The Tobacco Reference Guide

by David Moyer, MD.


Chapter 14 Pregnancy and fertility

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Pregnancy and fertility: Smoking and Low Birth Weight

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In the 1980's, maternal smoking contributed to 17% to 26% of low birth weight babies

born in the United States. The mean average excess medical cost per live birth for

each pregnant smoker was $511 (in 1995 dollars); direct medical expenditures on low

birth weight babies from maternal smoking are $263 million per year. An annual drop

of one percentage point in smoking prevalence in pregnant women over seven years

would prevent 57,200 low birth weight infants and save $572 million in direct medical costs.

Pediatrics, December 1999, pp. 1312-1320

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Passive smoke exposure in nonsmoking pregnant women doubles the risk for a mother delivering a small for gestational age baby.

American Journal of Public Health, October 1998, p. 1523

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In 1997, 13.2% of women giving birth said that they had smoked during their

pregnancy. 20 to 30% of low birth weight cases in babies are attributable to smoking during pregnancy.

Reuters, May 27, 1999

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