Maternal smokeless tobacco use in Alaska Native women and singleton infant birth size
Open accessAbstract
OBJECTIVE: To examine the effects of maternal prenatal smokeless tobacco use on infant birth size. DESIGN: A retrospective medical record review of 502 randomly selected deliveries. POPULATION AND SETTING: Singleton deliveries to Alaska Native women residing in a defined geographical region in western Alaska, 1997-2005. METHODS: A regional medical center's electronic records were used to identify singleton deliveries. Data on maternal tobacco exposure and pregnancy outcomes were abstracted from medical records. Logistic models were used to estimate adjusted mean birthweight, length and head circumference for deliveries to women who used no tobacco (n=121), used smokeless tobacco (n=237) or smoked cigarettes (n=59). Differences in mean birthweight, length and head circumference, 95% confidence intervals and p-values were calculated using non-users as the reference group. MAIN OUTCOME MEASURES: Infant birthweight, crown-heel length and head circumference. RESULTS: After adjustment for gestational age and other potential confounders, the mean birthweight of infants of smokeless tobacco users was reduced by 78 g compared with that of infants of non-users (p=0.18) and by 331 g in infants of smokers (p<0.01). No association was found between maternal smokeless tobacco use and infant length or infant head circumference. CONCLUSIONS: We found a modest but non-significant reduction in the birthweight of infants of smokeless tobacco users compared with infants of tobacco non-users. Because smokeless tobacco contains many toxic compounds that could affect other pregnancy outcomes, results of this study should not be construed to mean that smokeless tobacco use is safe during pregnancy.
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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 [39]
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- Authors
- ENGLAND, L. J., KIM, S. Y., SHAPIRO‐MENDOZA, C. K., WILSON, H. G., KENDRICK, J. S., SATTEN, G. A., LEWIS, C. A., WHITTERN, P., TUCKER, M. J., & CALLAGHAN, W. M.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Yukon Kuskokwim Health Corporation (US)
- Corresponding author
- ENGLAND, LUCINDA J.
- Venue
- Acta Obstetricia Et Gynecologica Scandinavica
- Publisher
- Wiley
- Published
- 2011-10-17
- Volume
- 91
- Issue
- 1
- Pages
- 93-103
- ISSN
- 0001-6349 (ISSN-L)
- 1600-0412
- OpenAlex
- W1566456224
- Cited by
- 29
- References
- 12
- Citations by year
- 2024: 2 · 2022: 1 · 2020: 4 · 2019: 2 · 2016: 7 · 2015: 4 · 2014: 6 · 2013: 1 · 2012: 2
- FWCI
- 2.65
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Acta Obstetricia Et Gynecologica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Mayo Clinic
- U.S. Public Health Service (98FED05900)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- prenatal tobacco exposure, birth weight, singleton pregnancy, Alaska Native women, smoking during pregnancy, head circumference, crown-heel length, pregnancy outcomes
- MeSH terms
- Adult, Alaska, Birth Weight, Body Height, Cephalometry, Dose-Response Relationship, Drug, Female, Humans, Indians, North American, Infant, Newborn, Male, Pregnancy, Retrospective Studies, Smoking, Tobacco, Smokeless, Logistic Models
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