248143 Influence of smoking in pregnant women on the health of the newborn in Poland

Sunday, October 30, 2011

Andrzej Wojtyla, MD PhD , Director, Institute of Agricultural Medicine Lublin, Lublin, Poland
Przemyslaw Bilinski, MD, PhD , Chief Sanitary Inspector, Chief Sanitary Inspectorate, Institute of Haematology and Transfusion Medicine, Warsaw, Poland
Witold Zatonski, Prof , Marie Curie Cancer Institute, Warsaw, Poland
Peter Boyle, BSc PhD DSc(Med) DSc(hc) FRSE FFPH FRCPS(Glas) FRCP(Edin) FMedSci , International Prevention Research Institute, Lyon, France
Piotr Holownia, PhD , Advisor, Chief Sanitary Inspectorate, Warsaw, Poland
Waldemar Wierzba, MD PhD , Editor-in-Chief, Physician's World Journal, 00-378 Warsaw, Poland
The effect of the mother's health behaviour during pregnancy on newborns was investigated during 2009-11 throughout Poland by trained staff from the SANEPID authorities. The questionnaire study was based on a Mother and Child Health Monitoring system, (PRAMS equivalent), representative of the country. This was completed by a total of n=9780 subjects on a single day per year, (approximately 3000 subjects/year), at least 3 days following birth in around 300 hospital obstetric wards. The selection of a particular day was made by the Chief Sanitary Inspectorate. Additionally, the healthcare staff directly concerned also filled in the relevant clinical details. Whenever birth complications occurred, (such as pathological or premature births, caesarean section, low birth weight, serious condition of mother/baby etc.), the survey was completed after recovery. The study was performed with full approval of hospital management and bioethical committees. Data was subsequently analysed by the Lublin Institute of Agricultural Medicine. Women that smoked demonstrated the following compared to non-smokers; lower newborn birth weight irrespective of the trimester when smoking, 2% more premature births, a worse general condition of the newborn according to APGAR rating and a more frequent delivery by caesarean section. Women smokers also more frequently miscarried. It is thereby vital that both girls and women receive appropriate education before the age of procreation as well as healthcare staff and the media on the harm caused by smoking to the newborn. The creation of a health advice centre network is now planned for women planning children including smoking cessation.

Learning Areas:
Basic medical science applied in public health
Public health or related research

Learning Objectives:
Demonstrate and assess the harmful effects of smoking during pregnancy on newborn health thus allowing preventative action, (appropriate education), to be formulated for both subjects and healthcare staff.

Keywords: Pregnancy Outcomes, Infant Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Obtained MD at the Poznan University of Medical Sciences (1980), and PhD at the Georgetown University Medical Centre in Washington (1996), on ‘Using American experience in health expenditure control while reforming the Polish health system’. Specialisations include paediatrics, agricultural medicine, public health and health administration. Posts held consist of; junior to senior hospital doctor positions, directorships of GP centres, various governmental and parliamentary postings including being the Polish Minister of Health and social Welfare (1992-94), Health Undersecretary of State (2005-now), Chief Sanitary Inspector (2006-9) and Director of the Institute of Agricultural Medicine. Consultantships include WHO/FAO programme ‘Health, diet, physical activity and civilization diseases prevention’ between 2000 and 2001. Member of various professional bodies eg. Polish American Health Association – from 1995, Polish American Art. Association - from 1995,American Public Health Association – from 1996 to 1998, National Council for International Health – between 1996- 1997, International Association for Agricultural Medicine & Rural Health (IAAMRH) - from 1995 - member, between 2000 and 2003 General Secretary of this organization, seated at Loni (India). Author of numerous scientific papers, presented at international forums.
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.