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Tobacco and MCH
"Smoking during pregnancy is the single most preventable cause of illness and death among mothers and infants. Compared with women who do not smoke, women who smoke during pregnancy are about twice as likely to experience complications such as premature rupture of membranes and placental abruption during pregnancy. Babies born to women who smoke during pregnancy have about 30% higher odds of being born prematurely. They are also more likely to be born with low birth weight (less than 2500 grams or 5.5 pounds), increasing their risk for illness or death. This difference is so profound that infants of mothers who smoked during pregnancy weigh an average of 200 grams less than infants born to women who did not smoke. The babies exposed to tobacco during pregnancy are 1.4 to 3.0 times more likely to die of Sudden Infant Death Syndrome (SIDS)." (1).
Exposure to secondhand smoke can also cause premature death and disease in children and adults who do not smoke. Pregnant women who are exposed to secondhand smoke have 20 percent higher odds of giving birth to a low birth weight baby than women who are not exposed to secondhand smoke during pregnancy. Additionally, infants who are exposed to secondhand smoke are more likely to die of SIDS compared to children not exposed. Children, especially infants, who are exposed to secondhand smoke are at increased risk for bronchitis, pneumonia, ear infections, more severe asthma, respiratory symptoms, and slowed lung growth. (1).
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Local Health Department in Action: Chautauqua
County Department of Health
Baby and Me: Tobacco Free
Baby and Me- Tobacco Free targets smoking prenatal women in Chautauqua County, NY. The goal of the program is for these women to quit smoking during pregnancy and for the first year after their child is born. After two years of the program, results showed a decrease in the percentage of prenatal women who smoke in Chautauqua County.
For more information, visit NACCHO's Model Practices Database at http://www.naccho.org/topics/modelpractices/database/practice.cfm?PracticeID=147. |
CDC Factsheet: Preventing Smoking and Exposure to Secondhand Smoke Before, During, and After Pregnancy
This factsheet provided by the Centers for Disease Control and Prevention offers information on the effects of smoking and exposure to secondhand smoke during pregnancy. In addition, this resource provides recommended strategies and policies, as well as ways to take action. To view this factsheet, visit http://www.cdc.gov/nccdphp/publications/factsheets/Prevention/smoking.htm |
New Report Warns New Tobacco Products Threaten Efforts to Reduce Tobacco Use and Save Lives
A recent report issued by a coalition of public health organizations warns that a "new generation" of tobacco products such as flavored cigarettes and smokeless tobacco in the form of dissolvable, candy-like tablets is threatening efforts to reduce tobacco use in the United States. The report, "Big Tobacco's Guinea Pigs: How an Unregulated Industry Experiments on America's Kids and Consumers," was issued by the American Cancer Society Cancer Action Network, American Heart Association, American Lung Association and Campaign for Tobacco-Free Kids, with funding by the Robert Wood Johnson Foundation. To view the full report, visit www.tobaccofreekids.org/productsreport.
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NIH Study Shows Tobacco Use, Secondhand Smoke Exposure During Pregnancy May Threaten Health of Women and Children
A new study by the National Institutes of Health studied women in developing nations during pregnancy. Findings from the study indicate that rates of tobacco use during pregnancy, as well as exposure of pregnant women and their young children to secondhand smoke, are significant threats to health in several low and middle-income countries. Findings from the study, which is the first to examine pregnant women's tobacco use, second-hand smoke exposure and attitudes toward women's tobacco use in multiple developing countries, will appear in the April 2008, issue of the American Journal of Public Health. For more information on this report, visit http://www.cancer.gov/newscenter/pressreleases/TobaccoPregnancy . |
Stop Smoking Therapies Have Benefits, Risks for Pregnant Women
According to an article published in the American Journal of Preventive Medicine, pregnant smokers can get help quitting with the use of nicotine replacement gum, patches or lozenges, according to a new study. However, the benefits of these therapies must be weighed against concerns about early birth. The authors noted that an independent safety board suspended recruitment for the study due to health problems among women taking nicotine replacement therapy, namely premature delivery at about 36 weeks. The abstract of this article is available at http://www.ajpm-online.net/article/S0749-3797(07)00362-5/abstract. |
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Archived NACCHO Webcast:
Smoke Free Policy Development at the Local Level
This webcast focuses on how to develop and advocate for smoke-free policies at the local level.
Speakers
Annie Tegen, MPH
Senior Program Manager- American Nonsmokers Rights Foundation
Eileen Fisher
Johnson County, IA
Cathy Wendholt-McDade
District Health Promotion Director- Cobb and Douglas County, GA
To view the archived webcast, visit:
http://webcasts.naccho.org/session-archived.php?id=787.
Mark your calendar for June 19, 2008. NACCHO will be hosting its monthly E-MCH Webcast specifically about tobacco and its relationship with maternal and child health. You will receive a reminder e-mail as the date approaches, so be sure to participate once registration opens. |
Excerpts from NACCHO Public Health Dispatch
MCH- Related Tools and Resources
This monthly newsletter sent to all active NACCHO members contains brief updates, events, resources, job postings, funding opportunities, member highlights, and other information of relevance to LHDs. Regular sections include family health, reproductive health, environmental health, emergency preparedness, mental health, and immunizations among others.
For a free download of past issues, visit http://www.naccho.org/pubs/category.cfm?Category_ID=8 | |
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NACCHO is the national organization representing local health departments. NACCHO works to support efforts that protect and improve the health of all people and all communities by promoting national policy, developing resources and programs, seeking health equity and supporting effective local public health practice and systems.
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