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Reducing tobacco smoking and smoke exposure to prevent preterm birth and its complications

Mary-Ann Wagijo1, Aziz Sheikh2, Liesbeth Duijts3

  • 1Division of Neonatology, Erasmus University Medical Centre - Sophia Children's Hospital, PO Box 2060, 3000CB, Rotterdam, The Netherlands.

Paediatric Respiratory Reviews
|October 21, 2015
PubMed

Insights

Smoking during pregnancy increases preterm birth and infant complications. Early cessation through counseling, peer support, and smoke-free policies can significantly improve maternal and child health outcomes.

Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Pediatrics

Background:

  • Maternal smoking and prenatal smoke exposure are linked to adverse infant health outcomes, including preterm birth.
  • Children born preterm face increased risks for conditions like bronchopulmonary dysplasia and asthma if exposed to maternal smoking during pregnancy.

Purpose of the Study:

  • To review the effectiveness of interventions aimed at promoting smoking cessation in pregnant individuals.
  • To assess strategies for reducing prenatal smoke exposure and its impact on offspring health.

Main Methods:

  • Literature review of studies on smoking cessation interventions during pregnancy.
  • Analysis of the impact of counseling, peer support, incentives, and pharmacological aids.
  • Evaluation of population-level strategies like smoke-free legislation.

Main Results:

  • Counseling interventions are effective for smoking cessation and reducing preterm birth rates.
  • Peer support and incentives may offer additional benefits.
  • The efficacy of pharmacological interventions, such as nicotine replacement therapy, requires further confirmation.
  • Smoke-free legislation is associated with reduced maternal smoking and preterm birth incidence.

Conclusions:

  • Early smoking cessation during pregnancy is crucial for mitigating adverse effects on infant health.
  • A combination of counseling, support, and policy interventions is recommended.
  • Prioritizing smoking cessation and protection from secondhand smoke is essential for healthcare providers and policymakers.

Keywords:
InfantPregnancyPremature birthPreventionSmoke-free policySmokingSmoking cessationTobacco use

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