Maternal Smoking in Pregnancy, Fetal Development, and Childhood Asthma
Jouni J. K. Jaakkola, MD, DSc, PhD and
Mika Gissler, PhD
Jouni J. K. Jaakkola is with the Institute of Occupational Health, The University of Birmingham, Birmingham, United Kingdom, and the Department of Public Health, University of Helsinki, Finland. Mika Gissler is with the National Research and Development Centre for Welfare and Health, Helsinki.
Correspondence: Requests for reprints should be sent to Jouni J. K. Jaakkola, MD, DSc, PhD, Institute of Occupational Health, The University of Birmingham, Edgbaston, Birmingham B15 2TT UK (e-mail: j.jaakkola{at}bham.ac.uk).
Objectives. We examined the relationships among maternal smokingin pregnancy, fetal development, and the risk of asthma in childhood.
Methods. We conducted a population-based cohort study, whereall 58 841 singleton births were followed for 7 years usingnationwide registries.
Results. Maternal smoking increased the risk of asthma (adjustedodds ratio = 1.35; 95% confidence interval = 1.13, 1.62 forhigh exposure). Low birthweight and preterm delivery increasedthe risk of asthma at the age of 7, whereas being small forgestational age did not.
Conclusions. Maternal smoking in pregnancy increases the riskof asthma during the first 7 years of life, and only a smallfraction of the effect seems to be mediated through fetal growth.
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