Effect of maternal cigarette smoking on birth weight,head circumference,birth length and iron stores in newborn

ZHANG Xu-guang; YUAN Jing; ZHANG Wei-wei; ZHANG Dong-mei; PENG Zhi-qing; CHEN Yan-ping

doi:10.11852/zgetbjzz2017-25-06-21

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Chinese Journal of Child Health Care ›› 2017, Vol. 25 ›› Issue (6) : 611-614. DOI: 10.11852/zgetbjzz2017-25-06-21

Orignal Article

Effect of maternal cigarette smoking on birth weight,head circumference,birth length and iron stores in newborn

ZHANG Xu-guang¹, YUAN Jing², ZHANG Wei-wei³, ZHANG Dong-mei⁴, PENG Zhi-qing⁵, CHEN Yan-ping^{1, 4}

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Abstract

Objective To investigate the effect of maternal cigarette smoking on birth weight,head circumference birth length and iron stores in newborn to confirm the harm of smoking behavior in pregnancy,and to provide theoretical basis for improving the level of perinatal health care in China. Methods Totally 150 puerperas and their newborns were recruited.According to the WHO definition of cigarette smoking frequency,puerperas were divided into no smoking group,occasional smoking group and daily smoking group.Daily iron intake was assessed by dietary survey in every puerpera at late pregnancy.Birth weight,head circumference and birth length of newborns were measured.Serum ferritin (SF) and soluble transferrin receptor (sTfR) levels were analyzed in maternal peripheral blood and infant cord blood at the time of delivery.Then the levels of total body iron (TBI) were calculated. Results Birth weight of newborns in no smoking group was significantly higher than that of both two smoking group (all P<0.05).There was no significant difference in average head circumference and birth length of newborns in three groups (all P>0.05).The level of sTfR was significantly higher in puerperas of no smoking group than that of two smoking groups (all P<0.001).The levels of SF and TBI were significantly lower in puerperas of no smoking group than those of two smoking groups (all P<0.05).The sTfR of newborns in no smoking group was significantly lower than that of two smoking groups (all P<0.001).The levels of SF and TBI were significantly higher in newborns of no smoking group than those of two smoking groups (all P<0.001). Conclusion Maternal cigarette smoking is associated with higher iron stores in puerperal,as well as lower birth weight and iron stores in newborn.

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maternal cigarette smoking / newborn / iron deficiency / total body iron

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ZHANG Xu-guang, YUAN Jing, ZHANG Wei-wei, ZHANG Dong-mei, PENG Zhi-qing, CHEN Yan-ping. Effect of maternal cigarette smoking on birth weight,head circumference,birth length and iron stores in newborn[J]. Chinese Journal of Child Health Care. 2017, 25(6): 611-614 https://doi.org/10.11852/zgetbjzz2017-25-06-21

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