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    Smoking and Use of Tobacco During Pregnancy

    Pregnancy Journey

    Smoking and Use of Tobacco During Pregnancy

    Updated on 3 November 2023

    Smoking and smoking cessation abruptly can be problematic for the infant and the mother. Smoking during pregnancy will harm fetal health. Let us find out how smoking can affect infant and maternal health.

    Tobacco can seriously affect the growing fetus. Pregnant women are often advised about the significant risks associated with tobacco during pregnancy. Smoking during pregnancy is related not only to cancer but also orofacial defects in infants, fetal growth restorations, placenta previa (low placental placement), abrupt placenta, low birth weight, ectopic pregnancy, and other intellectual disabilities like autism, Down syndrome, and attention deficit disorder (ADD).

    The effects of smoking are not only harmful during pregnancy but also extend beyond. Children born to mothers smoking during pregnancy are at a much-increased risk of respiratory complications, asthma, neonatal apnea, bronchitis, infant colic, premature birth, infant obesity, and bone defects.

    What Effect Does Secondhand Smoke Have on Pregnancy?

    1. Secondhand Smoking or passive smoking

    Secondhand smoking, also known as passive smoking, is equally dangerous for the mother and fetus. Secondhand smoke arises from the burning ends of a cigarette and smoke from smokers, and this smoke, when inhaled by non-smokers, becomes secondhand smoke.

    2. Impact of Passive Smoking

    Secondhand smoke causes premature deaths, heart diseases, lung diseases, and cancer. In infants, secondhand smoke can cause sudden unexplained death in the first year of their lives, and smoking during pregnancy increases the risk of sudden infant death syndrome (SIDS) manifold. Smoke chemicals and particles affect the brain and the regulation of breathing.

    How Do I Stop Smoking Before or During My Pregnancy?

    Ceasing smoking abruptly during or just before pregnancy can be harmful. It is essential to take advice and inform your gynaecologist about your smoking habits as soon as possible. Smoking when pregnant is not advisable, and a sudden cessation of smoking can be hazardous.

    What is NRT or Nicotine Replacement Therapy?

    Nicotine replacement therapy, or NRT, can be helpful if you cannot voluntarily give up smoking. NRT only substitutes the chemicals in the cigarette and not the nicotine.Before you start NRT, it is advisable to start in consultation with a general practitioner or gynaecologist. NRT is available in the form of patches, gums, nasal sprays, mouth sprays, and inhalers.

    Can I use E-cigratte?

    E-cigarettes are also an option when trying to quit smoking. They only have nicotine and no harmful chemicals. An e-cigarette may help you stop smoking. Nicotine withdrawal can affect fetal heartbeat and arrhythmia.

    During Pregnancy, Is It Safe to Use a Nicotine Replacement?

    Nicotine replacement therapy is often recommended for pregnant smokers if other therapies, such as counselling or abstinence from smoking, have repeatedly failed. The potential benefits of nicotine replacement therapy outweigh the hazards of NRT and cannot be considered a replacement for actual smoking. Nicotine can easily cross the placental barrier, and nicotine replacement only contains nicotine minus the other chemicals of cigarettes.

    Metabolism of nicotine is considerably slow in fetal tissues, which leads to long-lasting nicotine concentrations in the fetal bloodstream and amniotic fluid. Nicotine causes abnormal lung development and other structural and functional abnormalities, and NRT replaces nicotine with nicotine. There may be higher chances of an increase in the threshold amount of nicotine during pregnancy. NRT is one of the safest ways to partake in nicotine through cigarettes during pregnancy.

    One can start with a low dose that will only control withdrawal symptoms, and then the dose can be increased. Chewing gums, inhalers or mouth sprays are short-acting nicotine substitutes, where one can alternate between the dosage and gradually completely cease smoking.

    You may also like: Top 10 food items and beverages that one must completely avoid during pregnancy.

    How Can You And Your Baby Benefit From Quitting?

    The benefits of cessation of smoking are difficult to quantify in every individual. If you have considered pregnancy, you should be reminded of the adverse and long-term effects of smoking. A woman will greatly benefit from smoking cessation at least 15 weeks before pregnancy. Fetal risk is lowered as soon as smoking is ceased before gestation. Pregnant women can be vigilant in avoiding secondhand smoke and passive smoking. Avoiding exposure to places of high smoke can benefit the mother and infant in the long run.

    Cessation of smoking during pregnancy can result in several health benefits for the mother and infant. Mothers who stop smoking at least 15 weeks before gestation can drastically reduce the chances of pre-term gestation, low fetal birth weight, and other complications. Nicotine addiction can be ceased with the help of counselling, therapies, and a positive attitude. Studies have shown that even the establishment of a viable pregnancy can reduce the craving to smoke in some mothers. Quitting smoking before or at the start of your pregnancy can affect the health of your child for years to come.

    Conclusion

    In conclusion, smoking during pregnancy pose significant risks to both the mother and the developing baby. Smoking exposes the fetus to harmful toxins, such as nicotine and carbon monoxide, which can impair fetal growth and development, leading to serious complications such as preterm birth, low birth weight, and developmental issues.

    Quitting smoking and avoiding tobacco use during pregnancy is one of the most crucial steps a pregnant woman can take to protect the health of her baby. Seeking support from healthcare professionals, counseling, and smoking cessation programs can significantly increase the chances of successful quitting.

    References

    1. Kataoka, M. C., Carvalheira, A. P. P., Ferrari, A. P., Malta, M. B., de Barros Leite Carvalhaes, M. A., & de Lima Parada, C. M. G. (2018). Smoking during pregnancy and harm reduction in birth weight: a cross-sectional study. BMC Pregnancy and Childbirth

    2. Scherman, A., Tolosa, J. E., & McEvoy, C. (2018). Smoking cessation in pregnancy: a continuing challenge in the United States. Therapeutic Advances in Drug Safety,

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    Written by

    Ravish Goyal

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