Relationships between cigarette smoking during pregnancy, gestational age, maternal weight gain, and infant birthweight. 2003

Roger H Secker-Walker, and Pamela M Vacek
Office of Health Promotion Research (RHS-W), University of Vermont, Burlington, VT, USA. rseckerw@zoo.uvm.edu

OBJECTIVE To estimate the effect of smoking on infant birthweight independent of gestational age and maternal weight gain during pregnancy. METHODS Stepwise regression was used to identify sets of maternal and infant characteristics not modified by prenatal smoking that were predictors of infant birthweight, gestational age, and net maternal weight gain. These were then included in regression analyses to assess the effects of smoking, as measured by cigarette consumption, exhaled carbon monoxide, or urinary cotinine on gestational age, net maternal weight gain, and infant birthweight. RESULTS After adjustment for nonmodifiable factors, smoking accounted for 1.5-3.1% of the variance in gestational age at delivery. It accounted for 5.3-7.7% of the variance in net maternal weight gain after adjustment for nonmodifiable factors and gestational age. After adjustment for gestational age and net maternal weight gain, and the nonmodifiable factors, smoking accounted for 2.7-5.2% of the variance in infant birthweight. CONCLUSIONS Most of the gain in infant birthweight on quitting smoking is due to the independent effect of smoking on fetal growth restriction, with much smaller gains related to increased maternal weight gain and a slightly longer gestational age.

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011297 Prenatal Exposure Delayed Effects The consequences of exposing the FETUS in utero to certain factors, such as NUTRITION PHYSIOLOGICAL PHENOMENA; PHYSIOLOGICAL STRESS; DRUGS; RADIATION; and other physical or chemical factors. These consequences are observed later in the offspring after BIRTH. Delayed Effects, Prenatal Exposure,Late Effects, Prenatal Exposure
D012044 Regression Analysis Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable. Regression Diagnostics,Statistical Regression,Analysis, Regression,Analyses, Regression,Diagnostics, Regression,Regression Analyses,Regression, Statistical,Regressions, Statistical,Statistical Regressions
D001724 Birth Weight The mass or quantity of heaviness of an individual at BIRTH. It is expressed by units of pounds or kilograms. Birthweight,Birth Weights,Birthweights,Weight, Birth,Weights, Birth
D001944 Breath Tests Any tests done on exhaled air. Breathalyzer Tests,Breath Test,Breathalyzer Test,Test, Breath,Test, Breathalyzer,Tests, Breath,Tests, Breathalyzer
D002248 Carbon Monoxide Carbon monoxide (CO). A poisonous colorless, odorless, tasteless gas. It combines with hemoglobin to form carboxyhemoglobin, which has no oxygen carrying capacity. The resultant oxygen deprivation causes headache, dizziness, decreased pulse and respiratory rates, unconsciousness, and death. (From Merck Index, 11th ed) Monoxide, Carbon
D003367 Cotinine The N-glucuronide conjugate of cotinine is a major urinary metabolite of NICOTINE. It thus serves as a biomarker of exposure to tobacco SMOKING. It has CNS stimulating properties. Scotine
D005260 Female Females
D005865 Gestational Age The age of the conceptus, beginning from the time of FERTILIZATION. In clinical obstetrics, the gestational age is often estimated from the onset of the last MENSTRUATION which is about 2 weeks before OVULATION and fertilization. It is also estimated to begin from fertilization, estrus, coitus, or artificial insemination. Embryologic Age,Fetal Maturity, Chronologic,Chronologic Fetal Maturity,Fetal Age,Maturity, Chronologic Fetal,Age, Embryologic,Age, Fetal,Age, Gestational,Ages, Embryologic,Ages, Fetal,Ages, Gestational,Embryologic Ages,Fetal Ages,Gestational Ages

Related Publications

Roger H Secker-Walker, and Pamela M Vacek
October 1974, The Journal of obstetrics and gynaecology of the British Commonwealth,
Roger H Secker-Walker, and Pamela M Vacek
July 2023, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics,
Roger H Secker-Walker, and Pamela M Vacek
December 1980, Journal of the American Dietetic Association,
Roger H Secker-Walker, and Pamela M Vacek
March 2010, Women and birth : journal of the Australian College of Midwives,
Roger H Secker-Walker, and Pamela M Vacek
December 1997, Birth (Berkeley, Calif.),
Roger H Secker-Walker, and Pamela M Vacek
January 1979, Journal of perinatal medicine,
Roger H Secker-Walker, and Pamela M Vacek
November 1992, American journal of diseases of children (1960),
Roger H Secker-Walker, and Pamela M Vacek
May 1981, American journal of epidemiology,
Copied contents to your clipboard!