Maternal Smoking Among Women With and Without Use of Assisted Reproductive Technologies

Van T Tong; Dmitry M Kissin; Dana Bernson; Glenn Copeland; Sheree L Boulet; Yujia Zhang; Denise J Jamieson; Lucinda J England

doi:10.1089/jwh.2015.5662

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Maternal Smoking Among Women With and Without Use of Assisted Reproductive Technologies

Journal article

Peer reviewed

Maternal Smoking Among Women With and Without Use of Assisted Reproductive Technologies

Van T Tong, Dmitry M Kissin, Dana Bernson, Glenn Copeland, Sheree L Boulet, Yujia Zhang, Denise J Jamieson and Lucinda J England

Journal of women's health (Larchmont, N.Y. 2002), Vol.25(10), pp.1066-1072

10/01/2016

DOI: 10.1089/jwh.2015.5662

PMCID: PMC5067967

PMID: 27243366

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https://www.ncbi.nlm.nih.gov/pmc/articles/5067967View

Open Access

Abstract

To estimate smoking prevalence during the year before pregnancy and during pregnancy and adverse outcomes among women who delivered infants with and without assisted reproductive technology (ART) using linked birth certificates (BC) and National ART Surveillance System (NASS) data. Data were analyzed for 384,390 women and 392,248 infants born in Massachusetts and Michigan during 2008-2009. Maternal smoking prevalence was estimated using smoking indicated from BC by ART status. For ART users, to evaluate underreporting, prepregnancy smoking was estimated from BC, NASS, or both sources. Effect of prenatal smoking on preterm and mean birthweight (term only) for singleton infants were examined by ART status. Maternal smoking prevalence estimates were significantly lower for ART users than nonusers (prepregnancy = 3.2% vs. 16.7%; prenatal = 1.0% vs. 11.1%, p < 0.05). When combining smoking information from BC and NASS, prepregnancy smoking prevalence estimates for ART users could be as high as 4.4% to 6.1%. Adverse effects of smoking on infant outcomes in ART pregnancies were consistent with the effects seen in non-ART pregnancies, specifically decline in infant birthweight and increase in preterm delivery, although association between smoking and preterm was not significant. A low, but substantial proportion of ART users smoked before and during pregnancy. As ART users are highly motivated to get pregnant, it should be clearly communicated that smoking can decrease fertility and adversely affect pregnancy outcomes. Continued efforts are needed to encourage smoking cessation and maintain tobacco abstinence among all women of reproductive age.

Adult

Female

Fertility

Humans

Infant, Newborn

Infant, Premature

Massachusetts

Maternal Age

Michigan

Population Surveillance

Pregnancy

Pregnancy Outcome

Premature Birth - epidemiology

Prevalence

Reproductive Techniques, Assisted - statistics & numerical data

Smoking - adverse effects

Smoking - epidemiology

United States - epidemiology

Details

Title: Subtitle: Maternal Smoking Among Women With and Without Use of Assisted Reproductive Technologies
Creators: Van T Tong - National Center for Chronic Disease Prevention and Health Promotion
Dmitry M Kissin - Centers for Disease Control and Prevention
Dana Bernson - Massachusetts Department of Public Health
Glenn Copeland - National Center for Chronic Disease Prevention and Health Promotion
Sheree L Boulet - National Center for Chronic Disease Prevention and Health Promotion
Yujia Zhang - National Center for Chronic Disease Prevention and Health Promotion
Denise J Jamieson - National Center for Chronic Disease Prevention and Health Promotion
Lucinda J England - National Center for Chronic Disease Prevention and Health Promotion
Resource Type: Journal article
Publication Details: Journal of women's health (Larchmont, N.Y. 2002), Vol.25(10), pp.1066-1072
DOI: 10.1089/jwh.2015.5662
PMID: 27243366
PMCID: PMC5067967
NLM abbreviation: J Womens Health (Larchmt)
ISSN: 1540-9996
eISSN: 1931-843X
Grant note: CC999999 / Intramural CDC HHS
Language: English
Date published: 10/01/2016
Academic Unit: Obstetrics and Gynecology; VPMA - Administration
Record Identifier: 9984446458602771

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