生新生儿与不吸烟母亲所生新生儿的人体测量和社会文化特征。

材料与方法

对1499名孕妇的样本进行吸烟习惯和社会文化特征评估,同时在2009年对西班牙阿拉贡地区她们新生儿的人体测量变量进行评估。

结果

在1499名孕妇的样本中,孕期吸烟的患病率为19.6%;在西班牙女性中,23%的人在孕期吸烟,而其他国家女性中这一比例仅为11%。吸烟的母亲更年轻,且教育水平低于不吸烟的母亲;然而,她们的人体测量特征没有统计学差异。阿拉贡地区吸烟女性所生新生儿出生时体重较低(3155克对3295克:p<0.001),其出生体重低于相应孕周的相对风险为2.1(95%置信区间:1.35 - 2.97)。新生儿的身长和其他人体测量变量也受到了影响。

结论

阿拉贡地区孕期吸烟的患病率较高。吸烟的母亲更年轻,与不吸烟的母亲相比具有不同的社会文化特征。母亲的吸烟习惯对新生儿营养状况有有害影响,是出生体重低的一个可避免风险。

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