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A Murine Model of Fetal Exposure to Maternal Inflammation to Study the Effects of Acute Chorioamnionitis on Newborn Intestinal Development
Published on: June 24, 2020
Maternal smoking during pregnancy increases the risk of postnatal infections in preterm neonates
Dorthe Lisbeth Jeppesen1, Susanne Dam Nielsen, Annette Kjaer Ersbøll
1Department of Paediatrics, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
Insights
Maternal smoking during pregnancy increases the risk of infections in preterm infants. Even moderate smoking significantly elevates the chances of these neonates developing infections.
Area of Science:
- Neonatal research
- Maternal health
- Public health
Background:
- Maternal smoking during pregnancy is linked to adverse perinatal outcomes.
- Established risks include preterm delivery, low birth weight, and sudden infant death syndrome.
Purpose of the Study:
- To investigate the impact of maternal smoking on postnatal infection risk in preterm neonates.
- To quantify the association between tobacco exposure and infection incidence.
Main Methods:
- Study included 80 preterm infants (24-36 weeks gestational age).
- 40% of infants were exposed to maternal tobacco smoking in utero.
- Statistical analysis assessed the effect of gestational age and smoking on infection occurrence.
Main Results:
- Infections were observed in 31 infants.
- Both gestational age and maternal smoking significantly influenced infection rates (p < 0.001 and p = 0.015).
- Each 10 cigarettes/day increase in maternal smoking correlated with an odds ratio of 2.7 for infections (95% CI 1.1-6.4).
Conclusions:
- A significant link exists between maternal tobacco use and infections in preterm neonates.
- Public health campaigns highlighting tobacco's detrimental effects remain crucial.
- Reducing maternal smoking is vital for improving preterm infant outcomes.
Background:
Maternal smoking during pregnancy is known to be associated with perinatal complications such as preterm delivery, low birth weight, and sudden infant death syndrome.
Objective:
The purpose of this study was to evaluate the influence of smoking during pregnancy on the risk of postnatal infections in preterm neonates.
Method:
We examined 80 preterm infants (gestational age 24-36 weeks), of whom 40% had been exposed to tobacco smoking during pregnancy.
Results:
Infections occurred in 31 infants. Gestational age and maternal smoking had a significant effect on the occurrence of infections (p < 0.001 and p = 0.015, respectively). An increase in maternal tobacco consumption by 10 cigarettes/day showed an odds ratio of 2.7 (95% confidence interval 1.1-6.4) for occurrence of infections.
Conclusions:
A significant association between maternal use of tobacco and the occurrence of infections in preterm neonates was found. Thus, campaigns about the damaging effects of tobacco are still warranted.
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