Prenatal smoking exposure and asymmetric fetal growth restriction

Ali Delpisheh, Loretta Brabin, Sandra Drummond, Bernard J. Brabin

    Research output: Contribution to journalArticlepeer-review

    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 languageEnglish
    Pages (from-to)573-583
    Number of pages10
    JournalAnnals of Human Biology
    Volume35
    Issue number6
    DOIs
    Publication statusPublished - 1 Nov 2008

    Keywords

    • Asymmetry
    • IUGR
    • Pregnancy
    • Smoking

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