224617 Potentially detrimental lifestyle behaviour and complications to infant health in Polish women before and during pregnancy

Sunday, November 7, 2010

Andrzej Wojtyla, MD PhD , Chief Sanitary Inspectorate, Institute of Agricultural Medicine Lublin, Warsaw, Poland
Przemyslaw Bilinski, MD, PhD , Chief Sanitary Inspectorate, Institute of Haematology and Transfusion Medicine, Warsaw, Poland
Piotr Holownia, PhD , Advisor, Chief Sanitary Inspectorate, Warsaw, Poland
Krzysztof Brzozka , The State Agency for the Prevention of Alcohol-Related Problems (PARPA), Warsaw, Poland
Witold Zatonski, Prof , Marie Curie Cancer Institute, Warsaw, Poland
  
The behaviour and effects of smoking and passive smoking in conjunction with drinking, using marihuana and sleeping pills were studied in post-partum women and offspring during pregnancy. The study was performed through the Polish State Sanitary Inspectorate as part of the EU's ‘Warsaw Declaration' policy of removing health disparities in Europe. Questionnaires for the mothers, (n=2280, from 382 maternity hospitals), were based on the PRAMS-CDC model plus clinical data was used concerning the pregnancy, eg. previous pregnancies, infant weight, APGAR rating, congenital problems, prematurity, etc. Statistical analysis used Chi-squared and Cramer's V. The principle effects on newborns were; women (8%) smoking for the last 2 years but not daily had lower birth-weight newborns than normal compared to women smoking daily (5%). In the latter group, (16%) had infant APGAR ratings below a healthy level compared to (11%) of women who smoke but not daily. Also women with birth complications had higher awareness of passive smoking harm. Caesarean section was highest in those mothers (26%) who had ever taken anti-depressants or sleeping pills compared to 14% who hadn't. During pregnancy 92% of non-smokers and 82% smokers didn't drink whereas women who drank, 23% ceased smoking but 20% continued. Women smoking marihuana was highest when pregnancy was confirmed early (1-4 weeks) and in women with their first pregnancy. The highest occurrence of taking sleeping pills were for women who continued to smoke (17%) compared to those that didn't (8%). Problem areas were thus identified ready for an educational campaign.

Learning Areas:
Epidemiology
Public health or related research

Learning Objectives:
Identification and discussion of potentially at risk lifestyle behaviour in post partum women and harm to the newborn is presented so as to allow formulation of an preventative educational strategy to be made.

Keywords: Maternal and Child Health, Substance Abuse

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because of the following: Education 1976 -1980 W. Broniewski High School, Belchatow, passed final exams, 1980-1986 Medical University of Lodz, M.D. medical diploma, 1987-1988 Medical University of Lodz – Training Centre for Academic Personnel 1990 II Clinic of Internal Medicine at the Medical University of Lodz; 1st degree specialization in internal medicine, 1995 Institute of Endocrinology, Lodz Medical University; 2nd degree specialization in internal medicine; PhD in Endocrinology, 1995 European Federation of Endocrine Societies, Switzerland, Geneva 2nd EFES Postgraduate Clinical Endocrinology Course, 1996 European Federation of Endocrine Societies, Italy, Turin 3rd EFES Postgraduate Clinical Endocrinology Course, 1997 European Federation of Endocrine Societies, Poland, Pultusk 4th EFES Postgraduate Clinical Endocrinology Course, 1998- Project HOPE Poland, Cracow 1999 Managerial Personnel for Health Protection in Poland, 1999 Institute of Endocrinology at the Medical University of Lodz; 2nd degree specialization in endocrinology, 2001 National School of Public Administration in Warsaw; Strategic Management, Negotiations, Macroeconomics, 2002 National Defence University, Warsaw Advanced Defence Course, 2004 National Institute of Hygiene – National Centre for Disease Prevention and Control, Warsaw; 2nd degree specialization in public health. Professional experience; 2006 Deputy Chief Sanitary Inspector, 1997-2006 Ministry of Health, Warsaw Deputy Director and Director of the Department of Science and Higher Education, 2004-2005 Institute of Hemathology and Transfusiology in Warsaw, Head of Daycare Unit and Consultant in Endocrinology, 2002-2004 National Institute of Hygiene, Warsaw Deputy Director of National Centre for Disease Prevention and Control, 1997-2003 Teaching Hospital N°3 of Medical University of Lodz, Deputy Head of Regional Centre for Osteoporosis and Menopause, 1990-1997 Teaching Hospital N°3 of Medical University of Lodz, Assistant in the Department of Thyroidology in the Institute of Endocrinology at the Medical University of Lodz, 1992-2001 Teaching Hospital N°3 of Medical University of Lodz, Director of the Prof. T. Pawlikowski Endocrine Research Foundation, 1986-1990 M. Kopernik Regional Specialist Hospital in Lodz Assistant in the II Clinic of Internal Medicine at the Medical University of Lodz. Membership in professional organisations; Polish Society for Endocrinology, Polish Society of Haematology and Transfusion Medicine, Polish Society of Internal Medicine, International Menopause Society. Awards Polish Silver Cross of Merit, Award for “Exemplary involvement in the area of Health Services”, Bronze Medal for Merit for Country Defence, An order of merit awarded by Medical University of Lodz, Jagiellonian University Medal issued at the occasion of 600 anniversary of the University. Golden Award of the Student’s Scientific Society.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 2057.0: Adolescent, pediatric and maternal and child health epidemiology poster session