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The risks associated with smoking in pregnancy are still underestimated. It is unprofessional and unethical to tolerate smoking in pregnancy


Authors: D. Hrubá
Authors‘ workplace: Ústav preventivního lékařství, LF MU Brno
Published in: Prakt Gyn 2011; 15(1): 34-39
Category: Review Article

Overview

Cigarette smoke contains about 4–5 thousands chemicals; many of them damage not only mother, but can cross the placental barrier and influence the developing foetus. Smoking pregnant women are at significantly higher risk of cardiovascular, respiratory and gastrointestinal diseases, pregnancy complications, aborts and pre-term deliveries than non-smokers. Their children have more often congenital malformations (cardiac, urogenital, limbs defects, clefts). Chronic foetal hypoxemia and hyponutrition (due to maternal smoking and direct influence of nicotine) retard the growth of the foetus, damage the development of the lungs and brain and change programming of the foetal metabolism. Prenatally exposed children are at higher risk of cardiovascular and metabolic diseases, malignancies, conduct disorders, learning disabilities and others health impairments, both during childhood and adulthood. Tolerance for smoking during pregnancy by health professionals is non-professional and non-ethic.

Key words:
smoking in pregnancy – mother’s health – foetal development – postnatal health – health in adulthood


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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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