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Maternal and Infant Care Settings and Smoking Cessation										Related Pages
					Pregnant
Smoking Causes Poor Reproductive Health OutcomesCigarette smoking before or during pregnancy can affect the likelihood of pregnancy, adverse pregnancy outcomes, and the health of mother and baby. Maternal smoking causes:
Reduced fertility
Pregnancy complications, including premature rupture of membranes, placenta previa, placental abruption, ectopic pregnancy, and preterm delivery; evidence also suggests that smoking may cause miscarriage
Fetal growth restriction and low birth weight
Congenital malformations like orofacial clefts
Adverse effects on fetal lung and brain development
Stillbirth and perinatal mortality
Sudden infant death syndrome (SIDS)Maternal exposure to secondhand smoke during pregnancy causes small reductions in birth weight and research suggests it may cause preterm delivery. Infants exposed to secondhand smoke are at higher risk for SIDS, middle ear disease, lower respiratory illness, and decreased lung function.
Smoking Cessation Improves Reproductive Health OutcomesSmoking cessation is one of the most important actions women who smoke can take for a healthy pregnancy and a healthy baby. The best time for women to quit smoking is before they try to get pregnant. But quitting at any time during pregnancy can benefit mother and baby’s health.
The reproductive health benefits of smoking cessation include:
Smoking cessation during pregnancy reduces the effects of smoking on fetal growth. Cessation early in pregnancy eliminates the adverse effects of smoking on fetal growth.
Smoking cessation before or during early pregnancy reduces the risk for a small-for-gestational-age birth.
Research suggests that smoking cessation may reduce the risk of preterm delivery.**Smoking cessation improves reproductive health. Healthcare professionals, particularly those in obstetric care, should treat patients’ tobacco use and dependence.**

Help Your Pregnant Patients Quit Smoking
Audio Description Low Resolution Video
If you have patients who smoke and are pregnant or planning to get pregnant, you can play a key role in helping them quit – for their health and the health of their baby. Learn how to help them quit for good: CDC.gov/TobaccoHCP
Smoking and Reproductive Health – What Healthcare Professionals Need to Know[PDF - 280 KB]Smoking Causes Poor Reproductive Health Outcomes
**Smoking cessation improves reproductive health. Healthcare professionals, particularly those in obstetric care, should treat patients’ tobacco use and dependence.**

Cigarette smoking before or during pregnancy can affect the likelihood of pregnancy, adverse pregnancy outcomes, and the health of mother and baby. Maternal smoking causes:
Reduced fertility
Pregnancy complications, including premature rupture of membranes, placenta previa, placental abruption, ectopic pregnancy, and preterm delivery; evidence also suggests that smoking may cause miscarriage
Fetal growth restriction and low birth weight
Congenital malformations like orofacial clefts
Adverse effects on fetal lung and brain development
Stillbirth and perinatal mortality
Sudden infant death syndrome (SIDS)Maternal exposure to secondhand smoke during pregnancy causes small reductions in birth weight and research suggests it may cause preterm delivery. Infants exposed to secondhand smoke are at higher risk for SIDS, middle ear disease, lower respiratory illness, and decreased lung function.
****Help Your Pregnant Patients Quit Smoking
Audio Description Low Resolution Video
If you have patients who smoke and are pregnant or planning to get pregnant, you can play a key role in helping them quit – for their health and the health of their baby. Learn how to help them quit for good: CDC.gov/TobaccoHCP
Smoking and Reproductive Health – What Healthcare Professionals Need to Know[PDF - 280 KB]Smoking Cessation Improves Reproductive Health OutcomesSmoking cessation is one of the most important actions women who smoke can take for a healthy pregnancy and a healthy baby. The best time for women to quit smoking is before they try to get pregnant. But quitting at any time during pregnancy can benefit mother and baby’s health.
The reproductive health benefits of smoking cessation include:
Smoking cessation during pregnancy reduces the effects of smoking on fetal growth. Cessation early in pregnancy eliminates the adverse effects of smoking on fetal growth.
Smoking cessation before or during early pregnancy reduces the risk for a small-for-gestational-age birth.
Research suggests that smoking cessation may reduce the risk of preterm delivery.Clinical Interventions to Treat Tobacco Use and Dependence Among AdultsThe Entire Clinical Care Team Can HelpResources for Maternal Health Care TeamsCDC resources available at cdc.gov/TobaccoHCP:
You Can Help Your Patients Quit Tobacco Use [PDF – 773 KB]
A Practical Guide to Help Your Patients Quit Using Tobacco [PDF – 646 KB]
Million Hearts Resources:
Tobacco Treatment Protocol [PDF – 634 KB]
Action Steps for Clinicians [PDF – 339 KB]
Tobacco Cessation Change Package [PDF – 1.3 MB]
Treating Tobacco Use and Dependence, Clinical Practice Guideline: 2008 Update
U.S. Preventive Services Task Force: Tobacco Smoking Cessation in Adults, Including Pregnant Women: Behavioral and Pharmacotherapy Interventions
The American College of Obstetricians and Gynecologists (ACOG) Committee on Obstetric Practice OpinionTop of Page
							
					
							Last Reviewed:  June 10, 2021						Source: 	Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion
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