A 28 year follow up of mortality among women who smoked during pregnancy

Abstract Objective: To investigate long term mortality among women who smoked during pregnancy and those who stopped smoking. Design: A follow up of a geographically defined cohort from 1966 through to 1993. Subjects: 11994 women in northern Finland expected to deliver in 1966, comprising 96% of all...

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Bibliographic Details
Published in:BMJ 1995-08, Vol.311 (7003), p.477-480
Main Authors: Rantakallio, Paula, Laara, Esa, Koiranen, Markku
Format: Article
Language:English
Subjects:
Cancer
Cause of Death
Causes of death
Cigarette smoking
Death
Female
Finland - epidemiology
Follow-Up Studies
Humans
International Statistical Classification of Diseases
Male
Marital status
Maternal Age
Mortality
Pregnancy
Pregnancy Complications - mortality
Prevalence
Prognosis
Risk Factors
Smoking - mortality
Smoking cessation
Tobacco smoking
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Summary:Abstract Objective: To investigate long term mortality among women who smoked during pregnancy and those who stopped smoking. Design: A follow up of a geographically defined cohort from 1966 through to 1993. Subjects: 11994 women in northern Finland expected to deliver in 1966, comprising 96% of all women giving birth in the area during that year. Smoking habits were recorded during pregnancy but not later. Main outcome measure: Mortality by cause (571 deaths). Results: The mortality ratio adjusted for age, place of residence, years of education and marital status was 2.3 (95% confidence interval 1.8 to 2.8) for the women who smoked during pregnancy and 1.6 (1.1 to 2.2) for those who stopped smoking before the second month of pregnancy, both compared with non-smokers. Among the smokers the relative mortality was higher for typical diseases related to tobacco intake, such as respiratory and oesophageal cancer and diseases of the cardiovascular and digestic organs and also for accidents and suicides. Conclusion: The risk of premature death seems to be higher in women who smoke during pregnancy than in other women who smoke. This may be explained either by the low proportion of those who stop later and the high proportion of heavy smokers or by other characteristics of thesesubjects that increase the risk.
ISSN:0959-8138
1468-5833
1756-1833
DOI:10.1136/bmj.311.7003.477