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Effect of Smoking Behavior before and during Pregnancy on Selected Birth Outcomes among Singleton Full-Term Pregnancy: A Murmansk County Birth Registry Study

Author

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  • Olga A. Kharkova

    (Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, 9037 Tromsø, Norway
    International School of Public Health, Northern State Medical University, Arkhangelsk 163000, Russia)

  • Andrej M. Grjibovski

    (International School of Public Health, Northern State Medical University, Arkhangelsk 163000, Russia
    Department of Public Health, North-Eastern Federal University, Yakutsk 677000, Russia
    Department of Preventive Medicine, International Kazakh-Turkish University, Turkestan 161200, Kazakhstan)

  • Alexandra Krettek

    (Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, 9037 Tromsø, Norway
    Department of Biomedicine and Public Health, School of Health and Education, University of Skövde, 54128 Skövde, Sweden
    Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, 41390 Gothenburg, Sweden)

  • Evert Nieboer

    (Department of Biochemistry and Biomedical Sciences, McMaster University, Hamilton, ON 2303, Canada)

  • Jon Ø. Odland

    (Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, 9037 Tromsø, Norway
    School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria L8S4L8, South Africa)

Abstract

The aim of our study was to assess associations between smoking behavior before and during pregnancy and selected adverse birth outcomes. This study is based on the Murmansk County Birth Registry (MCBR). Our study includes women who delivered a singleton pregnancy after 37 weeks of gestation (N = 44,486). Smoking information was self-reported and assessed at the first antenatal visit during pregnancy. We adjusted for potential confounders using logistic regression. The highest proportion of infants with low values of birth weight, birth length, head circumference, ponderal index and of the Apgar score at 5 min was observed for women who smoked both before and during pregnancy. We observed a dose-response relationship between the number of cigarettes smoked per day during pregnancy and the odds of the aforementioned adverse birth outcomes; neither were there significant differences in their occurrences among non-smokers and those who smoked before but not during pregnancy. Moreover, smoking reduction during pregnancy relative to its pre-gestation level did not influence the odds of the adverse birth outcomes. Our findings emphasize a continued need for action against tobacco smoking during pregnancy.

Suggested Citation

  • Olga A. Kharkova & Andrej M. Grjibovski & Alexandra Krettek & Evert Nieboer & Jon Ø. Odland, 2017. "Effect of Smoking Behavior before and during Pregnancy on Selected Birth Outcomes among Singleton Full-Term Pregnancy: A Murmansk County Birth Registry Study," IJERPH, MDPI, vol. 14(8), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:8:p:867-:d:106729
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    References listed on IDEAS

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    1. Patrick, D.L. & Cheadle, A. & Thompson, D.C. & Diehr, P. & Koepsell, T. & Kinne, S., 1994. "The validity of self-reported smoking: A review and meta-analysis," American Journal of Public Health, American Public Health Association, vol. 84(7), pages 1086-1093.
    2. Lindley, A.A. & Gray, R.H. & Herman, A.A. & Becker, S., 2000. "Maternal cigarette smoking during pregnancy and infant ponderal index at birth in the Swedish Medical Birth Register, 1991-1992," American Journal of Public Health, American Public Health Association, vol. 90(3), pages 420-423.
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    1. Magdalena Chełchowska & Jadwiga Ambroszkiewicz & Joanna Gajewska & Joanna Mazur & Leszek Lewandowski & Marzanna Reśko-Zachara & Tomasz M. Maciejewski, 2018. "Influence of Active Exposure to Tobacco Smoke on Nitric Oxide Status of Pregnant Women," IJERPH, MDPI, vol. 15(12), pages 1-14, December.
    2. Anton A. Kovalenko & Erik Eik Anda & Jon Øyvind Odland & Evert Nieboer & Tormod Brenn & Alexandra Krettek, 2018. "Risk Factors for Ventricular Septal Defects in Murmansk County, Russia: A Registry-Based Study," IJERPH, MDPI, vol. 15(7), pages 1-11, June.
    3. Martin M. O’Donnell & Janis Baird & Cyrus Cooper & Sarah R. Crozier & Keith M. Godfrey & Michael Geary & Hazel M. Inskip & Catherine B. Hayes, 2020. "The Effects of Different Smoking Patterns in Pregnancy on Perinatal Outcomes in the Southampton Women’s Survey," IJERPH, MDPI, vol. 17(21), pages 1-13, October.

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