Relationship of Maternal Snuff Use and Cigarette Smoking With Neonatal Apnea

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Gunnerbeck, AnnaKarolinska Institutet (author)

Relationship of Maternal Snuff Use and Cigarette Smoking With Neonatal Apnea

Article/chapterEnglish2011

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2011-09-01
American Academy of Pediatrics (AAP),2011
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:uu-160047
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-160047URI
https://doi.org/10.1542/peds.2010-3811DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:123312184URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Background: Maternal smoking is associated with disturbed cardiorespiratory control in the infant. Despite lacking knowledge of whether the harmful effects of smoking are caused by combustion products in tobacco smoke or by nicotine, it has been argued that nicotine-replacement therapy during pregnancy is safer than smoking. Objective: The goal of this study was to investigate if the disturbances in cardiorespiratory control associated with maternal smoking are also seen in infants prenatally exposed to snuff. We hypothesized that prenatal nicotine exposure (via moist snuff) causes disturbances in autonomic control and thereby increases the risk of apnea in the newborn. Methods: In a nationwide Swedish cohort study, we studied associations between maternal tobacco use during pregnancy and neonatal apnea. Of 609 551 live-born singleton infants, 7599 were born to snuff-using mothers, 41 391 and 16 928 were born to light (1-9 cigarettes per day) and heavy (≥10 cigarettes per day) smokers, respectively. Logistic regression was used to calculate odds ratios, using 95% confidence intervals. Results: Compared with infants of nontobacco users, infants with prenatal exposure to snuff were at an increased risk of apnea even after adjustment for differences in gestational age (odds ratio: 1.96 [95% confidence interval: [1.30-2.96]) Smoking was associated with increased risk of apnea before, but not after, adjusting for gestational age. Conclusions: Snuff use during pregnancy is associated with a higher risk of neonatal apnea than smoking. Maternal use of snuff or nicotine-replacement therapy cannot be regarded as an alternative to smoking during pregnancy.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
nicotine
prenatal
gestation
exposure
respiration
newborn
smokeless tobacco

Added entries (persons, corporate bodies, meetings, titles ...)

Wikström, Anna-Karin,1965-Karolinska Institutet,Uppsala universitet,Institutionen för kvinnors och barns hälsa,Obstetrisk forskning/Axelsson(Swepub:uu)annwi179 (author)
Bonamy, Anna-Karin EdstedtKarolinska Institutet (author)
Wickström, RonnyKarolinska Institutet (author)
Cnattingius, SvenKarolinska Institutet (author)
Karolinska InstitutetInstitutionen för kvinnors och barns hälsa (creator_code:org_t)

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In:Pediatrics: American Academy of Pediatrics (AAP)128:3, s. 503-5090031-40051098-4275

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