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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
Article

Abstract

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.

Keywords

Low birth weight Preterm delivery, pregnancy Second hand smoke 

References

  1. 1.
    Edwards, R., Coleman, T., Edwards, R., & Coleman, T. (2005). Going smoke-free: The medical case for clean air in the home, at work and in public places. Clinical Medicine, 5, 548–550.PubMedGoogle Scholar
  2. 2.
    Wu, T., Yonghua, Hu., Chen, C., Yang, F., Li, Z., Zhian Fang, Z., et al. (2007). Passive smoking, metabolic gene polymorphisms, and infant birth weight in prospective cohort study of Chinese women. American Journal of Epidemiology, 166, 313–322.PubMedCrossRefGoogle Scholar
  3. 3.
    Rogers, J. M. (2008). Tobacco and pregnancy: Overview of exposures and effects. Birth Defects Research Part C: Embryo Today: Reviews, 84, 1–15.CrossRefGoogle Scholar
  4. 4.
    Mark, A., Daniel, J., & Holly, B. (2005). Sudden infant death syndrome and prenatal maternal smoking: Rising attributed risk in the back to sleep era. BMC Medicine, 3, 4.CrossRefGoogle Scholar
  5. 5.
    Nakamura, M. U., Alexandre, S. M., dos Santos, J. F., de Souza, E., Sass, N., Auritscher Beck, A. P., et al. (2004). Obstetric and perinatal effects of active and/or passive smoking during pregnancy. Sao Paulo Medical Journal, 122, 94–98.PubMedCrossRefGoogle Scholar
  6. 6.
    Goel, P., Radotra, A., Singh, I., Aggarwal, A., & Dua, D. (2004). Effects of passive smoking on outcome in pregnancy. Journal Postgraduate Medicine, 50, 12–16.Google Scholar
  7. 7.
    Robinson, J. S., Moore, V. M., Owens, J. A., & McMillen, I. C. (2000). Origins of fetal growth restriction. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 92, 13–19.PubMedCrossRefGoogle Scholar
  8. 8.
    International Consultation on Environmental Tobacco Smoke (ETS) and Child Health, 11-14 January 1999, Geneva, Switzerland. Consultation Report. Geneva, WHO, 1999 (document WHO/NCD/TFI/99.10).Google Scholar
  9. 9.
    Kramer, M. S. (1987). Determinants of low birth weight: Methodological assessment and meta-analysis. Bulletin of the World Health Organization, 65, 663–737.PubMedGoogle Scholar
  10. 10.
    Nabet, C., Ancel, P. Y., Burguet, A., & Kaminski, M. (2005). Smoking during pregnancy and preterm birth according to obstetric history: French national perinatal surveys. Paediatric and Perinatal Epidemiology, 19, 88–96.PubMedCrossRefGoogle Scholar
  11. 11.
    Haglund, B., & Cnattingius, S. (1990). Cigarette smoking as a risk factor for sudden infant death syndrome: A population based study. American Journal Public Health, 80, 29–32.Google Scholar
  12. 12.
    Misra, D. P., Nguyen, R. H., Misra, D. P., & Nguyen, R. H. (1999). Environmental tobacco smoke and low birth weight: A hazard in the workplace? Environmental Health Perspectives, 107(Suppl 6), 897–904.PubMedCrossRefGoogle Scholar
  13. 13.
    Windham, G. C., & Eaton, A. (1999). Hopkins B Evidence for an association between environmental tobacco smoke exposure and birth weight: A meta-analysis and new data. Paediatric and Perinatal Epidemiology, 13, 35–57.PubMedCrossRefGoogle Scholar
  14. 14.
    Collins, J. W., David, R. J., Prach, N. G., & Pierce, M. L. (2003). Low birth weight across generations. Maternal and Child Health Journal, 7, 229–236.PubMedCrossRefGoogle Scholar
  15. 15.
    Campbell, M., & Mottola, M. (2001). Recreational exercise and occupational activity during pregnancy and bith weight: A case–control study. American Journal of Obstetric and Gynecology, 184, 403–408.CrossRefGoogle Scholar
  16. 16.
    Wallton, K., Murray, L., Gallagher, A., Cran, G., Savage, M., & Boreham, C. (2000). Parental recall of birth weight: A good proxy for recorded birth weight? European Journal of Epidemiology, 16, 793–796.CrossRefGoogle Scholar
  17. 17.
    Leonardi-Bee, J., Smyth, A., Britton, J., & Coleman, T. (2008). Environmental tobacco smoke and fetal health: Systematic review and meta-analysis. Archives of Disease in Childhood: Fetal and Neonatal Edition, 93, 351–361.CrossRefGoogle Scholar
  18. 18.
    Ward, C., Lewis, S., & Coleman, T. (2007). Prevalence of maternal smoking and environmental tobacco smoke exposure during pregnancy and impact on birth weight: Retrospective study using Millennium Cohort. BMC Public Health 16, 7:81.Google Scholar
  19. 19.
    Hegaard, H. K., Kjaergaard, H., Møller, L. F., Wachmann, H., & Ottesen, B. (2006). The effect of environmental tobacco smoke during pregnancy on birth weight. Acta Obstetricia et Gynecologica Scandinavica, 85, 675–681.PubMedCrossRefGoogle Scholar
  20. 20.
    Fortier, I., Marcoux, S., & Brisson, J. (1994). Passive smoking during pregnancy and the risk of delivering a small-for-gestational-age infant. American Journal of Epidemiology, 139, 294–301.PubMedGoogle Scholar
  21. 21.
    Ahlborg, G., Jr., & Bodin, L. (1991). Tobacco smoke and pregnancy outcome among working women. A prospective study at pre- natal care centers in Orebo County, Sweden. American journal of epidemiology, 133, 338–347.PubMedGoogle Scholar
  22. 22.
    DeLorenze, G. N., Kharrazi, M., Kaufman, F. L., Eskenazi, B., & Bernert, J. T. (2002). Exposure to environmental tobacco smoke in pregnant women: The association between self-report and serum cotinine. Environmental Research, 90, 21–32.PubMedCrossRefGoogle Scholar
  23. 23.
    Eliopoulos, C., Klein, J., Chitayat, D., Greenwald, M., & Koren, G. (1996). Nicotine and cotinine in maternal and neonatal hair as markers of gestational smoking. Clinical & Investigative Medicine, 19, 231–242.Google Scholar

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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