Maternal smoking during pregnancy and fetal organ growth: a magnetic resonance imaging study.

<h4>Objective</h4>To study whether maternal cigarette smoking during pregnancy is associated with alterations in the growth of fetal lungs, kidneys, liver, brain, and placenta.<h4>Design</h4>A case-control study, with operators performing the image analysis blinded.<h4>...

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Main Authors: Devasuda Anblagan, Nia W Jones, Carolyn Costigan, Alexander J J Parker, Kirsty Allcock, Rosanne Aleong, Lucy H Coyne, Ruta Deshpande, Nick Raine-Fenning, George Bugg, Neil Roberts, Zdenka Pausova, Tomáš Paus, Penny A Gowland
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0067223&type=printable
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author Devasuda Anblagan
Nia W Jones
Carolyn Costigan
Alexander J J Parker
Kirsty Allcock
Rosanne Aleong
Lucy H Coyne
Ruta Deshpande
Nick Raine-Fenning
George Bugg
Neil Roberts
Zdenka Pausova
Tomáš Paus
Penny A Gowland
author_facet Devasuda Anblagan
Nia W Jones
Carolyn Costigan
Alexander J J Parker
Kirsty Allcock
Rosanne Aleong
Lucy H Coyne
Ruta Deshpande
Nick Raine-Fenning
George Bugg
Neil Roberts
Zdenka Pausova
Tomáš Paus
Penny A Gowland
author_sort Devasuda Anblagan
collection DOAJ
description <h4>Objective</h4>To study whether maternal cigarette smoking during pregnancy is associated with alterations in the growth of fetal lungs, kidneys, liver, brain, and placenta.<h4>Design</h4>A case-control study, with operators performing the image analysis blinded.<h4>Setting</h4>Study performed on a research-dedicated magnetic resonance imaging (MRI) scanner (1.5 T) with participants recruited from a large teaching hospital in the United Kingdom.<h4>Participants</h4>A total of 26 pregnant women (13 current smokers, 13 non smokers) were recruited; 18 women (10 current smokers, 8 nonsmokers) returned for the second scan later in their pregnancy.<h4>Methods</h4>Each fetus was scanned with MRI at 22-27 weeks and 33-38 weeks gestational age (GA).<h4>Main outcome measures</h4>Images obtained with MRI were used to measure volumes of the fetal brain, kidneys, lungs, liver and overall fetal size, as well as placental volumes.<h4>Results</h4>Exposed fetuses showed lower brain volumes, kidney volumes, and total fetal volumes, with this effect being greater at visit 2 than at visit 1 for brain and kidney volumes, and greater at visit 1 than at visit 2 for total fetal volume. Exposed fetuses also demonstrated lower lung volume and placental volume, and this effect was similar at both visits. No difference was found between the exposed and nonexposed fetuses with regards to liver volume.<h4>Conclusion</h4>Magnetic resonance imaging has been used to show that maternal smoking is associated with reduced growth of fetal brain, lung and kidney; this effect persists even when the volumes are corrected for maternal education, gestational age, and fetal sex. As expected, the fetuses exposed to maternal smoking are smaller in size. Similarly, placental volumes are smaller in smoking versus nonsmoking pregnant women.
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spelling doaj-art-371348d6120b4aa593453474b814adee2025-08-20T03:26:48ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0187e6722310.1371/journal.pone.0067223Maternal smoking during pregnancy and fetal organ growth: a magnetic resonance imaging study.Devasuda AnblaganNia W JonesCarolyn CostiganAlexander J J ParkerKirsty AllcockRosanne AleongLucy H CoyneRuta DeshpandeNick Raine-FenningGeorge BuggNeil RobertsZdenka PausovaTomáš PausPenny A Gowland<h4>Objective</h4>To study whether maternal cigarette smoking during pregnancy is associated with alterations in the growth of fetal lungs, kidneys, liver, brain, and placenta.<h4>Design</h4>A case-control study, with operators performing the image analysis blinded.<h4>Setting</h4>Study performed on a research-dedicated magnetic resonance imaging (MRI) scanner (1.5 T) with participants recruited from a large teaching hospital in the United Kingdom.<h4>Participants</h4>A total of 26 pregnant women (13 current smokers, 13 non smokers) were recruited; 18 women (10 current smokers, 8 nonsmokers) returned for the second scan later in their pregnancy.<h4>Methods</h4>Each fetus was scanned with MRI at 22-27 weeks and 33-38 weeks gestational age (GA).<h4>Main outcome measures</h4>Images obtained with MRI were used to measure volumes of the fetal brain, kidneys, lungs, liver and overall fetal size, as well as placental volumes.<h4>Results</h4>Exposed fetuses showed lower brain volumes, kidney volumes, and total fetal volumes, with this effect being greater at visit 2 than at visit 1 for brain and kidney volumes, and greater at visit 1 than at visit 2 for total fetal volume. Exposed fetuses also demonstrated lower lung volume and placental volume, and this effect was similar at both visits. No difference was found between the exposed and nonexposed fetuses with regards to liver volume.<h4>Conclusion</h4>Magnetic resonance imaging has been used to show that maternal smoking is associated with reduced growth of fetal brain, lung and kidney; this effect persists even when the volumes are corrected for maternal education, gestational age, and fetal sex. As expected, the fetuses exposed to maternal smoking are smaller in size. Similarly, placental volumes are smaller in smoking versus nonsmoking pregnant women.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0067223&type=printable
spellingShingle Devasuda Anblagan
Nia W Jones
Carolyn Costigan
Alexander J J Parker
Kirsty Allcock
Rosanne Aleong
Lucy H Coyne
Ruta Deshpande
Nick Raine-Fenning
George Bugg
Neil Roberts
Zdenka Pausova
Tomáš Paus
Penny A Gowland
Maternal smoking during pregnancy and fetal organ growth: a magnetic resonance imaging study.
PLoS ONE
title Maternal smoking during pregnancy and fetal organ growth: a magnetic resonance imaging study.
title_full Maternal smoking during pregnancy and fetal organ growth: a magnetic resonance imaging study.
title_fullStr Maternal smoking during pregnancy and fetal organ growth: a magnetic resonance imaging study.
title_full_unstemmed Maternal smoking during pregnancy and fetal organ growth: a magnetic resonance imaging study.
title_short Maternal smoking during pregnancy and fetal organ growth: a magnetic resonance imaging study.
title_sort maternal smoking during pregnancy and fetal organ growth a magnetic resonance imaging study
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0067223&type=printable
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