The association between adverse birth outcomes and smoking cessation during pregnancy across the United States—43 States and New York City, 2012–2017

Xie, Shuai; Monteiro, Karine; Gjelsvik, Annie

doi:10.1007/s00404-022-06792-x

Cited by 8 publications

(8 citation statements)

References 23 publications

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“…Women with a high triglyceride-glucose index may be at increased risk for developing GDM; dietary fibers can reduce the risk of GDM significantly, decrease preterm birth, and significantly increase gestational age [44]. Smoking is associated with adverse neonatal outcomes; when compared with women who stopped smoking during pregnancy, women who continued smoking had a significantly higher risk of low birth weight and preterm birth (aOR=1.31) [45].…”

Section: Diabetes Mellitus and Lifestylementioning

confidence: 99%

Strategies for Safeguarding High-Risk Pregnancies From Preterm Birth: A Narrative Review

Al Hussaini,

Almughathawi,

Alsaedi

et al. 2024

Cureus

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Preterm birth is the delivery of a live fetus before the 37th week of gestation. Preterm birth may stem from various factors, including premature rupture of membranes, spontaneous preterm labor, or medically induced circumstances. Premature delivery can result in serious and long-lasting difficulties even for infants who survive, as it is the leading cause of death for infants under five years old. Numerous nations have implemented initiatives to detect and track pregnant women who may give birth before their due date. Numerous therapies are available to protect these at-risk groups from the devastating effects of premature delivery, given the complex nature of preterm birth risk factors.Among the preventive measures, prophylactic progesterone appears to hold significant promise, while cervical cerclage proves effective in cases of cervical insufficiency. Conversely, pessaries show no discernible beneficial effects in reducing the risk of preterm birth. Regular antenatal visits are imperative for frequent patient evaluation and screening for potential risk factors. Adopting a healthy lifestyle can influence the risk of developing preeclampsia, with regular physical activity, a fiber-rich diet, and smoking cessation serving to mitigate the risk of preterm birth. The efficacy of bed rest in preventing preterm birth remains inconclusive due to insufficient evidence. This study aims to explore various preventive strategies for averting premature birth in high-risk women.

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Section: Diabetes Mellitus and Lifestylementioning

confidence: 99%

Strategies for Safeguarding High-Risk Pregnancies From Preterm Birth: A Narrative Review

Al Hussaini,

Almughathawi,

Alsaedi

et al. 2024

Cureus

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“…Smoking in pregnancy is associated with an increased risk of adverse outcomes, such as stillbirth, preterm birth and low birth weight, 1 , 2 and smoking cessation can reduce those risks to a level almost comparable to non-smokers. 3 In England, 9.7% of women were smoking at the time of delivery in 2021. 4 Although this represents a decrease from about 14% in 2011, it is markedly short of the target set by the Department of Health of 6% or lower to be achieved by 2022.…”

Section: Introductionmentioning

confidence: 99%

Inequalities in smoking among pregnant women in North West London

Pinho-Gomes

Mullins

2023

Journal of Public Health

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Background London has the lowest smoking prevalence among pregnant women in England. However, it was unclear whether the low overall prevalence masked inequalities. This study investigated the prevalence of smoking among pregnant women in North West London stratified by ethnicity and deprivation. Methods Data regarding smoking status, ethnicity and deprivation were extracted from electronic health records collected by maternity services at Imperial Healthcare NHS Trust between January 2020 and August 2022. Results A total of 25 231 women were included in this study. At the time of booking of antenatal care (mean of 12 weeks), 4% of women were current smokers, 17% were ex-smokers and 78% never smokers. There were marked differences in the smoking prevalence between ethnic groups. Women of Mixed—White and Black Caribbean ethnicity and White Irish women had the highest prevalence of smoking (12 and 9%, respectively). There was an over 4-fold increase in the prevalence of smoking between the most and the least deprived groups (5.6 versus 1.3%). Conclusions Even in a population with an overall low prevalence of smoking in pregnancy, women experiencing deprivation and from certain ethnic backgrounds have a high smoking prevalence and hence are the most likely to benefit from smoking cessation interventions.

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confidence: 99%

“…Prenatal tobacco smoke exposure (TSE) is a well-known risk factor for preterm delivery, low birth weight, and adverse neurodevelopmental outcomes in childhood [1][2][3][4][5] . Nevertheless, approximately 5.5% of births in 2020 were to women who smoked during pregnancy, with even higher rates in women who live in rural areas, who have a lower education level, who are unmarried, and who have higher stress levels 3,6 . Since pregnancy is a time when smokers are more likely to quit given their concerns about their unborn child 7,8 , providing information about the long-term effects of maternal tobacco use and prenatal TSE on the unborn child is an important strategy that may further encourage cessation attempts among pregnant women.…”

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confidence: 99%

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Prenatal tobacco smoke exposure and risk for cognitive delays in infants born very premature

Mahabee-Gittens,

Harun,

Glover

et al. 2024

Sci Rep

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Prenatal tobacco smoke exposure (TSE) and prematurity are independent risk factors for abnormal neurodevelopment. The objectives were to compare differences in Bayley-III cognitive, language, and motor scores at 2 years corrected age (CA) in 395 infants born very preterm (≤ 32 weeks gestation) with and without prenatal TSE. We performed multivariable linear regression analyses to examine associations between prenatal TSE and neurodevelopmental outcomes and a mediation analysis to estimate direct effects of prenatal TSE on outcomes and indirect effects through preterm birth. In total, 50 (12.6%) infants had prenatal TSE. Infants with prenatal TSE had lower mean [95% CI] Cognitive score (82.8 [78.6, 87.1]) vs. nonexposed infants (91.7 [90.1, 93.4]). In children with and without prenatal TSE, there were significant differences in mean [95% CI] Language scores (81.7 [76.0, 87.4] vs. 92.4 [90.2, 94.6], respectively) and mean [95% CI] Motor scores (86.5 [82.2, 90.7] vs. 93.4 [91.8, 95.0], respectively); scores remained significant after controlling for confounders. Preterm birth indirectly mediated 9.0% of the total effect of prenatal TSE on Cognitive score (P = NS). However, 91% of the remaining total effect was significant and attributable to TSE’s direct harmful effects on cognitive development (β = − 5.17 [95% CI − 9.97, − 0.38]). The significant association is largely due to TSE’s direct effect on cognitive development and not primarily due to TSE’s indirect effect on preterm birth.

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The association between adverse birth outcomes and smoking cessation during pregnancy across the United States—43 States and New York City, 2012–2017

Cited by 8 publications

References 23 publications

Strategies for Safeguarding High-Risk Pregnancies From Preterm Birth: A Narrative Review

Strategies for Safeguarding High-Risk Pregnancies From Preterm Birth: A Narrative Review

Inequalities in smoking among pregnant women in North West London

Prenatal tobacco smoke exposure and risk for cognitive delays in infants born very premature

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