Cited by 340Prenatal Substance Exposure EffectsSmoking Behavior and CessationMaternal and Neonatal Healthcare

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Active and passive maternal smoking during pregnancy and the risks of low birthweight and preterm birth: the Generation R Study

Jaddoe, Vincent W. V., Troe, Ernst‐Jan W. M., Hofman, Albert, Mackenbach, Johan P., Moll, Henriette A., Steegers, Eric A. P., Witteman, Jacqueline C. M.·2008·Paediatric and Perinatal Epidemiology

DOI 10.1111/j.1365-3016.2007.00916.x

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Abstract

Summary: The objective of this study was to examine the associations between active and passive smoking in different periods of pregnancy and changing smoking habits during pregnancy, with low birthweight and preterm birth. The study was embedded in the Generation R Study, a population‐based prospective cohort study from early fetal life onwards in Rotterdam, The Netherlands. Active and passive smoking were assessed by questionnaires in early, mid‐ and late pregnancy. Analyses were based on 7098 pregnant women and their children. Active smoking until pregnancy was ascertained and was not associated with low birthweight and preterm birth. Continued active smoking after pregnancy was also recorded and was associated with low birthweight (adjusted odds ratio 1.75 [95% CI 1.20, 2.56]) and preterm birth (adjusted odds ratio 1.36 [95% CI 1.04, 1.78]). The strongest associations were found for active maternal smoking in late pregnancy. Passive maternal smoking in late pregnancy was associated with continuously measured birthweight ( P for trend <0.001). For all active smoking categories in early pregnancy, quitting smoking was associated with a higher birthweight than continuing to smoke. Tendencies towards smaller non‐significant beneficial effects on mean birthweight were found for reducing the number of cigarettes without quitting completely. This study shows that active and passive smoking in late pregnancy are associated with adverse effects on weight and gestational age at birth. Smoking in early pregnancy only, seems not to affect fetal growth adversely. Health care strategies for pregnant women should be aimed at quitting smoking completely rather than reducing the number of cigarettes.

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Authors: Jaddoe, V. W. V., Troe, E. W. M., Hofman, A., Mackenbach, J. P., Moll, H. A., Steegers, E. A. P., & Witteman, J. C. M.
Affiliations: Erasmus MC (NL)
Corresponding author: Jaddoe, Vincent W. V.
ORCID: Jaddoe, Vincent W. V.
Mackenbach, Johan P.
Steegers, Eric A. P.
Venue: Paediatric and Perinatal Epidemiology
Publisher: Wiley
Published: 2008-02-20
Volume: 22
Issue: 2
Pages: 162-171
ISSN: 0269-5022 (ISSN-L)
1365-3016
DOI: 10.1111/j.1365-3016.2007.00916.x
OpenAlex: W1965458112
Cited by: 339
References: 21
Citations by year: 2026: 1 · 2025: 10 · 2024: 9 · 2023: 20 · 2022: 22 · 2021: 19 · 2020: 28 · 2019: 17 · 2018: 24 · 2017: 21 · 2016: 27 · 2015: 24 · 2014: 23 · 2013: 18 · 2012: 19
FWCI: 17.14
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Paediatric and Perinatal Epidemiology (publishedVersion)
PubMed (publishedVersion)
EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Keywords: maternal smoking, active smoking, passive smoking, low birth weight, preterm birth, smoking during pregnancy, smoking cessation, fetal growth, Generation R Study
MeSH terms: Adult, Birth Weight, Female, Humans, Infant, Low Birth Weight, Infant, Newborn, Mothers, Netherlands, Pregnancy, Prospective Studies, Risk Factors, Smoking, Tobacco Smoke Pollution, Smoking Cessation, Premature Birth

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Active and passive maternal smoking during pregnancy and the risks of low birthweight and preterm birth: the Generation R Study

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