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Cited by 80Smoking Behavior and CessationPrenatal Substance Exposure EffectsPregnancy and Medication Impact

Changes in snuff and smoking habits in S wedish pregnant women and risk for small for gestational age births

Baba, S, Wikström, A‐K, Stephansson, O, Cnattingius, S·2013·BJOG: An International Journal of Obstetrics & Gynaecology
DOI 10.1111/1471-0528.12067
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Abstract

OBJECTIVE: To examine associations between antenatal exposure to Swedish oral moist snuff (which includes essentially only nicotine) and to smoking and risks of small-for-gestational-age (SGA) births and to compare risks among women who stopped or continued using snuff or smoking during pregnancy. DESIGN: Population-based cohort study. SETTING: Sweden. POPULATION: All live singleton births in Sweden 1999-2010. METHODS: Odds ratios (OR) with 95% confidence intervals (CI) were calculated using multiple logistic regression analysis. MAIN OUTCOME MEASURES: SGA birth, also stratified into preterm (≤36 weeks of gestation) and term (≥37 weeks of gestation) SGA births. RESULTS: Compared with non-tobacco users in early pregnancy, snuff users and above all smokers in early pregnancy had increased risks of SGA births: adjusted ORs (95% CI) were 1.26 (1.09-1.46) and 2.55 (2.43-2.67), respectively). Snuff use had, if anything, a stronger association with preterm SGA than term SGA, whereas the opposite was true for smoking. Compared with non-tobacco users, women who stopped using snuff before their first visit to antenatal care had no increased risks of preterm or term SGA, and women who stopped using snuff later during pregnancy had no increased risk of term SGA. Smoking cessation early in pregnancy was associated with a larger reduction in risk than smoking cessation later in pregnancy. CONCLUSIONS: As both smoking and snuff use influence risk of SGA, both nicotine but above all tobacco combustion products are involved in the mechanisms by which maternal smoking increases the risk of SGA.

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Crossref · 10.1111/1471-0528.12067

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  • Smokeless tobacco use during pregnancy has no clear association with fetal growth restriction.

    “but no clear association with fetal growth restriction.”

    From Developmental toxicity of nicotine: A transdisciplinary synthesis and implications for emerging tobacco products (2017) · cites this paper as [36]

  • The study was not able to study low birthweight or small-for-gestational-age because sibling analysis for dichotomous outcomes restricts the sample.

    “In spite of the fact that we use a population register that contains all deliveries in Sweden for a period of eight years, we were not able to study other outcomes derived from birthweight such as low birthweight (<2,500 g) or small-for-gestational-age, the last of which has been recently explored through a conventional analysis [50], because the sibling analysis for dichotomous outcomes restricts”

    From The effect of swedish snuff (snus) on offspring birthweight: a sibling analysis (2013) · cites this paper as [50]

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Authors
Baba, S., Wikström, A., Stephansson, O., & Cnattingius, S.
Affiliations
  • Karolinska Institutet (SE)
  • Uppsala University (SE)
  • Karolinska University Hospital (SE)
Corresponding author
Baba, S
ORCID
Venue
BJOG: An International Journal of Obstetrics & Gynaecology
Publisher
Wiley
Published
2012-11-27
Volume
120
Issue
4
Pages
456-462
ISSN
  • 0306-5456 (ISSN-L)
  • 1470-0328
  • 1471-0528
DOI
10.1111/1471-0528.12067
OpenAlex
W2002622637
Cited by
80
References
31
Citations by year
2026: 2 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 12 · 2021: 5 · 2020: 15 · 2019: 10 · 2018: 7 · 2017: 4 · 2016: 10 · 2015: 2 · 2014: 3 · 2013: 2
FWCI
1.50
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
Keywords
snuff, maternal smoking, small for gestational age, preterm birth, smoking cessation, nicotine, pregnancy
MeSH terms
Adolescent, Adult, Educational Status, Female, Humans, Infant, Newborn, Infant, Small for Gestational Age, Parity, Pregnancy, Pregnancy Trimesters, Prenatal Exposure Delayed Effects, Risk Factors, Smoking, Sweden, Tobacco, Smokeless, Body Mass Index, Smoking Cessation, Premature Birth, Term Birth, Young Adult

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