[Intrauterine growth retardation and premature delivery. The effect of smoking and psychosocial factors].
The purpose of the study is to investigate the influence of psychosocial stress, maternal schooling, social support, psychological well-being, alcohol and smoking on intrauterine growth retardation and premature delivery. At a Copenhagen university hospital 2432 consecutive Danish-speaking women in 20th week of pregnancy completed a questionnaire including the General Health Questionnaire and Severity of Psychosocial Stressor Scale and questions about social network, education, smoking and drinking habits. In 212 cases (8.7%) the women delivered before day 259 of gestation. In a multiple logistic regression model, pre-term delivery proved to be associated with psychosocial stress and poor school education. In 152 cases (6.3%) infants had a birth weight below the defined 10th percentile. In a multiple logistic regression model, IUGR was associated with smoking. In preventive programmes, such as anti-smoking campaigns, it should be kept in mind that women who smoke are also the least educated and have the poorest support from a social network.
Nordentoft
M
M
Bispebjerg Hospital, psykiatrisk afdeling, John F. Kennedy Instituttet, Glostrup.
Lou
H C
HC
Hansen
D
D
Nim
J
J
Pryds
O A
OA
Rubin
P J
PJ
Hemmingsen
R P
RP
D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects; D003718:Denmark; D005260:Female; D005317:Fetal Growth Retardation / Q000209:etiology* / Q000517:prevention & control / Q000523:psychology; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008429:Maternal Welfare; D007752:Obstetric Labor, Premature / Q000209:etiology* / Q000517:prevention & control / Q000523:psychology; D011247:Pregnancy; D012907:Smoking / Q000009:adverse effects*; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires