Prenatal smoking exposure and asymmetric fetal growth restriction
Prenatal smoking exposure and asymmetric fetal growth restriction
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DOI:
10.1080/03014460802375596
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发表时间:
2008-01-01
影响因子:
1.7
通讯作者:
Brabin, Bernard J.
中科院分区:
文献类型:
--
作者:
Delpisheh, Ali;Brabin, Loretta;Brabin, Bernard J.
Background: Prenatal smoking exposure causes intrauterine fetal growth restriction ( IUGR), although its effects on fetal proportionality are less clearly defined.Aim: The present study assessed fetal proportionality in babies with IUGR using maternal salivary cotinine to indicate maternal smoking exposure.Subjects and methods: A case-control study at the Liverpool Women's Hospital, UK of babies with asymmetric and symmetric IUGR and non-growth restricted babies was carried out.Results: 270 white women including 90 IUGR cases and 180 controls were enrolled. Asymmetry presented in 52.2% of IUGR cases. Geometric mean maternal cotinine concentration was higher with asymmetric (p = 0.002) than symmetric IUGR (p = 0.07), when compared to controls. Maternal smoking exposure was independently associated with asymmetric IUGR (OR 2.4, 95% CI, 1.5-4.4, p