Mothers who smoked
during pregnancy more than twice as likely to have a baby
with a cleft lip or palate
Babies whose
mothers smoked during pregnancy were more than twice as
likely to have a cleft palate or lip as those whose mothers
didn't, according to research results released today.
Although the study confirms earlier findings, it is unique
because it did not rely on women's self-reported smoking
habits during pregnancy. Instead, researchers used the more
reliable method of measuring the levels of cotinine, a
metabolite of nicotine, in the blood from about 500 pregnant
women.
"This research is the first time we've been able to measure
something – in this case cotinine – and determine the risk
of smoking during pregnancy for oral-facial birth defects,"
Gary M. Shaw, PhD, research director and senior
epidemiologist of the March of Dimes California Research
Division, Children's Hospital Oakland Research Institute in
Oakland, Calif.
Nearly 7,000 babies are born annually with an oral-facial
cleft in the United States. Children with oral clefts often
have difficulty feeding, frequent ear infections, hearing
loss, speech difficulties, and dental problems. Surgery
often can repair these birth defects, which typically occur
by the seventh week of pregnancy.
"The message to women is simple and clear: Don't smoke
during pregnancy or even if you are considering becoming
pregnant," said Dr. Jennifer L. Howse, president of the
March of Dimes.
"This research supports our 2008 Petition for Preemies,
which calls on federal and state officials to include
smoking cessation programs as part of maternity care. If we
can help mothers quit smoking, we can help give more babies
a healthy start in life," Dr. Howse continued.
March of Dimes Foundation,
5 Nov 2008
The Journal of Pediatrics, 10.1016/j.jpeds.2008.08.006
Concise Encyclopedia and Internet Press Office
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