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[孕期母亲吸烟与新生儿人体测量:巴西南部一项基于人群的研究]

[Maternal smoking during pregnancy and anthropometric measurements of newborns: a population-based study in southern of Brazil].

作者信息

Zhang Linjie, González-Chica David A, Cesar Juraci A, Mendoza-Sassi Raúl A, Beskow Betina, Larentis Natália, Blosfeld Tatiana

机构信息

Faculdade de Medicina, Universidade Federal do Rio Grande, Brasil.

出版信息

Cad Saude Publica. 2011 Sep;27(9):1768-76. doi: 10.1590/s0102-311x2011000900010.

Abstract

This cross-sectional study aimed to investigate the prevalence of maternal smoking during pregnancy and its impact on anthropometric measurements of newborns. A standardized questionnaire was applied to all pregnant women admitted for delivery in the maternity units in Rio Grande, Rio Grande do Sul State, Brazil, in 2007. Measurements were taken of the newborns' weight, length, and head circumference. Prevalence rates were 23% for maternal smoking during pregnancy and 29% for exposure to environmental tobacco smoke. After adjusting for potential confounding factors, compared with those whose mothers never smoked, newborns whose mothers smoked throughout pregnancy showed average decreases of 223.4 g in birth weight (95%CI: 156.7;290.0), 0.94 cm in birth length (95%CI: 0.60;1.28), and 0.69 cm in head circumference (95%CI: 0.42-0.95). In conclusion, prevalence of maternal smoking during pregnancy was high in this municipality. Maternal smoking during pregnancy was inversely associated with birth weight, length, and head circumference.

摘要

这项横断面研究旨在调查孕期母亲吸烟的 prevalence 及其对新生儿人体测量指标的影响。2007年,对巴西南里奥格兰德州里奥格兰德市产科病房所有入院分娩的孕妇应用了标准化问卷。对新生儿的体重、身长和头围进行了测量。孕期母亲吸烟的 prevalence 率为23%,接触环境烟草烟雾的 prevalence 率为29%。在对潜在混杂因素进行调整后,与母亲从不吸烟的新生儿相比,母亲在整个孕期吸烟的新生儿出生体重平均降低223.4克(95%CI:156.7;290.0),出生身长降低0.94厘米(95%CI:0.60;1.28),头围降低0.69厘米(95%CI:0.42 - 0.95)。总之,该市孕期母亲吸烟的 prevalence 率很高。孕期母亲吸烟与出生体重、身长和头围呈负相关。

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