Adult hypertension has been linked to fetal growth. This study investi
gates whether this link is evident in the newborn. We measured blood p
ressure by oscillometry in 248 healthy neonates on day 3/4 of life. An
tenatal data and neonatal measurements were obtained from hospital rec
ords. Elevated neonatal blood pressure correlated with higher birthwei
ght. There was no correlation between placental weight and blood press
ure. Babies born by caesarean section had lower systolic blood pressur
e. Babies of maternal smokers had higher diastolic blood pressure, but
their mothers (45% of this study) had lower blood pressure than non-s
mokers. Thus, smoking was associated with a significant change in both
maternal and neonatal blood pressure, and may be an important influen
ce on the developing cardiovascular system.