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Public Health Aspects
Of Tobacco Use


1Project ASSIST: Smokefree Indiana, "Statistics Regarding Indiana and Tobacco Use" Fact Sheet, 1997 2Ibid. 3IU School of Nursing, "Smoking During Pregnancy".Fact Sheet, 1990. 4Indiana State Department of Health, "Smoking Facts "Effects of Smoking During Pregnancy on the Mother and the Fetus" Fact Sheet, 1997. 5Ibid. 6Ibid. 7Katherine Napier, Cigarettes: What the Warning Label Doesn't Tell You, American Council on Science and Health, New York, N.Y., p. 86. 8Ibid, p.87. 9IU School of Nursing, "Smoking During Pregnancy" Fact Sheet, 1990. 10Katherine Napier, Cigarettes: What the Warning Label Doesn't Tell You. American Council on Science and Health, New York, N.Y., p. 85. 11Indiana State Department of Health, "Smoking Facts: Effects of Smoking During Pregnancy on the Mother and the Fetus" Fact Sheet, 1997. 12David L. Olds et al., "Intellectual Impairment in Children of Women Who Smoke Cigarettes During Pregnancy," Pediatrics, Vol. 93, No. 2, February 1994, P. 221. 13Policy, Assessment & Assurance to Stop Smoking (PAASS) Update, Association of Maternal and Child Health Programs, September 1996, p.4. 14American Academy of Otolaryngology-Head and Neck Surgery, Inc., Secondhand Smoke Fact Sheet, 1996. 15Project ASSIST: Smokefree Indiana, "Secondhand Smoke" Fact Sheet, 1997 New Years Day Smoking Cessation Class, TV Presentation, WFYI, Dr. Richard Feldman, Indiana State Health Commissioner, December 23, 1997.


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Just The Facts


Health Effects On the Unborn Baby

24% of pregnant women in Indiana smoke cigarettes.1 If they did not smoke, Indiana would reduce its infant mortality rate (12th highest in the country) by 9%.

Tobacco smoke reduces the delivery of oxygen to the fetus through the presence of carbon monoxide, cyanide, and aromatic hydrocarbons. Nicotine and other substances in tobacco smoke cause reduction in placental blood flow, creating further reductions in oxygen delivery as well as reductions in nutrients to the unborn baby. Nutrients include iron, amino acids, vitamins B 12 and C, folic acid and zinc.2

These factors account for an estimated 20-30% of all low birthweight babies.3 Low birthweight is associated with 40% of babies dying in the neonatal period.4

Secondhand smoke exposure during pregnancy produces twice the risk of low birthweight babies.5 Smoking is the single largest modifiable risk factor in intrauterine growth retardation.6

Maternal smoking during pregnancy is also associated with genetic defects as well as an increased incidence of congenital anomalies such as cleft palate.7

Miscarriages and stillbirths are twice as prevalent in smoking mothers.8

There is also a higher incidence of life threatening pregnancy complications including hypertension, toxemia, abruptio placenta, and placenta previa.9

Smoking accounts for 14% of premature births.10

Mothers who smoke 1/2 pack of cigarettes a day during pregnancy have an increased risk of neuro-developmental impairment among their children with decreases in childhood intellectual function as measured in the first four years of life. 11

Mothers who smoke one pack a day during pregnancy have an 85% increased risk of having a child with mental retardation.12

Children of smoking mothers are twice as likely to have behavioral problems including Attention Deficit Disorder (ADD).13

Smoking during pregnancy produces greater incidence of children with narrowed airways after birth predisposing them to asthma and respiratory disorders.14

Maternal smoking during pregnancy produces two times higher risk of Sudden Infant Death Syndrome (SIDS).15