Maternal Smoking Among Women With and Without Use of Assisted Reproductive Technologies

Details

• Alternative Title:
  J Womens Health (Larchmt)
• Personal Author:
  Tong, Van T. ; Kissin, Dmitry M. ; Bernson, Dana ; Copeland, Glenn ; Boulet, Sheree L. ; Zhang, Yujia ; Jamieson, Denise J. ; England, Lucinda J.
• Description:
  Objective
  
  To estimate smoking prevalence during the year before pregnancy and during pregnancy and adverse outcomes among women who delivered infants with and without assisted reproductive technology (ART) using linked birth certificates (BC) and National ART Surveillance System (NASS) data.
  
  Methods
  
  Data were analyzed for 384,390 women and 392,248 infants born in Massachusetts and Michigan during 2008–2009. Maternal smoking prevalence was estimated using smoking indicated from BC by ART status. For ART users, to evaluate underreporting, prepregnancy smoking was estimated from BC, NASS, or both sources. Effect of prenatal smoking on preterm and mean birthweight (term only) for singleton infants were examined by ART status.
  
  Results
  
  Maternal smoking prevalence estimates were significantly lower for ART users than nonusers (pre-pregnancy = 3.2% vs. 16.7%; prenatal = 1.0% vs. 11.1%, p < 0.05). When combining smoking information from BC and NASS, prepregnancy smoking prevalence estimates for ART users could be as high as 4.4% to 6.1%. Adverse effects of smoking on infant outcomes in ART pregnancies were consistent with the effects seen in non-ART pregnancies, specifically decline in infant birthweight and increase in preterm delivery, although association between smoking and preterm was not significant.
  
  Conclusion
  
  A low, but substantial proportion of ART users smoked before and during pregnancy. As ART users are highly motivated to get pregnant, it should be clearly communicated that smoking can decrease fertility and adversely affect pregnancy outcomes. Continued efforts are needed to encourage smoking cessation and maintain tobacco abstinence among all women of reproductive age.
  
  
• Subjects:
  Adult Article Female Fertility Humans Infant, Newborn Infant, Premature Maternal Age Population Surveillance Pregnancy Pregnancy Outcome Premature Birth Prevalence Reproductive Techniques, Assisted Smoking

  More +
• Source:
  J Womens Health (Larchmt). 25(10):1066-1072
• Pubmed ID:
  27243366
• Pubmed Central ID:
  PMC5067967
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Place as Subject:
  Massachusetts ; Michigan
• Volume:
  25
• Issue:
  10
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:c81fb06b0685c44a4d175878b975e69b911fb893953796e13c8d0e98e670498a9dec02b2a01c50def737e51ca81445c0a6df29f813d4b699dc319eaefb34a841
• Download URL:
  https://stacks.cdc.gov/view/cdc/42199/cdc_42199_DS1.pdf
• File Type:
  [PDF - 198.15 KB ]