Gender-specific associations between prenatal smoking and birthweight, and neonate intensive health care were studied. Cross-sectional data from 11,583 newborns in the continuous National Health and Nutrition Examination Survey (NHANES) 2003-2008 early childhood data sets were used. Change in infant birthweight and likelihood of receiving neonatal intensive care by prenatal smoking exposure were assessed. Multivariable regression models were used to assess the influence of prenatal smoking on birthweight and likelihood of receiving intensive neonatal health care. Compared with infants from nonsmoking mothers, prenatal smoking associated with significant decrease in infant birthweight, -203.0 g ± 32.5, P < 0.001. The change in birthweight differed between infant boys, -220.2 g ± 44.5, and girls, -184.1 g ± 38.8. Newborns exposed to prenatal smoking were more likely to have low birthweight, odds ratio 1.46, P < 0.03, and to receive neonatal intensive health care, odds ratio 1.20; P < 0.04. It is imperative that prenatal counseling emphasizes prenatal maternal smoking.

译文

:研究了产前吸烟与出生体重之间的性别特异性关联以及新生儿重症监护。在连续的2003-2008年全国健康和营养检查调查(NHANES)中,使用了来自11,583名新生儿的横断面数据。评估了婴儿出生体重的变化以及通过产前吸烟暴露获得新生儿重症监护的可能性。多变量回归模型用于评估产前吸烟对出生体重的影响以及接受强化新生儿保健的可能性。与非吸烟母亲的婴儿相比,产前吸烟与婴儿出生体重显着降低相关,为-203.0 g±32.5,P <0.001。出生体重的变化在男婴为-220.2 g±44.5和女婴为-184.1 g±38.8之间。暴露于产前吸烟的新生儿更可能具有较低的出生体重,比值比为1.46,P <0.03,并且接受新生儿重症监护,比值比为1.20; P <0.04。产前咨询必须强调产前孕妇吸烟。

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