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Population-Based Study of Smoking Behaviour throughout Pregnancy and Adverse Perinatal Outcomes

Bibliographic Data

ID15486164
AuthorsDeirdre J Murphy (0000-0001-6074-6718, Coombe Women & Infants University Hospital, corresponding author), Deirdre Murphy (Academic Department of Obstetrics & Gynaecology, Coombe Women and Infants University Hospital & Trinity College Dublin, Dublin 8, Ireland), Clare Dunney (Trinity College Dublin), Aoife Mullally (Trinity College Dublin), Nita Adnan (Coombe Women & Infants University Hospital), Richard Deane (0000-0002-7178-1145, Trinity College Dublin)
Year2013
Volume10
Issue9
Pages3855-3867
Publication date2013-08-27
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph10093855
PMID23985771
PMCIDPMC3799498
OpenAlexW2081400813
LanguageEN
Citations received1
References cited16

There has been limited research addressing whether behavioural change in relation to smoking is maintained throughout pregnancy and the effect on perinatal outcomes. A cohort study addressed lifestyle behaviours of 907 women who booked for antenatal care and delivered in a large urban teaching hospital in 2010-2011. Adverse perinatal outcomes were compared for "non-smokers", "ex-smokers" and "current smokers". Of the 907 women, 270 (30%) reported smoking in the six months prior to pregnancy, and of those 160 (59%) had stopped smoking and 110 (41%) continued to smoke at the time of the first antenatal visit. There was virtually no change in smoking behaviour between the first antenatal visit and the third trimester of pregnancy. Factors associated with continuing to smoke included unplanned pregnancy (OR 1.9; 95% CI 1.3, 2.9), alcohol use (OR 3.4; 95% CI 2.1, 6.0) and previous illicit drug use (OR 3.6; 95% CI 2.1, 6.0). Ex-smokers had similar perinatal outcomes to non-smokers. Current smoking was associated with an average reduction in birth weight of 191 g (95% CI -294, -88) and an increased incidence of intrauterine growth restriction (24% versus 13%, adjusted OR 1.39 (95% CI 1.06, 1.84). Public Health campaigns emphasise the health benefits of quitting smoking in pregnancy. The greatest success appears to be pre-pregnancy and during the first trimester where women are largely self-motivated to quit

Cohort · Cohort study · Environmental health · Incidence (geometry · Low birth weight · Obstetrics · Population · Pregnancy · Prenatal care · Smoking cessation · Air Quality and Health Impacts · Medicine · Prenatal Substance Exposure Effects · Smoking Behavior and Cessation

  • A Prospective Cohort Study of Alcohol Exposure in Early and Late Pregnancy within an Urban Population in Ireland

    Open Access•Deirdre J Murphy, Deirdre Murphy et al.•International Journal of…•2014

  • Interventions for promoting smoking cessation during pregnancy

    Judith Lumley, Therese Dowswell et al.•Cochrane Database of Systematic…•2009

  • Heavy smoking during pregnancy as a marker for other risk factors of adverse birth outcomes

    Open Access•Anders C Erickson, Laura Arbour et al.•BMC Public Health•2012

  • Smoking in Pregnancy in West Virginia

    Open Access•Dara Seybold, Dara J Seybold et al.•Maternal and Child Health Journal•2011

Unique citing works1
Citations per year0.08
Citation span2014 - 2014 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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