2008
DOI: 10.1002/bdrc.20115
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Reducing harm from tobacco smoke exposure during pregnancy

Abstract: In addition to the health risks that maternal tobacco smoke exposure in pregnancy poses to women, this is a cause of substantial fetal morbidity and mortality. In pregnancy, maternal tobacco smoke exposure can arise because women either smoke or are passively exposed to environmental tobacco smoke as a consequence of other's smoking. This article discusses the scope for clinicians to help reduce both types of tobacco smoke exposure in pregnancy, with a specific focus on available and effective interventions fo… Show more

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Cited by 26 publications
(10 citation statements)
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“…[23] The intervention to reduce the harmful effects of ETS on pregnant women can be done through a two-level approach: Avoidance of exposure to ETS and elimination of tobacco smoking during pregnancy on one hand and an improved level of awareness of the community, the aim of which is to decrease the prevalence of fathers who smoke on the other. [29] By being educated about the harmful effects of exposure to ETS, the pregnant woman can move away from smokers (especially at home) or ask them to stop and reduce her exposure and thus minimize the potential harm to her fetus.…”
Section: Discussionmentioning
confidence: 99%
“…[23] The intervention to reduce the harmful effects of ETS on pregnant women can be done through a two-level approach: Avoidance of exposure to ETS and elimination of tobacco smoking during pregnancy on one hand and an improved level of awareness of the community, the aim of which is to decrease the prevalence of fathers who smoke on the other. [29] By being educated about the harmful effects of exposure to ETS, the pregnant woman can move away from smokers (especially at home) or ask them to stop and reduce her exposure and thus minimize the potential harm to her fetus.…”
Section: Discussionmentioning
confidence: 99%
“…A recent study (Morales-Suarez-Varela et al, 2006) of the Danish National Birth Cohort found a slight increased risk of malformations in nonsmokers using NRT, while finding no similar increase among offspring of active smokers. Health care providers and others concerned with reducing potential harm to the fetus by improving rates of cessation have argued that, while quitting without NRT during pregnancy is clearly best, NRT in pregnancy may be a valid way to reduce harm compared to continued maternal smoking (Jimenez- Ruiz, 2006;Coleman, 2008). A protocol for a doubleblind, placebo-randomized trial of NRT in pregnancy has recently been published , and the results of this study should shed light on the efficacy and safety of NRT use in pregnancy.…”
Section: Nicotine Replacement Therapymentioning
confidence: 99%
“…In addition, nicotine replacement therapies (ie, lozenges, patches, gum, etc.) are prescribed more and more to reduce fetal exposure to the additional compounds found in cigarette smoke (Coleman, 2008). However, nicotine alone, based on animal studies, is highly toxic in and of itself, and these devices should not be considered 'safe' for pregnant women to use, although the risks are significantly less compared with cigarette smoking alone (for review, see Bruin et al (2010)).…”
Section: Tobacco/nicotinementioning
confidence: 99%