The Tobacco Reference Guide

by David Moyer, MD.


Chapter 14 Pregnancy and fertility

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Pregnancy and fertility: Miscarriage

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Smoking may account for as many as 7.5% of all miscarriages, or 115,000 in the US

each year, and the deaths of 5600 babies, including an estimated 1900 from Sudden

Infant Death Syndrome. It also contributes to 53,000 low birth weight babies a year,

and 22,000 babies who require intensive care at birth.

Associated Press, April 13, 1995, and Journal of Family Practice, April 1995, p. 385

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"It's very clear that you cannot be pro-life and be pro-tobacco. Tobacco is a major

cause of abortions in America."

Joe DiFranza MD, tobacco control researcher, CNN Headline News, April 11, 1995

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An estimated 15,000 abortions, or miscarriages, each year are caused by tobacco.

This represents 19% of all miscarriages experienced by smoking women. Smoking

during pregnancy increases a woman's risk of miscarrying by 24%.

Tobacco-Free Youth Reporter, fall 1995, p. 16

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In a study of 1000 black inner-city women, smoking cigarettes was responsible for

16% of miscarriages, and cocaine caused 8%. 80% more miscarriages occur among

women who smoke cigarettes.

Reuters, February 3, 1998

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Cigarette smoking in pregnancy is associated with an increased risk of spontaneous

abortion, or miscarriage, with an odds ratio of 1.8%.

NEJM, February 4, 1999, p. 333

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