Details:

Alternative Title:
Paediatr Perinat Epidemiol
Personal Author:
Tong, Van T. ; England, Lucinda J. ; Rockhill, Karilynn M. ; D’Angelo, Denise V.
Tong, Van T. ; England, Lucinda J. ; Rockhill, Karilynn M. ; D’Angelo, Denise V. Less -
Description:
Background:

Few studies have examined the effects of nondaily smoking or low-intensity daily smoking and infant outcomes. We examined the associations between preterm delivery and small for gestational age (SGA) infants in relation to both nondaily and daily smoking.

Methods:

We used population-based data on women who delivered live singleton infants using the 2009–11 Pregnancy Risk Assessment Monitoring System. Women’s smoking status in the last 3 months of pregnancy was categorised as nonsmokers, quitters, nondaily smokers (<1 cigarette/day), and daily smokers. Controlling for maternal age, maternal race/ethnicity, education, marital status, prepregnancy body mass index (BMI), trimester of prenatal care entry, parity, and alcohol use, we estimated adjusted prevalence ratios (PR) for the outcomes of preterm delivery (<37 weeks’ gestation) and SGA.

Results:

Of the 88 933 women, 13.1%, 1.7%, and 9.6% of the sample were quitters, nondaily smokers, and daily smokers, respectively, in the last 3 months of pregnancy. While nondaily smoking was not associated with preterm delivery, daily smoking was. However, we found no dose–response relationship with the number of cigarettes smoked per day. Risk of delivering a SGA infant was increased for both nondaily and daily smokers (PR 1.4, 95% CI 1.1, 1.8 and PR 2.0, 95% CI 1.9, 2.2 respectively).

Conclusions:

Nondaily smoking in the last 3 months of pregnancy was associated with an increased risk of delivering a SGA infant. Pregnant women should be counselled that smoking, including nondaily and daily smoking, can adversely affect birth outcomes.


Subjects:
[+]
Adolescent Adult Article Female Humans Infant, Small For Gestational Age Pregnancy Premature Birth Risk Factors Young Adult
Source:
Paediatr Perinat Epidemiol. 31(2):144-148
Pubmed ID:
28181676
Pubmed Central ID:
PMC6368675
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:b178920fc391a5ea66f3f5f5b879e27fdf52701321852fd55f10a795b9057e2b
Download URL:
https://stacks.cdc.gov/view/cdc/75843/cdc_75843_DS1.pdf
File Type:

Supporting Files

• nihms-1010111.nxml

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