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Tobacco smoking during pregnancy causes many detrimental effects on health and reproduction, in addition to the general health effects of tobacco.A number of studies have shown that tobacco use is a significant factor in miscarriages among pregnant smokers, and that it contributes to a number of other threats to the health of the foetus.
The 1980s began with the first Surgeon General's Report on the Health Consequences of Smoking for Women. [22] This report—published nearly 15 years after the original 1964 Surgeon General's Report [23] —came nearly sixty years after tobacco companies began marketing their products to women. The smoking rate of women in 1980 was at 29.3%.
Pregnancy is the time during which one or more offspring develops inside a woman's uterus (womb). [4] [13] A multiple pregnancy involves more than one offspring, such as with twins. [14] Pregnancy usually occurs by sexual intercourse, but can also occur through assisted reproductive technology procedures. [6]
This study was a retrospective, case-control study that compared smoking habits of 684 individuals with bronchogenic carcinoma to those without the condition. [12] The survey included questions about smoking: starting age, 20 year tobacco consumption, brands used; as well as inquires about exposure to hazardous agents in the workplace, alcohol use, and causes of death for family members.
Smoking during pregnancy can cause adverse health effects in both the woman and the fetus. The 2008 US Guideline determined that "person-to-person psychosocial interventions" (typically including "intensive counseling") increased abstinence rates in pregnant women who smoke to 13.3%, compared with 7.6% in usual care.
The report's conclusions were almost entirely focused on the negative health effects of cigarette smoking. It found: cigarette smokers had a seventy percent increase in age-corrected mortality rate; cigarette smoke was the primary cause of chronic bronchitis; a correlation between smoking, emphysema, and heart disease. In addition, it reported:
Smoking during pregnancy is dangerous to the unborn baby and may cause pre-term birth, birth defects such as cleft lip or cleft palate, or miscarriage. [93] [80] Tobacco is the most commonly used substance among pregnant women, at 25%. [87] [94] Nicotine crosses the placenta and accumulates within fetal tissues.
Data from two states in the Pregnancy Risk Assessment System (PRAMS) show that in 2015—roughly the mid-point of the study period—10.8% of the sample used e-cigarettes in the three months prior to the pregnancy while 7.0%, 5.8%, and 1.4% used these products at the time of the pregnancy, in the first trimester, and at birth respectively. [109]