Maternal use of nicotine replacement therapy during pregnancy and offspring birthweight: a study within the Danish National Birth Cohort
Abstract
Smoking is a well-established risk factor for fetal growth restriction and other adverse pregnancy outcomes, and nicotine may be one of the chemical compounds that drive these associations. Nicotine replacement therapy (NRT) is a smoking cessation aid, which can facilitate smoking cessation. It is, however, unknown whether NRT used during pregnancy impairs fetal growth. The aim of this study was to estimate the association between the use of NRT during pregnancy and offspring birthweight. The study population consisted of 72 761 women enrolled in the Danish National Birth Cohort between 1996 and 2002. Information on NRT and potential confounders was obtained from two computer-assisted telephone interviews conducted in the second and third trimesters, respectively. Multiple linear regression in a multilevel model was used to estimate the association between NRT use and birthweight adjusted for gestational age and potential confounders. The adjusted analyses showed no significant association between the duration of NRT use and birthweight (b = 0.25 g per week of NRT use [95% CI -2.31, 2.81]) and neither was the type of NRT product (patch, gum, inhaler) associated with reduced birthweight. However, simultaneous use of more than one NRT product was associated with reduced birthweight (b = -10.73 g per week of NRT use [95% CI -26.51, 5.05]), although the association was not statistically significant. The results of this study suggest that maternal use of NRT in pregnancy does not seriously affect birthweight, but there could be a negative effect on birthweight associated with simultaneous use of more than one type of NRT product.
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Only two non-RCT studies adjusted for smoking behaviour; others could be subject to confounding of unknown magnitude.
“Only two non-RCT studies adjusted for smoking behaviour [33,37]; others could be subject to confounding of unknown magnitude.”
From Fetal safety of nicotine replacement therapy in pregnancy: systematic review and meta-analysis. (2021) · cites this paper as [37]
In a population-based cohort with multivariate analysis adjusted for reported smoking behaviour, there were no statistically significant associations between duration of NRT use and mean birth weight (β = 0.25 g per week, CI -2.31 to 2.81).
“Within a multivariate analysis which adjusted for reported smoking behaviour, a population-based cohort found no statistically significant associations between duration of NRT use and mean birth weight (β = 0.25 g per week of NRT use, CI = -2.31 to 2.81) [37].”
From Fetal safety of nicotine replacement therapy in pregnancy: systematic review and meta-analysis. (2021) · cites this paper as [37]
Products of nicotine replacement therapy do not affect birthweight reduction.
“In human observational studies it is shown that products of nicotine replacement therapy do not affect birthweight reduction [16].”
From The effect of swedish snuff (snus) on offspring birthweight: a sibling analysis (2013) · cites this paper as [16]
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- Authors
- Lassen, T. H., Madsen, M., Skovgaard, L. T., Strandberg‐Larsen, K., Olsen, J., & Andersen, A. N.
- Affiliations
- University of Southern Denmark (DK)
- University of Copenhagen (DK)
- University of California, Los Angeles (US)
- Corresponding author
- Lassen, Tina H.
- Venue
- Paediatric and Perinatal Epidemiology
- Publisher
- Wiley
- Published
- 2010-04-08
- Volume
- 24
- Issue
- 3
- Pages
- 272-281
- ISSN
- 0269-5022 (ISSN-L)
- 1365-3016
- OpenAlex
- W2108533975
- Cited by
- 42
- References
- 28
- Citations by year
- 2026: 1 · 2021: 1 · 2020: 5 · 2019: 4 · 2018: 5 · 2017: 1 · 2016: 3 · 2015: 3 · 2014: 6 · 2013: 3 · 2012: 4
- FWCI
- 2.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Paediatric and Perinatal Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- March of Dimes Foundation
- Sundhed og Sygdom, Det Frie Forskningsråd
- Danmarks Grundforskningsfond
- 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
- nicotine replacement therapy, pregnancy, birth weight, fetal growth, smoking cessation, nicotine patch, nicotine gum, nicotine inhaler, fetal growth restriction, maternal smoking
- MeSH terms
- Smoking Prevention, Adult, Birth Weight, Denmark, Female, Humans, Nicotine, Pregnancy, Surveys and Questionnaires, Regression Analysis, Cohort Studies, Nicotinic Agonists, Maternal Exposure
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