Abstract
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
| Original language | English |
|---|---|
| Pages (from-to) | 573-583 |
| Number of pages | 10 |
| Journal | Annals of Human Biology |
| Volume | 35 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 1 Nov 2008 |
Keywords
- Asymmetry
- IUGR
- Pregnancy
- Smoking