Effects of smoking on fetoplacental-maternal system during pregnancy

Fetoplacental function and maternal nutritional condition were assessed in order to clarify the mechanism of retarded fetal growth in pregnant women who smoked. Dehydroepiandrosterone sulfate (DHA-S) loading tests and measurements of cotinine, which is a major metabolite of nicotine, were also made....

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Veröffentlicht in:American journal of obstetrics and gynecology 1984-06, Vol.149 (4), p.413-420
Hauptverfasser: Mochizuki, Matsuto, Maruo, Takeshi, Masuko, Kazuhisa, Ohtsu, Toshihiko
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container_end_page 420
container_issue 4
container_start_page 413
container_title American journal of obstetrics and gynecology
container_volume 149
creator Mochizuki, Matsuto
Maruo, Takeshi
Masuko, Kazuhisa
Ohtsu, Toshihiko
description Fetoplacental function and maternal nutritional condition were assessed in order to clarify the mechanism of retarded fetal growth in pregnant women who smoked. Dehydroepiandrosterone sulfate (DHA-S) loading tests and measurements of cotinine, which is a major metabolite of nicotine, were also made. In heavy smokers, urinary estriol and serum levels of human placental lactogen (hPL) were lower than those in nonsmokers. There was no difference in maternal nutrition between smokers and nonsmokers. Heavy smokers demonstrated a lower conversion of DHA-S to estradiol than did nonsmokers. Levels of cotinine in maternal blood and umbilical cord blood of heavy smokers were remarkably higher than those in nonsmokers. Microscopic examination showed atrophic and hypovascular changes in placental villi from mothers who smoked. These results suggest that retarded fetal growth in heavy smokers is due to impairment of uteroplacental circulation as a result of the vasoconstricting effect of nicotine.
doi_str_mv 10.1016/0002-9378(84)90156-X
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Dehydroepiandrosterone sulfate (DHA-S) loading tests and measurements of cotinine, which is a major metabolite of nicotine, were also made. In heavy smokers, urinary estriol and serum levels of human placental lactogen (hPL) were lower than those in nonsmokers. There was no difference in maternal nutrition between smokers and nonsmokers. Heavy smokers demonstrated a lower conversion of DHA-S to estradiol than did nonsmokers. Levels of cotinine in maternal blood and umbilical cord blood of heavy smokers were remarkably higher than those in nonsmokers. Microscopic examination showed atrophic and hypovascular changes in placental villi from mothers who smoked. 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Dehydroepiandrosterone sulfate (DHA-S) loading tests and measurements of cotinine, which is a major metabolite of nicotine, were also made. In heavy smokers, urinary estriol and serum levels of human placental lactogen (hPL) were lower than those in nonsmokers. There was no difference in maternal nutrition between smokers and nonsmokers. Heavy smokers demonstrated a lower conversion of DHA-S to estradiol than did nonsmokers. Levels of cotinine in maternal blood and umbilical cord blood of heavy smokers were remarkably higher than those in nonsmokers. Microscopic examination showed atrophic and hypovascular changes in placental villi from mothers who smoked. These results suggest that retarded fetal growth in heavy smokers is due to impairment of uteroplacental circulation as a result of the vasoconstricting effect of nicotine.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>6203408</pmid><doi>10.1016/0002-9378(84)90156-X</doi><tpages>8</tpages></addata></record>
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subjects alpha-Fetoproteins - blood
Biological and medical sciences
Birth Weight
Blood Glucose
Chorionic Villi - drug effects
Chorionic Villi - pathology
Copper - blood
Cotinine - blood
Cotinine - urine
Dehydroepiandrosterone - metabolism
Estriol - urine
Female
Fetal Blood - analysis
Fetus - drug effects
Fetus - physiology
Growth
Humans
Infant, Newborn
L-Lactate Dehydrogenase - blood
Medical sciences
Nicotine - pharmacology
Placental Lactogen - blood
Population
Pregnancy
Smoking
Tobacco, tobacco smoking
Toxemia - metabolism
Toxicology
title Effects of smoking on fetoplacental-maternal system during pregnancy
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