Table 3.37. Relative risks for spontaneous abortion among women smokers

StudyStudy typePopulationStudy periodSmoking statusRelative risk (95% confidence interval)Adjustment factors
Kline et al. 1997 Case-control574 cases with spontaneous abortion
320 controls delivering after > 28 weeks' gestation
United States
1974-1976Nonsmokers
Smkoers
1.0
1.8 (1.3-2.5)
Age at last menses, history of abortion and live births
Ericson and Källén 1986 219 cases with spontaneous abortion
1,032 controls with live-born infant without major malformation
Sweden
1980-1981Nonsmokers
Smokers
1.0
1.0 (0.6-1.5)
Video screen use, stress
Sandahl 1989 Case-control610 cases with spontaneous abortion
1,337 controls delivering infant
Sweden
1980-1985Nonsmokers
Smokers
Any smoking
> 10 cigarettes/day
1.0
0.9 (0.8-1.0)
0.9 (0.7-1.0)
Maternal age parity
Armstrong et al. 1992 Cohort47,146 pregnant women
10,191 women with spontaneous abortion
Canada
1982-1984Maternal age, education, ethnicity, employment during pregnancy
Windham et al. 1992 Case-control626 cases with spontaneous abortion at < 20 weeks' gestation
1,300 controls delivering live infant
United States
1986-1987Nonsmokers
Smokers
1-10 cigarettes/day
> 10 cigarettes/day
1.0
0.9 (0.7-1.2)
1.1 (0.8-1.6)
Maternal age, previous fetal loss, marital status, insurance, alcohol intake, intake of bottled water
Dominguez-Rojas et al. 1994 Cohort711 women with > 1 pregnancy
169 women with spontaneous abortion
Spain
1989-1991Nonsmokers
Smokers
1-10 cigarettes/day
>11 cigarettes/day
1.0
1.0 (0.6-1.5)
3.4(1.7-6.9)
Maternal age, age at menarche, previous spontaneous abortion, marital status
Chatenoud et al. 1998 Case control782 cases with spontaneous abortion at < 12 weeks' gestation admitted to hospital
1,543 controls delivering healthy term infants
Italy
1990-1997Never smoked
Former smokers
Smokers before pregnancy
Smokers before and during pregnancy
1.0
0.9 (0.7-1.2)
0.7 (0.5-1.0)
1.3 (1.0-1.6)
Maternal age, education, marital status, history of spontaneous abortion or miscarriage, nausea, alcohol or coffee intake in first trimester
Ness et al. 1999 Case-control570 cases with spontaneous abortion presenting in hospital emergency department
United States
1995-1997Never smoked
Former smokers
Current smokers
1.0
0.9 (0.6-1.3)
1.4 (1.0-1.9)
None
Windham et al. 1999b Cohort5,342 pregnant women
499 women with spontaneous abortion
United States
1990-1991Nonsmokers
Smokers
1-4 cigarettes/day
5 cigarettes/day
1.0

0.9 (0.6-1.5)
1.3 (0.9-1.9)
Maternal age, prior fetal loss, alcohol intake, caffeine intake, gestational age at interview

From: Chapter 3. Health Consequences of Tobacco Use Among Women

Cover of Women and Smoking
Women and Smoking: A Report of the Surgeon General.
Office on Smoking and Health (US).

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