Abstract
Maternal smoking has serious consequences for the developing fetus and infant, including a higher probability that the infant will be born prematurely and at low birth weight, will require admission to neonatal intensive care, and die during infancy. Data from Alabama birth certificates for births occurring between 1988 and 1991 were analyzed using log linear methods to calculate relative risks of adverse pregnancy outcomes and infant death. Smoking by mothers during pregnancy is associated with an elevated risk of infant death, low birth weight, and prematurity, controlling for mother's educational attainment, age, marital status, race, and trimester prenatal care was initiated. Smoking was also associated with a higher rate of admission to neonatal intensive care and to deaths from SIDS and respiratory causes. Reducing maternal smoking can contribute to a reduction of premature and low weight births and infant deaths. Because of the difficulty of stopping smoking, efforts need to be directed at preventing younger women from beginning to smoke.
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Adams, M., Brogan, D., Kendrick, J., Shulman, H., Zahniser, C. & Bruce, C. (1992). Smoking, pregnancy, and source of prenatal care: Results from the Pregnancy Risk Assessment Monitoring System,Obstetrics and Gynecology 80: 738–744.
Alabama Department of Public Health (1993).Behavioral Risk Factor Surveillance System, Alabama Statewide Survey Data, 1992 — weighted. Montgomery: Alabama Department of Public Health.
Buescher, P.A., Taylor, K.P., Davis, M.H. & Bowling, J.M. (1993). The quality of the new birth certificate data: A validation study in North Carolina,American Journal of Public Health 83: 1163–1165.
Centers for Disease Control, Office of Smoking and Health (1990). Smoking-attributable mortality, years of potential life lost, and economic costs, state specific estimates.Smoking and Health: A National Status Report, 2nd ed. revised. Washington, DC: United States Department of Health & Human Services, DHHS Publication No. 87-8396, Revised 2/90.
Davis, R., Tollestrup, K. & Milhan, S. (1990). Trends in teenage smoking during pregnancy,American Journal of Diseases of Children 144: 1297–1301.
Ershoff, D., Quinn, V., Mullen, P. & Lairson, D. (1990). Pregnancy and medical cost outcomes of a self-help prenatal smoking cessation program in a HMO,Public Health Reports 105: 340–347.
Geronimus, A.T., Neidert, L.J. & Bound, J. (1993). Age patterns of smoking in US black and white women of child bearing age,American Journal of Public Health 83: 1258–1264.
Kleinman, J., Pierre, M., Madans, J., Land, G. & Schramm, W. (1988). The effects of maternal smoking on fetal and infant mortality,American Journal of Epidemiology 127: 274–282.
Li, C., Windsor, R., Perkins, L., Goldenberg, R. & Lowe, J. (1993). The impact on infant birth weight and gestational age of cotinine-validated smoking reduction during pregnancy,JAMA 269: 1519–1524.
Malloy, M., Kleinman, J., Land, G. & Schramm, W. (1988). The association of maternal smoking with age and cause of infant death,American Journal of Epidemiology 128: 46–55.
Mitchell, E., Ford, R., Stewart, A., Taylor, B., Becroft, D., Thompson, J., Scragg, R., Hassall, I., Barry, D., Allen, E. & Roberts, A. (1993). Smoking and the Sudden Infant Death Syndrome,Pediatrics 91: 893–896.
Nandi, C. & Nelson, M. (1992). Maternal pregravid weight, age, and smoking status as risk factors for low birth weight births,Public Health Reports 107: 658–662.
Piper, J.M., Mitchell, E.F., Snowden, M., Hall, C., Adams, M. & Taylor, P. (1993). Validation of 1989 Tennessee birth certificates using maternal and newborn hospital records,American Journal of Epidemiology 137: 758–768.
Ramsey, A., Blose, D., Lorenz, D., Thomas, W., DePersio, S. & Bruce, C. (1993). Cigarette smoking among women in Oklahoma: before, during, and after pregnancy,Journal of the Oklahoma State Medical Association 86: 231–236.
Schoendorf, K. & Kiely, J. (1992). Relationship of Sudden Infant Death Syndrome to maternal smoking during and after pregnancy,Pediatrics 90: 905–908.
Sexton, M. & Hebel, R. (1984). A clinical trial of change in maternal smoking and its effect on birth weight,JAMA 251: 911–915.
Shiono, P., Klebanoff, M. & Rhoads, G. (1986). Smoking and drinking during pregnancy: Their effects on preterm birth,JAMA 255: 82–84.
Southern Regional Project on Infant Mortality (1991).A Fiscal Imperative: Investing in Prevention. Washington, DC: Southern Regional Project on Infant Mortality.
Wen, S.H., Goldenberg, R.L., Cutter, G.R., Hoffman, H.J., Cliver, S.P., Davis, R.O. & DuBard, M.B. (1990). Smoking, maternal age, fetal growth, and gestational age at delivery,American Journal of Obstetrics and Gynecology 162: 53–58.
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Woolberight, L.A. The effects of maternal smoking on infant health. Popul Res Policy Rev 13, 327–339 (1994). https://doi.org/10.1007/BF01074341
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DOI: https://doi.org/10.1007/BF01074341