Tobacco and Pregnancy

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Tobacco and Pregnancy

• A Killer Combination

2
Objectives

• Learn about tobacco usage among pregnant women
• Identify the impact of tobacco on pregnancy and
  childbirth outcomes
• Learn techniques to reduce tobacco use in
  pregnant females

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Tobacco Usage
Secondhand smoke causes premature death and
disease in children and in adults who do not
smoke.
US Surgeon Generals Report on Secondhand Smoke

• About 13 of all pregnant women smoke during
  pregnancy.

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Smoking and Pregnancy

• Women who smoke
• Are twice as likely to have trouble getting
  pregnant
• Have a 30 higher chance of not being able to get
  pregnant
• Are twice as likely to have a premature rupture
  of the membranes.

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Pregnant Mothers have

• Intrauterine (inside the uterus) growth delay
• Higher chance of pre-term labor
• Premature rupture of membranes (water bag), which
  may lead to pre-term delivery or an infection
  affecting the baby
• Increased rates of stillbirths, miscarriages, and
  ectopic (outside the uterus) pregnancy
• Complications during delivery

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And the Baby.

• Is more likely to be born too soon
• Is smaller
• Is 1.4 to 3.0 times more likely to die of Sudden
  Infant Death Syndrome (SIDS).
• 3.5 times greater chance of SIDS if both parents
  smoke

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Financial Impact

• Medicaid Programs pay for an estimated 27-53
  percent of all births.
• Pregnant women with deliveries paid by Medicaid
  are more than twice as likely to smoke as
  privately insured women.
• Two-thirds of the estimated neonatal expenses
  attributable to maternal smoking was paid by
  Medicaid.

Smoking Among Medicaid Insured Mothers What are
the Neonatal Expenses? E. Kathleen Adams, et al,
Health Care Financing Review, Winter 2004-2005,
Vol 26, 2
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Secondhand Smoke

• It hurts you.
• It doesnt take much.
• It doesnt take long.