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Updated: Jul 15, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Smoking during pregnancy affects speech-processing ability in newborn infants
Alexandra P F Key1, Melissa Ferguson, Dennis L Molfese
1Kennedy Center for Research on Human Development and Department of Hearing and Speech Sciences, Vanderbilt University, 21st Avenue South & Edgehill Avenue, Nashville, TN 37203, USA. sasha.key@vanderbilt.edu
Maternal smoking during pregnancy impacts infant brain development, affecting speech processing abilities. Newborns exposed to tobacco smoke show delayed auditory discrimination and altered brainwave patterns.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Maternal smoking during pregnancy negatively impacts fetal central nervous system development.
- Prenatal tobacco exposure is linked to developmental issues, including lower verbal scores and impaired auditory processing.
Purpose of the Study:
- To investigate the effects of maternal smoking during pregnancy on newborns' speech processing ability.
- To measure these effects using event-related potentials (ERPs).
Main Methods:
- Recorded high-density ERPs in healthy infants within 48 hours of birth.
- Matched infants based on key demographic and health factors (sex, gestational age, birth weight, etc.).
- Presented consonant-vowel syllables to assess auditory discrimination.
Main Results:
- Infants of nonsmokers exhibited typical left-hemisphere asymmetries in brainwave amplitudes.
- Newborns of smokers showed delayed speech sound discrimination (starting at 150 msec later).
- Infants exposed to smoke differentiated fewer speech syllables compared to controls.
Conclusions:
- Prenatal tobacco smoke exposure alters brain physiology related to basic perceptual skills in healthy infants.
- These alterations may increase the risk of later developmental problems.
- Findings highlight the neurodevelopmental risks associated with maternal smoking.
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