Association between maternal active smoking during pregnancy and placental weight: The Japan environment and Children's study

Maternal smoking during pregnancy is a well-known risk factor for reduced birthweight. However, research investigating the association between maternal smoking and placental weight is scarce and inconsistent. Our study was conducted to evaluate the association between maternal smoking and placental...

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Veröffentlicht in:Placenta (Eastbourne) 2020-05, Vol.94, p.48-53
Hauptverfasser: Mitsuda, N., N Awn, J.P., Eitoku, M., Maeda, N, Fujieda, M., Suganuma, N., Kamijima, Michihiro, Yamazaki, Shin, Ohya, Yukihiro, Kishi, Reiko, Yaegashi, Nobuo, Hashimoto, Koichi, Mori, Chisato, Ito, Shuichi, Yamagata, Zentaro, Inadera, Hidekuni, Nakayama, Takeo, Iso, Hiroyasu, Shima, Masayuki, Kurozawa, Youichi, Suganuma, Narufumi, Kusuhara, Koichi, Katoh, Takahiko
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container_title Placenta (Eastbourne)
container_volume 94
creator Mitsuda, N.
N Awn, J.P.
Eitoku, M.
Maeda, N
Fujieda, M.
Suganuma, N.
Kamijima, Michihiro
Yamazaki, Shin
Ohya, Yukihiro
Kishi, Reiko
Yaegashi, Nobuo
Hashimoto, Koichi
Mori, Chisato
Ito, Shuichi
Yamagata, Zentaro
Inadera, Hidekuni
Nakayama, Takeo
Iso, Hiroyasu
Shima, Masayuki
Kurozawa, Youichi
Suganuma, Narufumi
Kusuhara, Koichi
Katoh, Takahiko
description Maternal smoking during pregnancy is a well-known risk factor for reduced birthweight. However, research investigating the association between maternal smoking and placental weight is scarce and inconsistent. Our study was conducted to evaluate the association between maternal smoking and placental weight and placental weight/birthweight ratio (PW/BW ratio). We used data from a birth cohort study, the Japan Environment and Children's Study (JECS). Main outcome measures were placental weight, PW/BW ratio, and the risk of high PW/BW ratio. High PW/BW ratio was defined as PW/BW ratio above the 90th percentile for gestational age and sex of offspring. The association between maternal smoking and placental weight was estimated as crude and as adjusted beta coefficients by applying linear regression analyses. Logistic regression analyses were also performed to estimate the association between maternal smoking and the risk of high PW/BW ratio. Of the 91,951 pregnant women, the mean placental weight and the mean PW/BW ratio were lowest for the group of women who had never smoked. Smokers had higher odds ratio for high PW/BW ratio compared with non-smokers. Furthermore, among smokers, the mean placental weight and mean PW/BW ratio were lowest in women who smoked less than 5 daily cigarettes, and highest in women who smoked 20 or more daily cigarettes during pregnancy. Placental weight was greater and PW/BW ratio was higher among smokers compared with non-smokers. Moreover, the number of daily cigarettes was positively associated with heavy placental weight. •Placental weight was greater among smokers compared with non-smokers.•Placental weight/birthweight ratio was higher among smokers compared with non-smokers.•The number of daily cigarettes was also positively associated with heavy placental weight.
doi_str_mv 10.1016/j.placenta.2020.04.001
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subjects Adult
Birth Weight
Cohort Studies
Female
Gestational Age
Humans
Infant, Newborn
Japan
JECS
Male
Maternal smoking
Organ Size
Placenta - anatomy & histology
Placental weight to birthweight ratio
Pregnancy
Smoking - adverse effects
Surveys and Questionnaires
title Association between maternal active smoking during pregnancy and placental weight: The Japan environment and Children's study
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