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[Impact of prenatal environmental tobacco smoke exposure on birth parameters]
Kinga Polańska1, Wojciech Hanke, Wojciech Sobala
1Zakład Epidemiologii Srodowiskowej, Instytut Medycyny Pracy, Łódź. kinga@imp.lodz.pl
Insights
Prenatal exposure to environmental tobacco smoke (ETS) is linked to lower birth weight, length, and chest circumference in newborns. Reducing ETS exposure during pregnancy is crucial for infant health.
Area of Science:
- Environmental Health
- Perinatal Medicine
- Biomarkers of Exposure
Context:
- Prenatal exposure to environmental tobacco smoke (ETS) is a significant public health concern.
- Assessing ETS exposure accurately is vital for understanding its impact on fetal development.
- The Polish Mother and Child Cohort study provides a valuable dataset for investigating environmental influences on pregnancy outcomes.
Purpose:
- To investigate the association between prenatal environmental tobacco smoke (ETS) exposure and key anthropometric parameters in newborns.
- To quantify the impact of ETS on birth weight, length, head circumference, and chest circumference.
- To establish a link between maternal ETS exposure and infant anthropometry at birth.
Summary:
- A study of 107 pregnant women in Poland assessed prenatal ETS exposure using questionnaires and salivary cotinine levels.
- Approximately 35% of infants were exposed to ETS prenatally.
- Prenatal ETS exposure was significantly associated with lower birth weight (335g less), length (1.1cm less), and chest circumference (1.3cm less) in newborns, even after adjusting for confounding factors.
Impact:
- Findings highlight the detrimental effects of prenatal ETS exposure on fetal growth and development.
- Results underscore the need for increased efforts to eliminate ETS exposure during pregnancy.
- This research contributes to the evidence base for public health interventions aimed at protecting pregnant women and infants from ETS.
Abstract:
The aim of the study was to analyze the association between prenatal environmental tobacco smoke exposure (ETS) and child anthropometric parameters at birth such birth weight, length, head and chest circumference. The study population consisted of 107 pregnant women from Lodz district as the part of Polish Mother and Child Cohort study. The child prenatal ETS exposure was assessed based on questionnaire with mothers and cotinine level in saliva collected three times in pregnancy. The level of cotinine in biological samples was analyzed using liquid chromatography with tandem mass spectrometry (LC-MS/MS ESI+). About 35% of the children were prenatally exposed to ETS. The birth weight of the children prenatally exposed to ETS was 335 g lower than the birth weight of non-exposed newborns p < 0.001 after adjustment for: maternal educational level, marital status, prepregnancy weight, child gender, and gestational age. The same refers to child length and chest circumference (coef. -1.1 cm; p = 0.03 and coef. -1.3 cm; p = 0.002 respectively). Taking into account the negative effect of prenatal exposure to ETS, more efforts need to be taken to eliminate child ETS exposure.
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