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Further evidence of the dangers of smoking during pregnancy

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Smoking during pregnancy is already known to pose risks to both baby and mother, but this has been cemented by further evidence that maternal smoking poses a risk to the health of both.

New research, led by the University of Glasgow, reveals more detailed evidence about the association between maternal smoking in pregnancy and childhood hospitalisation.

“Our research provides further evidence of the harmful effects of maternal smoking in pregnancy”

David Tappin

The study, published today in BMJ Open, also found that birth conditions that can lead to lifelong ill health and devastating outcomes such as meningitis and Sudden Infant Death Syndrome.

The researchers studied births in Scotland from 1997 to 2009, with child health records followed until 2012.

From the data, they said they were able to provide robust estimates of the current impact of maternal smoking on infant and child health.

Key findings of the study include estimates that 7% of deaths in the first month of life and 22% in the first year are related to maternal smoking during pregnancy.

Researchers also found that 28% of babies born small for gestational age, and 9% born before 37 weeks, were attributable to maternal smoking.

Analysing data relating to children under the age of five years, the study found that 12% of hospital admissions for bacterial meningitis, 10% for bronchiolitis, 7% for asthma and 7% of admissions under one year for “acute respiratory” illness were also attributable to maternal smoking.

The rare but life-threatening condition bacterial meningitis was 49% more likely to occur among children five and under born to mothers who smoked

“We know that 25% of current smokers at maternity booking do not admit to their smoking habit”

David Tappin

Lead study author Professor David Tappin said: “Our research provides further evidence of the harmful effects of maternal smoking in pregnancy.

“This study provides evidence that could be used to estimate the current cost of maternal smoking, and to assess the cost-effectiveness of current smoking cessation strategies for pregnant women.”

The study also found that, among babies whose mothers were current smokers during pregnancy, the odds of neonatal mortality in the first month after birth were a third higher than those whose mothers were non-smokers.

The odds of infant mortality between one month and one year old were more than twice as high among babies whose mothers were current smokers. While the odds of being born small for gestational age were also two times higher.

The researchers concluded that more than 20% of post-neonatal deaths, many of which would be defined as Sudden Unexpected Deaths in Infancy, may be related to smoking in pregnancy.

This result is consistent with the findings of a study of over three million births in the US which reported a 40% higher infant mortality among the children of mothers who smoked.

Professor Tappin said: “We know that 25% of current smokers at maternity booking do not admit to their smoking habit.

“Therefore, the figures we have calculated may be an underestimate of the real effects of maternal smoking on outcomes,” he added.

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