scholarly journals Maternal smoking during pregnancy and asthma during the first year of life: a comparative study between smokers and non-smoker mothers

2021 ◽  
Vol 49 (5) ◽  
pp. 32-41
Author(s):  
Cristina Rivas Juesas ◽  
Lucia Fernández Monge ◽  
Ana Delgado Vicente ◽  
Ana Ledo García ◽  
Maribel Giner Crespo ◽  
...  
Keyword(s):  
Maternal Smoking ◽  
First Year ◽  
Smoking During Pregnancy ◽  
Smoking In Pregnancy ◽  
Smoking Group ◽  
One Year ◽  
Care Problems ◽  
First Year Of Life ◽  
The Relationship ◽  
In Pregnancy

Background: We investigated the relationship between maternal smoking in pregnancy and health care problems in the offspring during the first year of life, particularly asthma.Material and Methods: A cohort of 648 consecutive infants born at term and alive at Hospitalde Sagunto (Valencia, Spain) over one year period was followed for 12 months. Clinical data of the infants were prospectively collected from the database of ambulatory medical records (ABUCASIS) of the Valencia health system.Results: Smoking during pregnancy was recorded in 164 (25.3%) mothers. During the first year of life, asthma was diagnosed in 101 infants, with an incidence of 15.7%. The diagnoses of asthma (25.6% vs. 12.3%; P < 0.0001) and bronchiolitis (44.5% vs. 28.6%; P = 0.0002) during the first year of life were more common among infants in the smoking group. The probability of developing asthma during the first year of life was two-fold higher for the male gender and 2.5 times higher when mothers smoked while pregnant. Up to 52% of asthma cases could have been avoided in infants born to smoking mothers if they did not smoke during pregnancy. Infants in the smoking group showed a lower weight and length at birth than infants in the nonsmoking group differences almost disappeared at 6 months and 12 months.Conclusion: Asthma during the first year of life showed a clear relationship with maternal smoking in pregnancy. Pregnant women should be advised of the significant perinatal risk for respiratory diseases associated with tobacco use.

scholarly journals Relationship between Maternal and First Year of Life Dispensations of Antibiotics and Antiasthmatics

Antibiotics ◽  
2018 ◽  
Vol 7 (3) ◽  
pp. 84
Author(s):  
Guro Fossum ◽  
Morten Lindbæk ◽  
Svein Gjelstad ◽  
Kari Kværner
Keyword(s):  
Prescription Drugs ◽  
First Year ◽  
Prescription Database ◽  
Birth Registry ◽  
Mother And Child ◽  
Seeking Behavior ◽  
Norwegian Prescription Database ◽  
One Year ◽  
First Year Of Life ◽  
In Pregnancy

Antibiotics are the most frequent prescription drugs used by pregnant women. Our objective was to investigate if the dispensation of antibiotics and antiasthmatics in children less than 1 year of age is associated with prenatal antibiotic exposure. A secondary aim was to explore the incidence of dispensed antibiotics in pregnancy and dispensed antibiotics and antiasthmatics in children. We conducted an observational study using the Peer Academic Detailing study database to select patients eligible for match in the Medical Birth Registry of Norway, a total of 7747 mother-and-child pairs. Details on antibiotic and antiasthmatic pharmacy dispensations were obtained from the Norwegian Prescription Database. One quarter (1948 of 7747) of the mothers in the study had been dispensed antibiotics during pregnancy. In their first year of life, 17% (1289) of the children had had an antibiotic dispensation, 23% (1747) an antiasthmatic dispensation, and 8% (619) of the children had had both. We found a significant association between dispensed antibiotics in pregnancy and dispensed antibiotics to the child during their first year of life; OR = 1.16 (95% CI: 1.002–1.351). The association was stronger when the mothers were dispensed antibiotics at all, independent of the pregnancy period; OR = 1.60 (95% CI: 1.32–1.94). We conclude that the probability for dispensation of antibiotics was increased in children when mothers were dispensed antibiotics, independent of pregnancy. Diagnostic challenges in the very young and parental doctor-seeking behavior may, at least in part, contribute to the association between dispensations in mothers and children below the age of one year.

scholarly journals Proxy gene-by-environment Mendelian randomization study confirms a causal effect of maternal smoking on offspring birthweight, but little evidence of long-term influences on offspring health

2019 ◽  
Author(s):  
Qian Yang ◽  
Louise A C Millard ◽  
George Davey Smith
Keyword(s):  
Maternal Smoking ◽  
Mendelian Randomization ◽  
Causal Effect ◽  
Smoking Status ◽  
Later Life ◽  
P Value ◽  
Life Outcomes ◽  
Smoking During Pregnancy ◽  
Smoking In Pregnancy ◽  
In Pregnancy

AbstractObjectiveTo validate a novel proxy gene-by-environment (G×E) Mendelian randomization (MR) approach by replicating the previously established effect of maternal smoking heaviness in pregnancy on offspring birthweight, and then use GxE MR to investigate the effect of smoking heaviness in pregnancy on offspring health outcomes in later life and grandchild’s birthweight.DesignA proxy G×E MR using participants’ genotype (i.e. rs16969968 in CHRNA5) as a proxy for their mother’s genotype.SettingUK Biobank.Participants289,684 white British men and women aged 40-69 in UK Biobank.Main outcome measuresParticipants’ birthweight and later life outcomes (height, body mass index, lung function, asthma, blood pressure, age at menarche, years of education, fluid intelligence score, depression/anxiety, happiness), and birthweight of female participants’ first child.ResultsIn our proof of principle analysis, each additional smoking-increasing allele was associated with a 0.018 (95% confidence interval (CI): −0.026, −0.009) kg lower birthweight in the “maternal smoking during pregnancy” stratum, but no meaningful effect (−0.002kg; 95% CI: −0.008, 0.003) in the “maternal non-smoking during pregnancy” stratum (interaction P-value=0.004). We found little evidence of an effect of maternal smoking heaviness on participants’ later life outcomes. We found the differences in associations of rs16969968 with grandchild’s birthweight between grandmothers who did versus did not smoke were heterogeneous (interaction P-value=0.042) among female participants who did (−0.020kg per allele; 95% CI: −0.044, 0.003) versus did not (0.007kg per allele; 95% CI: −0.005, 0.020) smoke in pregnancy.ConclusionsOur study demonstrated how offspring genotype can be used to proxy for mothers’ genotype in G×E MR. We confirmed the previously established causal effect of maternal smoking on offspring birthweight but found little evidence of an effect on long-term health outcomes in the offspring. For grandchild’s birthweight, the effect of grandmother’s smoking heaviness in pregnancy may be modulated by maternal smoking status in pregnancy.WHAT IS ALREADY KNOWN TO THIS TOPICHeavier maternal smoking in pregnancy causes lower offspring birthweight Maternal smoking in pregnancy is also associated with offspring outcomes in later life and grandchild’s birthweight, but it is not known whether these associations are causal Understanding the transgenerational causal effects of maternal smoking heaviness in pregnancy is important to inform public health policiesWHAT THIS STUDY ADDSThe proxy gene-by-environment Mendelian randomization approach can be used to explore maternal effects on offspring phenotypes when maternal genetic information is unavailable The approach confirmed the causal effect of smoking on offspring birthweight.Maternal smoking status in pregnancy modulates the effect of grandmother’s smoking heaviness in pregnancy on grandchild’s birthweight, highlighting the importance of smoking cessation before pregnancy in each generation

Teething Symptoms in the First Year of Life and Associated Factors: A Cohort Study

2010 ◽  
Vol 34 (3) ◽  
pp. 201-206 ◽  
Author(s):  
Carlos Alberto Feldens ◽  
Italo Medeiros Faraco Junior ◽  
Andréia Bertani Ottoni ◽  
Eliane Gerson Feldens ◽  
Márcia Regina Vítolo
Keyword(s):  
Associated Factors ◽  
Primary Outcome ◽  
First Year ◽  
Structured Interviews ◽  
Self Medication ◽  
Nuclear Families ◽  
Dental Examination ◽  
Pediatric Dentists ◽  
One Year ◽  
First Year Of Life

Objective: To investigate the occurrence and management of teething symptoms during the first year of life and associated factors. Study design: 500 children were recruited at birth. Research assessments including structured interviews, anthropometric measurements and dental examination were carried out after birth, at 6 months and at one-year of age. The primary outcome of this study was defined as the occurrence of one or more teething symptoms within the first year of life, as reported by the mother. Results: Teething symptoms were reported in 73% of the children analyzed (273/375). The symptoms most frequently reported were irritability (40.5%), fever (38.9%), diarrhoea (36.0%) and itching (33.6%). Dentists had little influence on the management of symptoms and self-medication to relieve them was a common practice. The risk of reporting teething symptoms was higher for children from nuclear families (p=0.040) and for children from families with higher income (p=0.040). Conclusions: Teething symptoms were highly reported in this population. Pediatric dentists should be accessible and provide adequate orientation when symptoms can be managed at home or immediate referral to health services when more serious diseases are suspected.

Factors Associated with Maternal Opinion of Infant Development—Clues to the Vulnerable Child?

PEDIATRICS ◽  
1982 ◽  
Vol 69 (5) ◽  
pp. 537-543
Author(s):  
Marie C. McCormick ◽  
Sam Shapiro ◽  
Barbara Starfield
Keyword(s):  
Birth Weight ◽  
Infant Development ◽  
Infant Health ◽  
Subsequent Development ◽  
First Year ◽  
Factors Associated ◽  
Slow Development ◽  
First Year Of Life ◽  
Relationship Of ◽  
The Relationship

A mother's expectations about the development of her infant have been found to be a strong determinant of child development, but little is known about the factors that may affect maternal assessment of development. In this study, the relationship of the mother's opinion of the development of her infant with several sociodemographic, antenatal, intrapartum, and infant health variables was examined for a large sample of 1-year-old infants for whom gross motor observations were also obtained at the time of the interview. Among those observed to be developing at an appropriate rate, 4.0% were perceived by their mothers as developing more slowly than the mothers considered normal; among infants developing more slowly, 28.6% were considered to be developing slowly by their mothers. In both groups, the major determinants of maternal opinion of slow development concerned the infant's health: low birth weight, congenital anomalies regardless of severity, hospitalization during the first year of life, and high ambulatory care use. These results indicate that maternal perception of infant development may not reflect the infant's level, but past or present illness, and raise questions about the influence of infant health on maternal-infant interactions and the effect of such interactions on subsequent development in the child.

ADENOVIRUS COMPLEMENT-FIXING ANTIBODY TITERS FROM BIRTH THROUGH THE FIRST YEAR OF LIFE

PEDIATRICS ◽  
1963 ◽  
Vol 32 (4) ◽  
pp. 497-500
Author(s):  
Rosa Lee Nemir ◽  
Donna O'Hare ◽  
Stanley Goldstein ◽  
Charles B. Hilton
Keyword(s):  
Cytopathic Effect ◽  
Gradual Increase ◽  
Newborn Infants ◽  
First Year ◽  
Placental Barrier ◽  
Culture Studies ◽  
Antibody Titers ◽  
Level 1 ◽  
One Year ◽  
First Year Of Life

Complement fixing antibody titers to the adenoviruses were determined in 251 newborn infants, using cord blood. Approximately 95% of these were found to have CF titers of 1:16 or over, the majority (75%) were 1:32 or more. Material from the pharyngeal and rectal swabs of these infants on tissue culture studies (542) on HeLa and amnion cells showed no cytopathic effect in oven 96% of these infants. A longitudinal study of 114 of these infants was made at 3 months intervals; 67 have been observed for one year. At 3 months, only 12% still showed CF antibody titers, and these were chiefly at a low level, 1:16. At the subsequent 3-month interval observations, a gradual rise in CF antibodies were found. At one year of age, approximately 37% had titers of 1:32 on over. The findings of this report support the statement that CF antibodies to adenovirus pass the placental barrier. There is a gradual increase in the percentage of infants with positive CF antibodies after 3 months.

scholarly journals In congenital hypothyroidism bone maturation at birth may be a predictive factor of psychomotor development during the first Year of life irrespective of other variables related to treatment

2003 ◽  
pp. 1-6 ◽  
Author(s):  
M Wasniewska ◽  
F De Luca ◽  
A Cassio ◽  
N Oggiaro ◽  
P Gianino ◽  
...  
Keyword(s):  
Congenital Hypothyroidism ◽  
Psychomotor Development ◽  
First Year ◽  
X Rays ◽  
Bone Maturation ◽  
Gestation Age ◽  
Group A ◽  
One Year ◽  
First Year Of Life ◽  
Tsh Levels

OBJECTIVE: To evaluate in a cohort of infants with congenital hypothyroidism (CH): (a) the frequency of bone maturation (BM) retardation at birth and (b) whether BM delay at birth may be considered as a tool to make a prognosis of psychomotor status at the age of 1 Year, irrespective of other variables related to treatment. DESIGN: BM at birth, CH severity and developmental quotient (DQ) at the age of 1 Year were retrospectively evaluated in 192 CH infants selected by the following inclusion criteria: (a) gestation age ranging between 38 and 42 weeks; (b) onset of therapy within the first Month of life; (c) initial thyroxine (l-T(4)) dosage ranging from 10 to 12 microg/kg/day; (d) normalization of serum thyrotropin (TSH) levels before the age of 3 Months; (e) Monthly adjustments of l-T(4) dose during the first Year of life with serum TSH levels ranging from 0.5 to 4 mIU/l; (f) no major diseases and/or physical handicaps associated with CH; (g) availability of both thyroid scanning and knee X-rays at the time of treatment initiation; (h) availability of DQ assessment at an average age of 12 Months. METHODS: BM was considered normal if the distal femur bony nucleus diameter exceeded 3 mm (group A) or retarded if either this nucleus was absent (subgroup B1) or its diameter was <3 mm (subgroup B2). DQ was evaluated with the Brunet-Lezine test. RESULTS: In 44.3% of cases BM was either delayed (23.5%) or severely delayed (20.8%). The risk of BM retardation was higher in the patients with athyreosis than in the remaining patients (41/57 vs 44/135, chi(2)=25.13, P<0.005). BM-retarded infants showed a more severe biochemical picture of CH at birth and a lower DQ at the age of one Year compared with the group A patients. If compared with infants of subgroup B2 those of subgroup B1 exhibited significantly lower T(4) levels at birth and a more frequent association with athyreosis (70.0 vs 30.0%; chi(2)=7.49, P<0.01), whereas DQ was superimposable in both subgroups. CONCLUSIONS: (a) BM at birth is delayed in almost half of CH patients and (b) CH severity per se can affect DQ at the age of 1 Year irrespective of other variables related to therapy.

HEMATOPOIESIS IN PREMATURE INFANTS WITH SPECIAL CONSIDERATION OF THE EFFECT OF IRON AND OF ANIMAL-PROTEIN FACTOR

PEDIATRICS ◽  
1955 ◽  
Vol 16 (6) ◽  
pp. 753-762
Author(s):  
James A. Wolff ◽  
Alice M. Goodfellow
Keyword(s):  
Premature Infants ◽  
Animal Protein ◽  
Iron Therapy ◽  
First Year ◽  
Protein Factor ◽  
Anemia Of Prematurity ◽  
Significant Difference ◽  
One Year ◽  
First Year Of Life ◽  
Weight Groups

Normal values in the first 3 months of life have been determined for hemoglobin, erythrocytes, reticulocytes, platelets, leukocytes and differential counts for premature infants with birth weights less than 1200 gm., and for those between 1200 and 1500 gm. at birth. No significant difference was found in the degree of depression of levels of hemoglobin and erythrocytes when values in the 2 weight groups were compared. Two reticulocyte peaks occur during the first 3 months of life. The first peak is present immediately after birth. The second peak, at about the eighth week, coincides with the occurrence of the greatest degree of anemia. Neither iron therapy nor treatment with animal-protein factor containing vitamin B12 and Aureomycin®, started before the end of the third week of life, had a statistically significant effect on the early phase of the anemia of prematurity. Untreated premature infants and those given animal-protein factor were anemic at the end of the first year of life. Subjects given iron therapy had normal hemoglobin values at one year of age. Blood transfusion is rarely necessary in the treatment of the anemia of prematurity.

scholarly journals Being born to a single mother in France: trajectories of father’s involvement over the first year of life

2020 ◽  
Vol 11 (1) ◽  
pp. 123-149
Author(s):  
Ariane Pailhé ◽  
Lidia Panico ◽  
Marieke Heers
Keyword(s):  
Father Involvement ◽  
Single Mother ◽  
First Year ◽  
Parental Relationships ◽  
Father Engagement ◽  
Child Involvement ◽  
Nationally Representative ◽  
One Year ◽  
First Year Of Life ◽  
Representative Cohort

This paper characterises families where the father is not living (or not living permanently) with the child from around birth, and identifies the drivers of the evolution of father contact over the first year of life across different types of household. We use a recent, nationally representative cohort of children born in France in 2011, Elfe (the Etude longitudinale française depuis l’enfance), and latent clustering techniques to identify different groups of households characterised by non-residential fatherhood. We show that non-residential fatherhood from around birth is not a marginal phenomenon in France, and it corresponds to a heterogeneity of situations, describing both advantaged and low involvement fathers, as well less disadvantaged but involved groups. Over the first year of life, most non-resident fathers managed to keep in contact with their child, including relatively disadvantaged groups such as migrant and young parents, although groups characterised by low father involvement shortly after birth lost contact. On the other hand, among a group of very involved non-resident fathers who were in a relationship with the mother, we observed high levels of contact and indeed co-residence when the child was one year of age. A number of channels emerged to explain the correlations between our latent groups and father contact at one year: notably, father engagement around birth, especially whether the father formally recognised the child. Trajectories of father–child involvement and of parental relationships are therefore at least as important as socio-economic conditions to understand future father contact.

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