Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
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Comparison of Neonatal Health Status between Smoking and Nonsmoking Women Following Cesarean Birth

제왕절개분만 산모의 흡연여부에 따른 신생아 건강상태 비교

  • 허영미 (경희대학교 일반대학원) ;
  • 한상숙 (경희대학교 간호과학대학)
  • Received : 2011.05.31
  • Accepted : 2011.06.22
  • Published : 2011.06.30
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Abstract

Purpose: The purpose of this study was to compare the neonatal birth weight, birth height, Apgar scores, sucking power, and digestion difficulties between smoking and non-smoking women following cesarean birth. This study analyzed the effects of smoking on the neonatal health status in pregnant women to provide fundamental data for smoking prevention education for women of childbearing ages and non-smoking practice protocols for pregnant women with smoking. Methods: A comparative survey design was used. Fifty-four newborn infants of pregnant women with smoking and seventy-four newborn infants of pregnant women with non-smoking participated in this study. The scores of neonatal birth weight, birth height, Apgar scores, sucking power, and digestion difficulties were assessed. Data were analyzed using SPSS Windows 15.0 program. Results: Smoking in pregnant women leads to the decrease of birth weight (F=4.75, p=.030) and birth height (F=14.19, p<.001), negative effects on the Apgar scores (F=36.02, p<.001) and sucking power (t=-4.26~-5.60, p<.001), and digestion difficulties ($x^2$=6.72, p=.010) of neonates. Conclusions: This study demonstrated that smoking in pregnant women leads to the decrease of fetus development. These findings would be utilized for the development of not only smoking prevention programs for women of childbearing ages but also prenatal education programs for pregnant women.

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References

  1. Andres, R. L., & Day, M. C. (2000). Perinatal complication associated with maternal tabacco use. Semin Neonatology, 5, 231-241. https://doi.org/10.1053/siny.2000.0025
  2. Andersen, M. R., Simosen, U., Uldbjerg, N., Aalkjaer, C., & Stender, S. (2009). Smoking cessation early in pregnancy and birth weight, length, head circumference, an endothelial nitric oxide synthase activity in umbilical and chorionic vessels an observational study of healthy singleton pregnancies. Circulation, 119, 857-864. https://doi.org/10.1161/CIRCULATIONAHA.107.755769
  3. Apgar, V. (1953). A proposal for a new method of evaluation of the newborn infant. Anesthesia & Analgesia, 32, 260.
  4. Barron, J., Petrilli, F., Strath, L., & McCaffrey, R. (2007). Successful intervention for smoking cessation in pregnancy. The American Journal of Maternal/Child Nursing, 32, 42-47.
  5. Choi, E. J., & Lee, J. H. (2005). Policy measures to reduce exposure to environmental tobacco smoke. Health and Welfare Forum, 105, 92-99.
  6. England, L. J., Kendrick, J. S., Wilson, H. G., Meritt, R. K., Gargiullo, P. M., & Zahniser, S. C. (2001). Effects of smoking reduction during pregnancy on the birth weight of term infants. American Journal of Epidemiology, 154, 694-701. https://doi.org/10.1093/aje/154.8.694
  7. Gu, J. O. (1997). Contemporary maternal nutrition and health problems -diseases during pregnancy, drinking, maternal smoking and environmental pollutants that affect health and the fetus-. Journal of the East Asian of Dietary Life, 7, 257-275.
  8. Jaakkola, J. K., & Gissler, M. (2004). Maternal smoking in pregnancy fetal development and childhood asthma. American Journal of Public Health, 94, 136-141. https://doi.org/10.2105/AJPH.94.1.136
  9. Jaddoe, V. W., Verburg, B. O., de Ridder, M. A., Hofman, A., Mckenbach, J. P., Moll, H. A., et al. (2007). Maternal smoking and fetal growth characteristics in different periods of pregnancy. American Journal of Epidemiology, 165, 1207-1215. https://doi.org/10.1093/aje/kwm014
  10. Jhun, H. J., Seo, H. G., Lee, D. H., Sung, M. W., Kang, Y. D., Syn, H. C., et al. (2010). Self-reported smoking and urinary cotinine levels among pregnant women in Korea and factors associated with smoking during pregnancy. Journal of Korean Medical Science, 25, 752-757. https://doi.org/10.3346/jkms.2010.25.5.752
  11. Jung, J. O. (1992). Factors related to Apgar score in newborn. Unpublished master's thesis, Kyungpook National University, Daegu.
  12. Kim, H. D., Lee, S. E., Kim, C. S., & Lee, K. G. (2008). The Study of diffrence in physical fitness, born mineral density and the risk factor of cardiovascular disease according to smoking habits in premenoposal women. Journal of Sport and Leisure Stuies, 33, 923-932.
  13. Kim, S. H. (2010). Factors affecting mother's adaptation to breastfeeding. Journal of Korean Academy of Nursing, 40, 225-235. https://doi.org/10.4040/jkan.2010.40.2.225
  14. Kong, S. H., Kim, S. Y., Lee, H. J., Kim, H. S., Lee, D. W., & Kim, J. Y. (2005). The clinical study on the neonate delivered under the condition of the maternal smoking and alcohol in pregnancy. Korean Journal of Pediatrics, 48, 34-39.
  15. Korean National Statistical Office. (2009). National statistics of birth and death in 2009 in Korea. Retrieved June 19. 2011, from http://www.kostat.go.kr.
  16. Korean Society of Anesthesiologists. (2009). Anesthesiology and pain medicine (4th ed.). Seoul: Ryomoongak publishing co.
  17. Lee, I. H., Kim, D. Y., Chung, R. K., & Kim, C. H. (2008). Maternal and neonatal effect of sevoflurane and desflurane in cesarean section. The Korean Journal of Anesthesiology, 55, 446-451. https://doi.org/10.4097/kjae.2008.55.4.446
  18. Lee, J. J. (2002). The effect of maternal smoking in pregnancy. Korean Journal of Perinatology, 13, 357-365.
  19. Maloni, J. A. (2001). Prevention of low birth weight: Smoking cessation counseling. Association of Women's Health Obstetric and Neonatal Nurses Lifelines, 5, 32-35.
  20. Martin, J. A., Hamiton, B. E., Sutton, P. D., Ventura, S. J., Menacker, F., & Munson, M. L. (2005). Birth: Final data for 2003. National Vital Statistics Reports, 54, 1-116.
  21. Ministry of Health and Welfare. (2009). Korea national health and nutrition examination survey announcement of results (the 4th year [2008]). Retrieved July 10. 2010, from http://www.mw.go.kr.
  22. No Smoke Guide Magazine. (2010, August). Reason of give attention to woman smoking and solution way. Retrieved August 15. 2010, from http://www.nosmokeguide.or.kr
  23. Park, H. C. (1974). Clinical observation on apgar score changing of the newborn infants. Journal of Korean Academy of Nursing, 4, 57-66.
  24. Pierce, R. A., & Nguyen, N. M. (2002). Prenatal nicotine exposure and abnormal lung function. American Journal of Respiratory Cell and Molecular Biology, 26, 10-13. https://doi.org/10.1165/ajrcmb.26.1.f225
  25. Reed, M., Aranda, J., & Hales, B. (2006). Development of pharmacology in Martin R, Fanaroff A, & Walsh M.(Eds.), Fanaroff and Martin's neonatal-perinatal medicine: Diseases of the fetus and infant (8th ed.). Philadelphia: Mosby.
  26. Rogers, B., & Arvedson, J. (2005). Assesment of infant oral sensorimotor and swallowing function. Mental Retardation and Developmental Disabilities Research Reviews, 11, 74-82. https://doi.org/10.1002/mrdd.20055
  27. Shenasse, E. D., & Brown, M. J. (2004). Maternal smoking and infantile gastrointestinal dysregulation: The case of colic. American Academy of Pediatrics, 114, 497-506.
  28. Stocks, J. (2005). The effect of parental smoking on lung function and development during infancy. Respirology, 8, 266-285.
  29. World Health Organization. (2004). Tabacco free initiative report of activities (TFIRA). Gneva: Author.
  30. Yoo, E. G., Kang, N. M., Kim, M. H., Kim, S. A., Kim, S. J., An, S. H., et, al. (2008). Maternity & women's health care (9th ed.). Seoul: Hyunmoon publishing co.