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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.
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.
Breath carbon monoxide device. Breath carbon monoxide is the level of carbon monoxide in a person's exhalation. It can be measured in a breath carbon monoxide test, generally by using a carbon monoxide breath monitor (breath CO monitor), such as for motivation and education for smoking cessation and also as a clinical aid in assessing carbon monoxide poisoning.
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.
An Action on Smoking and Health (UK) (ASH) report claims that the average cost per life-year gained for every smoker successfully treated by these services is less than £1,000 (below the NICE guidelines of £20,000 per QALY (quality-adjusted life year). However, the investment in NHS stop smoking services is relatively low.
This is a growing phenomenon, which aided in reducing smoking rates in the United States. The overall smoking rate in the United States dropped from approximately 46% in 1950 to approximately 21% in 2004. [27] Smoking rates continued to slowly decline throughout the 2000s and 2010s.
Pregnant women who wish to quit smoking but are unable to are left with few options. [62] As nicotine replacement products are often ineffective for quitting smoking, pregnant women turn to alternatives such as HTPs. [36] There is no information available on the potential impact of HTP emissions from mother to fetus as of 2018. [36]
The findings of a July 2013 WHO report showed that 2.3 billion people – more than a third of the world’s population – are covered by at least one effective MPOWER tobacco control measure, an increase from the 1 billion covered in 2008. [10]