Moms' smoking linked to increased risk of birth defects

Key points
- Babies whose mothers smoked during pregnancy were more than twice as likely to have a cleft palate or lip as those whose mothers didn't, according to research results released today.
- Although the study confirms earlier findings, it is unique because it did not rely on women's self-reported smoking habits during pregnancy.
- "This research is the first time we've been able to measure something – in this case cotinine – and determine the risk of smoking during pregnancy for oral-facial birth defects," Gary M.
- Nearly 7,000 babies are born annually with an oral-facial cleft in the United States.
Babies whose mothers smoked during pregnancy were more than twice as likely to have a cleft palate or lip as those whose mothers didn't, according to research results released today.
Although the study confirms earlier findings, it is unique because it did not rely on women's self-reported smoking habits during pregnancy. Instead, researchers used the more reliable method of measuring the levels of cotinine, a metabolite of nicotine, in the blood from about 500 pregnant women.
"This research is the first time we've been able to measure something – in this case cotinine – and determine the risk of smoking during pregnancy for oral-facial birth defects," Gary M. Shaw, PhD, research director and senior epidemiologist of the March of Dimes California Research Division, Children's Hospital Oakland Research Institute in Oakland, Calif.
Nearly 7,000 babies are born annually with an oral-facial cleft in the United States.
Children with oral clefts often have difficulty feeding, frequent ear infections, hearing loss, speech difficulties, and dental problems. Surgery often can repair these birth defects, which typically occur by the seventh week of pregnancy.
"The message to women is simple and clear: Don't smoke during pregnancy or even if you are considering becoming pregnant," said Dr. Jennifer L. Howse, president of the March of Dimes.
"This research supports our 2008 Petition for Preemies, which calls on federal and state officials to include smoking cessation programs as part of maternity care. If we can help mothers quit smoking, we can help give more babies a healthy start in life," Dr. Howse continued.
###
"Mid-Pregnancy Cotinine and Risks of Orofacial Clefts and Neural Tube Defects" by Shaw's California group along with colleagues from Norway, The Netherlands, and Texas, and made possible by the California Department of Public Health soon will be published in The Journal of Pediatrics. It is available Nov. 5th online DOI reference number: 10.1016/j.jpeds.2008.08.006.
The March of Dimes is the leading nonprofit organization for pregnancy and baby health. Its mission is to improve the health of babies by preventing birth defects, premature birth and infant mortality.
Contact: Elizabeth Lynch
elynch@marchofdimes.com
914-997-4286
March of Dimes Foundation
Written and revised by
Andrey Nailor, M.D.
Our doctors write and review articles for accuracy and keep them up to date.
health.am provides general information, not medical advice. Always consult a qualified health professional about your own health.
Explore health topics
More in this topic
Pregnancy & Fertility →
NewsAssisted conception linked to depression risk
Compared with women who conceive spontaneously, women who become pregnant through assisted reproductive technology, or ART, such as in vitro fertilization, are more likely to suffer from depression before delivery and…
21 April 2009
NewsObesity During Pregnancy Associated With Increased Risk of Birth Defects
For women who are obese during pregnancy there is an associated increased risk of certain birth defects, such as spina bifida and neural tube defects, although the absolute increase in risk is likely to be small,…
12 February 2009
NewsNew Method of Managing Risk in Pregnancy Leads to Healthier Newborns, Better Outcomes for Moms
An alternative method for obstetric care has led to lower neonatal intensive care unit (NICU) admission rates, higher uncomplicated vaginal birth (UVB) rates, and a lower mean Adverse Outcome Index (AOI) score,…




