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Tobacco Use During Pregnancy

CRUME, TESSA, PhD, MSPH

Clinical Obstetrics and Gynecology: March 2019 - Volume 62 - Issue 1 - p 128–141
doi: 10.1097/GRF.0000000000000413
Substance Abuse in Pregnancy

Smoking during pregnancy is the most common preventable cause of infant morbidity and mortality. Cessation by the third trimester has consistently been associated with improved birth outcomes; however, the majority of women who obtain cessation during pregnancy, relapse in the first year postpartum. The majority of women who smoke during pregnancy developed their addiction to tobacco in early life, thus the need to intervene in the familial transmission of nicotine dependence is clear. This review discusses the epidemiology of tobacco use amongst pregnant women and factors associated with cessation. Specific intervention strategies are discussed and recommendations are provided to clinicians.

Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado

The author declares that there is nothing to disclose.

Correspondence: Tessa Crume, PhD, MSPH, Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 13001 E. 17th Place, Mail Stop B119, Building 500, Room W3137, Aurora, CO 80045. E-mail: tessa.crume@ucdenver.edu

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