Smoking of Mothers after Delivery Significantly Contributes to Higher Morbidity in Newbornsand Suckling Infants

Authors: L. Kukla 1;  D. Hrubá 2;  M. Tyrlík 3
Authors‘ workplace: Ústav sociálního lékařství a veřejného zdravotnictví LF MU, Brno1 vedoucí prof. MUDr. J. Holčík, DrSc. Ústav preventivního lékařství LF MU, Brno2 vedoucí prof. MUDr. Z. Brázdová, DrSc. Psychologický ústav FF MU, Brno3 vedoucí prof. PhDr. M. Svoboda, CSc.
Published in: Čes-slov Pediat 2004; (5): 225-228.


Six months after the delivery, the women in observed cohort were sent further questionnaire of ELSPAC set,PN-6/2 („My child“): the questions explored the nutrition, health status and behaviour of the child in the time afterthe delivery. Smoking habits of mothers were investigated in questionnaire PN-6/1, sent out in the same term. Thedifferences between the sets of children born to smoking and non-smoking mothers were statistically assessed withuse of SPSS and EPI INFO programmes.4,581 women answered the questions within investigation half a year after the delivery. 76.2% of them did notsmoke at all, 16.8% smoked less than 10 cigarettes a day and 7.0% smoked more than 10 cigarettes a day. At least7% of children born to non-smoking mothers, 14% of children born to weak smokers and 45% of children bornto middle and strong smokers stayed certain time a day in a smoky spaces. In six months, 30% of non-smokingand 2.6% of smoking women breast fed their children.Mothers who were smoking in the time of six months after delivery gave more often that their children weresuffering from more severe health problems, respectively that they were sick nearly all the time. The children ofsmokers showed significantly increased frequency of all observed signs of respiratory system damages includingthe complications (middle ear inflammations). In the first half a year of life, almost twice as much of children ofstrong smokers were admitted to hospital when compared to children of non-smoking mothers (17.7% vs. 9.6%).Only two (!) mothers from all set admitted, that respiratory problems of the child could be related to its stayin smoky space. This alarming absence of knowledges about riskiness of passive smoking has to be solved asa priority by widely concieved health education.

Key words:
passive smoking, infants morbidity

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Neonatology Paediatrics General practitioner for children and adolescents
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