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Intrauterine growth retardation and premature delivery: The influence of maternal smoking and psychosocial factors

Author

Listed:
  • Nordentoft, M.
  • Lou, H.C.
  • Hansen, D.
  • Nim, J.
  • Pryds, O.
  • Rubin, P.
  • Hemmingsen, R.

Abstract

Objectives. This study investigated the influence of psychosocial stress, maternal schooling, social support, psychological well-being, alcohol, and smoking on intrauterine growth retardation and premature delivery. Methods. At a Copenhagen university hospital, 2432 pregnant women completed a questionnaire on general health, psychosocial stressors, and sociodemographic characteristics. Results. In 212 cases (8.7%) the women delivered prematurely. Preterm delivery was associated with psychosocial stress (adjusted odds ratio [OR] = 1.14 for each 1-point increase on the psychosocial stressor 5-point scale and 1.92 for the whole scale) and poor school education (adjusted OR = 2.62 for 7-9 years of schooling, 1.91 for 10 years, and 1.0 for 11-13 years). In 152 cases (6.3%), infants had a birthweight below the 10th percentile. Intrauterine growth retardation was associated with smoking, daily drinking, school education, and social network variables. In a multiple logistic regression model, intrauterine growth retardation was associated with smoking habits (adjusted OR = 2.40 for 0-9 cigarettes daily, 2.68 for 10-15 daily, and 2.88 for more than 15 daily). Conclusions. Psychosocial stressors and limited duration of schooling appeared to influence preterm delivery. Smoking habits influenced intrauterine growth retardation.

Suggested Citation

  • Nordentoft, M. & Lou, H.C. & Hansen, D. & Nim, J. & Pryds, O. & Rubin, P. & Hemmingsen, R., 1996. "Intrauterine growth retardation and premature delivery: The influence of maternal smoking and psychosocial factors," American Journal of Public Health, American Public Health Association, vol. 86(3), pages 347-354.
    • Handle: RePEc:aph:ajpbhl:1996:86:3:347-354_9
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    Cited by:

    1. Ming-Cheng Lai & Feng-Sha Chou & Yann-Jy Yang & Chih-Chien Wang & Ming-Chang Lee, 2013. "Tobacco Use and Environmental Smoke Exposure among Taiwanese Pregnant Smokers and Recent Quitters: Risk Perception, Attitude, and Avoidance Behavior," IJERPH, MDPI, vol. 10(9), pages 1-13, September.
    2. Daniel Kim & Adrianna Saada, 2013. "The Social Determinants of Infant Mortality and Birth Outcomes in Western Developed Nations: A Cross-Country Systematic Review," IJERPH, MDPI, vol. 10(6), pages 1-40, June.
    3. Sparks, P. Johnelle, 2009. "Do biological, sociodemographic, and behavioral characteristics explain racial/ethnic disparities in preterm births?," Social Science & Medicine, Elsevier, vol. 68(9), pages 1667-1675, May.
    4. Florencia Torche, 2011. "The Effect of Maternal Stress on Birth Outcomes: Exploiting a Natural Experiment," Demography, Springer;Population Association of America (PAA), vol. 48(4), pages 1473-1491, November.
    5. Voigt, Manfred & Heineck, Guido & Hesse, Volker, 2004. "The relationship between maternal characteristics, birth weight and pre-term delivery: evidence from Germany at the end of the 20th century," Economics & Human Biology, Elsevier, vol. 2(2), pages 265-280, June.
    6. Reagan, Patricia B. & Salsberry, Pamela J. & Olsen, Randall J., 2007. "Does the measure of economic disadvantage matter? Exploring the effect of individual and relative deprivation on intrauterine growth restriction," Social Science & Medicine, Elsevier, vol. 64(10), pages 2016-2029, May.

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