Skip Navigation

Journal of Tropical Pediatrics 1993 39(4):253-254; doi:10.1093/tropej/39.4.253
© 1993 by Oxford University Press
This Article
Right arrow Full Text (PDF)
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Krishnamurthy, S.
Right arrow Articles by Joshi, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Krishnamurthy, S.
Right arrow Articles by Joshi, S.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

brief-report

Gender Differences and Low Birth Weight With Maternal Smokeless Tobacco Use in Pregnancy

S. Krishnamurthy, MD, MPH, FCAP1 and S. Joshi, MSc

National Cancer Registry Project (ICMR) 9th Floor, Tata Memorial Hospital Annexe, Bombay – 400 012, India

1Correspondence: Dr S. Krishnamurthy, D-7, ICMR Quarters, 25, ARG Thadani Marg, Bombay - 400 025 India

A preliminary study of maternal smokeless tobacco use, mostly oral applications of burnt tobacco or ‘mishri’, in pregnancy showed 65 of 178 singleton liveborns occurred to users and 113 to non-users in Bombay, India. Eighty-three newborns, 42 to maternal tobacco users and 41 to non-users were <2.5 kg birth weight, i.e. low birth weight (LBW; odds ratio 3.2; confidence interval 1.5–6.9; P<0.001). Stratifying by gender yielded odds ratios of 1.6 (P>0.1, NS) for male and 6.96 (confidence interval 2.5–19.4, P<0.0005), for female newborns compared to normal birthweight boys and girls, respectively. Male:female newborns were 80.6:100 in maternal tobacco users compared to 105.5:100 in non-users. Defining LBW as <2.0 kg yielded an odds ratio of 5.4 (confidence interval 1.8–15.2, P<0.005) in maternal tobacco users' offspring. For babies weighing 2–2.5 kg at birth it was 2.76 (confidence interval 1.4–5.5, P<0.01). Maternal use of ‘mishri’ tobacco in pregnancy may be associated with (1) the offsprings' low birth weight, (2) low birth weights in girls more than in boys; (3) decreased male:female ratio in live newborns, and (4) low birth weight of <2.0 kg more than of 2–2.5 kg. Studies are needed to substantiate these findings. Gender differences in outcome suggest the in utero effect of maternal smokeless tobacco use on male and female fetuses may differ.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 BMJHome page
P. C Gupta and S. S
Smokeless tobacco use, birth weight, and gestational age: population based, prospective cohort study of 1217 women in Mumbai, India
BMJ, June 26, 2004; 328(7455): 1538.
[Abstract] [Full Text] [PDF]

Home page
 ThoraxHome page
J A Critchley and B Unal
Health effects associated with smokeless tobacco: a systematic review
Thorax, May 1, 2003; 58(5): 435 - 443.
[Abstract] [Full Text] [PDF]

Home page
 ThoraxHome page
R. West, A. McNeill, and M. Raw
Smoking cessation guidelines for health professionals: an update
Thorax, December 1, 2000; 55(12): 987 - 999.
[Abstract] [Full Text]

Home page
 Am. J. Clin. Nutr.Home page
R. Yip
Significance of an abnormally low or high hemoglobin concentration during pregnancy: special consideration of iron nutrition
Am. J. Clinical Nutrition, July 1, 2000; 72(1): 272S - 279.
[Abstract] [Full Text] [PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.