Maternal and Child Health Journal

, Volume 15, Issue 4, pp 453–459 | Cite as

The Association Between Second Hand Smoke and Low Birth Weight and Preterm Delivery

  • Yousef S. Khader
  • Nemeh Al-AkourEmail author
  • Ibrahim M. AlZubi
  • Isam Lataifeh


To determine the association between maternal exposure to SHS and low birth weight and preterm delivery. This cross-sectional study was carried out in the four main governmental hospitals dealing with deliveries in the north of Jordan. A consecutive 8,490 women who delivered in these hospitals between April 2007 and September 2007 were included in the study after excluding those who reported active smoking during the current pregnancy. Pre-structured questionnaire and review of hospital records were used to collect data about maternal background, obstetric history, medical history, and data related to second hand smoke exposure. Overall, 13.8% of women gave birth to a preterm baby and 10.0% gave birth to a low birth weight baby. About 12.6% of women who were exposed to SHS delivered low birth weight babies compared to 7.7% for non exposed women. The rate of preterm delivery among the exposed group was significantly higher than that among the non-exposed group (17.2 vs. 10.6%). In the multivariate analysis, exposure to SHS during pregnancy was significantly associated with increased odds of low birth weight (OR = 1.56 (95% CI 1.31, 1.89)) and preterm delivery (OR = 1.61 (95% CI: 1.30, 1.99)). Exposure of women to SHS during pregnancy is associated with increased odds of low birth weight and preterm delivery. Health care professionals should carry out educational programs to increase awareness and understanding of pregnant women and their husbands about the harmful effects of second hand smoke on birth outcomes.


Low birth weight Preterm delivery, pregnancy Second hand smoke 


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Yousef S. Khader
    • 1
  • Nemeh Al-Akour
    • 2
    Email author
  • Ibrahim M. AlZubi
    • 3
  • Isam Lataifeh
    • 4
  1. 1.Department of Community Medicine, Public Health and Family Medicine, Faculty of MedicineJordan University of Science and Technology (JUST)IrbidJordan
  2. 2.Department of Maternal-Child Health Nursing, School of NursingJordan University of Science and Technology (JUST)IrbidJordan
  3. 3.Obstetrics and Gynecology DepartmentPrincess Badea Hospital, Ministry of HealthIrbidJordan
  4. 4.Obstetrics and Gynecology DepartmentJordan University of Science and TechnologyIrbidJordan

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