EVALUATING THE EFFECTS OF SMOKING DURING PREGNANCY AND MATERNAL ANEMIA ON NEONATAL PARAMETERS

Authors : Canan Satır Özel, Hatira Babasoy, Süleyman Özen, Emel Alhaja, Mustafa Çakır, Gamze Erdem, Abdulkadir Turgut

Pages : 133-142

Doi:10.18614/deutip.1327188

View : 105 | Download : 114

Publication Date : 2024-12-27

Article Type : Research Paper

Abstract :Aim: It is known that smoking and anemia have unfavorable effects on the fetus. For this reason it is always suggested that pregnant females should be advised to stop smoking, should be screened for anemia and should be given iron replacement therapy. Our aim in this study was to evaluate the negative effects smoking and maternal anemia have on the birth weight and neonatal outcomes. Materials and methods: 1021 women who delivered in our clinic were included in the study. Those included were either smokers and anemic or non-smokers but anemic. Neonatal outcomes such as birth weight and week, Apgar scores, umbilical cord lactate level, bilirubin values, and intensive care needs were compared. Results: In the study population, smoking habit was detected with a rate of 10.8% and anemia at a rate of 30.3%. When compared to non-smokers, birth weight (3079.4 (415.8) vs 3272.3 (442.1), [P<0.001]) and birth week (39.3 (1.0) vs 39.6 (1.0), [P=0.029]) were found to be statistically significantly lower in the smokers group. It was observed that smoking did not make a statistically significant difference in terms of APGAR scores, lactate and bilirubin levels, and neonatal intensive care need among the smokers and non-smokers group. Moreover, to make sure smoking was not masking the effects of anemia, the non-smoker group was divided into anemic and non-anemic subgroups. Despite of that, anemia did not result in statistically significant differences between the subgroups. Conclusion: Pregnant women should be advised to quit smoking as it has significant effects on the fetus.
Keywords : anemi, gebelik, sigara, yenidoğan sonuçları