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A systematic review of maternal smoking during pregnancy and fetal measurements with meta-analysis.

التفاصيل البيبلوغرافية
العنوان: A systematic review of maternal smoking during pregnancy and fetal measurements with meta-analysis.
المؤلفون: Miriam Abraham, Salem Alramadhan, Carmen Iniguez, Liesbeth Duijts, Vincent W V Jaddoe, Herman T Den Dekker, Sarah Crozier, Keith M Godfrey, Peter Hindmarsh, Torstein Vik, Geir W Jacobsen, Wojciech Hanke, Wojciech Sobala, Graham Devereux, Steve Turner
المصدر: PLoS ONE, Vol 12, Iss 2, p e0170946 (2017)
بيانات النشر: Public Library of Science (PLoS), 2017.
سنة النشر: 2017
المجموعة: LCC:Medicine
LCC:Science
مصطلحات موضوعية: Medicine, Science
الوصف: BACKGROUND:Maternal smoking during pregnancy is linked to reduced birth weight but the gestation at onset of this relationship is not certain. We present a systematic review of the literature describing associations between maternal smoking during pregnancy and ultrasound measurements of fetal size, together with an accompanying meta-analysis. METHODS:Studies were selected from electronic databases (OVID, EMBASE and Google Scholar) that examined associations between maternal smoking or smoke exposure and antenatal fetal ultrasound measurements. Outcome measures were first, second or third trimester fetal measurements. RESULTS:There were 284 abstracts identified, 16 papers were included in the review and the meta-analysis included data from eight populations. Maternal smoking was associated with reduced second trimester head size (mean reduction 0.09 standard deviation (SD) [95% CI 0.01, 0.16]) and femur length (0.06 [0.01, 0.10]) and reduced third trimester head size (0.18 SD [0.13, 0.23]), femur length (0.27 SD [0.21, 0.32]) and estimated fetal weight (0.18 SD [0.11, 0.24]). Higher maternal cigarette consumption was associated with a lower z score for head size in the second (mean difference 0.09 SD [0, 0.19]) and third (0.15 SD [0.03, 0.26]) trimesters compared to lower consumption. Fetal measurements were not reduced for those whose mothers quit before or after becoming pregnant compared to mothers who had never smoked. CONCLUSIONS:Maternal smoking during pregnancy is associated with reduced fetal measurements after the first trimester, particularly reduced head size and femur length. These effects may be attenuated if mothers quit or reduce cigarette consumption during pregnancy.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1932-6203
Relation: http://europepmc.org/articles/PMC5322900?pdf=render; https://doaj.org/toc/1932-6203
DOI: 10.1371/journal.pone.0170946
URL الوصول: https://doaj.org/article/223bac69318a491183698bc750babfd1
رقم الأكسشن: edsdoj.223bac69318a491183698bc750babfd1
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:19326203
DOI:10.1371/journal.pone.0170946