[Smoking mothers and symmetry of growth in newborns born in 2000 in the Pomeranian region].
In many publications concerning norms of weight in adults and child population the appropriate body weight is defined in connection to its stature. PI initiated in 1970 by Miller seems to be of a great value. Relative risk of morbidity and mortality in full term newborns with low value of nutrition index increases from 1.9 to 4.2 times. The aim of this paper was evaluation of symmetry of intrauterine development based on PI calculation. The particular remarks was paid to newborns from mothers smoking during the time of pregnancy. 10770 children born in 2000 in 8 hospitals of Pomeranian Region and 2119 newborns from 1990 born in Institute of Obstetrics and Gynecology Medical University of Gdansk were analyzed. The estimation of frequency of smoking during pregnancy was randomized on questionnaire done in the group of 2627 mothers from 1990, 1999, 2002, 2004. The mean value of PI in the group of full term newborns from 19990, was 2.19 +/- 0.27. In 2000 this value was 2.05 +/- 0.25 and was significantly lower than previous. Newborns from smoking mothers had significantly lower PI than those from women who did not smoke during pregnancy. Estimating harmonious of intrauterine growth in the group of newborns from smoking mothers I stated the greater lack of body mass than its length, so it is more asymmetric. It is similar to pathology which act on fetus in the 3rd trimester of the pregnancy. Now the newborns are slimmer as mean PI shows. I notice a disproportionate intrauterine growth in the cohort of newborns from smoking mothers. In this group the estimation of PI is advisable.
Wojculewicz
Jerzy
J
Klinika Neonatologii Instytutu Połoznictwa i Chorób Kobiecych Akademii Medycznej w Gdańsku. jcwoj@amg.gda.pl
Kawińska-Kiliańczyk
Anna
A
Szczapa
Jerzy
J
D001724:Birth Weight; D005260:Female; D005317:Fetal Growth Retardation / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D018811:Maternal Exposure / Q000706:statistics & numerical data; D009035:Mothers; D011044:Poland; D011247:Pregnancy; D011248:Pregnancy Complications; D011263:Pregnancy Trimester, Third; D012907:Smoking / Q000009:adverse effects*; D011795:Surveys and Questionnaires