Nülüfer ERBİL, Neslihan TOPRAK, Özge AÇIKGÖZ, Sevda GELEN, Neşe ARIK

6113

The relationship between maternal, placental and newborn parameters

The relationship between maternal, placental and newborn parameters

Objective: The aim of this study was to investigate the relationship between maternal, placental and newborn parameters.Methods: The sample consisted of 104 women who had agreed to participate in the research and whose pregnancy had reached 37 weeks or over. Only singleton births were included.  The placental and newborn parameters were measured after delivery.Results: We found that the mean placental weight was 563.6±135.65 grs, and the mean of newborn weight was 3358±487.58 grs.  The placental weight was significantly positively correlated with infant's birth weight (p=.000), infant's length (p=.024), maternal weight before pregnancy  (p=.021), maternal weight on last day of pregnancy ( p=.002), and maternal Body Mass Index (BMI) on the last day of pregnancy (p=.015) The placental weight of smoker during pregnancy was 628.82±107.40 grams; placental weight of non-smoker during pregnancy was 550.91±137.44 grams, and the difference was statistically significant (p=.007). The infant's weight was significantly negatively correlated with the number of cigarettes smoked each day during pregnancy (p=.042). It was also significantly positively correlated with the infant's placental weight (p=.000), length (p=.000), head circumference (p=.004), chest circumference (p=.000), and gestational week ( p=.001). In addition to, it was significantly positively correlated with the maternal weight before pregnancy (p=.002), maternal BMI before pregnancy (p=.007), maternal weight on the last day of pregnancy ( p=.000), and maternal BMI on the last day of pregnancy ( p=.002).Conclusion:  In conclusion, we determined that the placenta is an indicator of fetal growth. Also, maternal BMI has an effect on the newborn's weight. Maternal smoking during pregnancy was associated with an increase in placental weight as well as a decrease in an infant's weight.
Keywords:

Maternal parameters maternal BMI, maternal smoking, placental weight, birth weight, newborn parameters,

PDF

___

  • Alp H, Selimoğlu MA, Yaman S, Energin M, Altınkaynak S, Orbak Z. The effects on fetus of cigarette smoking during pregnancy. İst Çocuk Klin Derg 1995;30:80-83.
  • Altuncu E, Akman İ, Kotiloğlu E, Başgül A, Yurdakul Z, Demir F, Kavak Z, Baş E, Bozkurt N, Bilgen H, Özek E. The relationship of placental histology to pregnancy and neonatal characterisitcs in preterm infants. J TurkishGerman Gynecol Assoc 2008;9:1-7.
  • Alwasel SH, Abotalib Z, Aljarallah JS, Osmond C, Alkharaz SM, Alhazza IM, Badr G, Barker DJ. Changes in placental size during Ramadan. Placenta 2010;31:607-10.
  • Baptiste-Roberts K, Salafia CM, Nicholson WK, Duggan A, Wang NY, Brancati FL. Maternal risk factors for abnormal placental growth: the national collaborative perinatal Project. BMC Pregnancy and Childbirth 2008;8:2-7.
  • Barker DJ, Bull AR, Osmond C; Simmonds SJ. Fetal and placental size and risk of hypertension in adult life. BMJ 1990;30:259-62.
  • Barker DJ. In utero programming of chronic disease. Clin Sci (Lond) 1998;95:115-28.
  • Benirschke K, Kaufmann P. Anatomy and pathology of the umbilical cord and major fetal vessels. Benirschke K, Kaufmann P, editors. Pathology of Human Placenta, Springer-Verlag, New York, 2000.p. 319-77.
  • Bleker OP, Buimer M, van der Post JA, van der Veen F. Ted (G.J) Kloosterman: on intrauterin growth.The significance of prenatal care. Studies on birth weight, placental weight and placental index. Placenta 2006;27:1052-54.
  • Collins MH, Moessinger AC, Kleinerman J, Bassi J, Rosso P, Collins AM, James LS, Blanc WA. Fetal lung hypoplasia associated with maternal smoking: a morphometric analysis. Pediatr Res 1985;19:408-412.
  • Godfrey KM. The role of the placenta in fetal programming-a review. Placenta 2002;23:20-7. Jaya DS, Kumar NS, Bai LS. Anthropometric indices, cord length and placental weight in newborns. Indian Pediatr 1995;32:1183-88.
  • Karim E, Mascie-Taylor CG. The association between birthweight, sociodemographic variables and maternal anthropometry in urban sample from Dhaka, Bangladesh. Ann Hum Biol 1997;24:387-401.
  • Kırımi E, Pençe S. The affects of smoking during pregnancy to fetus and placental development. Van Medical Journal 1999;6:28-30.
  • Kramer MS. Determinants of low birth weight: methodological assessment and meta-analysis. Bull World Health Organ 1987;65:663-737.
  • Lao TT. Placental ratio and fetal growth. HK J Paediatr, 1998;3:29-31.
  • Lao TT, Tam KF, Chan LY. Third trimester iron status and pregnancy outcome in non-anaemic women; pregnancy unfavourably affected by maternal iron excess. Hum Reprod 2000;15:1843-48.
  • Lindley AA, Becker S, Gray RH, Herman AA. Effect of continuing or stopping smoking during pregnancy on infant birth weight, crownheel length, head circumference, ponderal index, and brain:body weight ratio. Am J Epidemiol 2000;152:219-25.
  • Little RE, Zadorozhnaja TD, Hulchiy OP, Mendel NA, Shkyryak-Nyzhnyk ZA, Chyslovska N, Gladen BC. Placental weight and its ratio to birthweight in a Ukrainian city. Early Hum Dev 2003;71:117-27.
  • Lo YF, Jeng MJ, Lee YS, Soong WJ, Hwang B. Placental weight and birth characteristics of healthy singleton newborns. Acta Paediatr Taiwan 2002;43:21-25.
  • Madazlı R, Tüten A, Calay Z. Evaluation of placentas in pregnancies with diabetes mellitus. Turkiye Klinikleri J Gynecol Obst 2007:89-93.
  • Miller HC, Jekel JF. The epidemiology of white full-term infants with short crown-heel lengths for gestational ages at birth. Yale J Biol Med 1989;62:1-12.
  • Petekkaya E, Deniz M, Yildiz E. Analysis of the relationship between umblikal cord, placental morphology and anthropometric measurements of the newborn. Pak J Med Sci 2011;27:569- 73.
  • Sanin LH, Lopez SR, Olivares ET, Terrazas MC, Silva MA, Carrillo ML. Relation between birth weight and placenta weight. Biol Neonate 2001;80:113-17.
  • Sivarao S, Vidyadaran MK, Jammal AB, Zainab S, Goh YM, Ramesh KN. Weight, volume and surface area of placenta of normal pregnant women and their relation to maternal and neonatal parameters in Malay, Chinese and Indian ethnic groups. Placenta 2002;23:691-96.
  • Thaler I,Goodman JD, and Dawes GS. Effects of maternal cigarette smoking on fetal breathing and fetal movements. Am J Obstet Gynecol 1980;138:282-87.
  • Üstün C, Malatyalıoğlu E. The effects of smoking on fetus-placenta during pregnancy. Ondokuz Mayıs University Tıp Fakültesi Dergisi 1990;7:43-48.
  • Wallace JM, Aitken RP, Milne JS, Hay WW Jr. Nutritionally-mediated placental growth restriction in the growing adolescent: consequences for the fetus. Biol Reprod 2004;71:1055-62.
  • Williams LA, Evans SF, Newnham JP. Prospective cohort study of factors influencing the relative weights of the placenta and the newborn infant. BMJ 1997;314:1864-18.
  • Wills J, Watson JM, Hales CN, Phillips DI. The relation of fetal growth to insulin secretion in young men. Diabet Med 1996;13:773-74.
  • Zeyneloğlu HB, Kuşçu E, Tarım E, Duran H, Ergeneli MH, Batıoğlu S. Placental parameters and fetal outcome: implications on routine evaluation of placental histology. T Klin J Gynecol Obst 1999;9:31-36.
Middle Black Sea Journal of Health Science-Cover
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2015
  • Yayıncı: Ordu Üniversitesi
Arşiv
Sayıdaki Diğer Makaleler

The relationship between maternal, placental and newborn parameters

Nülüfer ERBİL, Neslihan TOPRAK, Özge AÇIKGÖZ, Sevda GELEN, Neşe ARIK

Spontaneous Breast Hematoma Associated With Warfarin

Yasemin KAYA, Ali KURT, Ebru ÇANAKÇI, Zeki GÜNAYDIN, Osman BEKTAŞ, Hasan ÖZTÜRK

PhD, Asst. Prof. Ulku KARAMAN

Ulku Karaman