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Harm of In Utero Tobacco Smoke ExposureHarm of In Utero Tobacco Smoke: A Heritable Trait?

Harold J. Farber, MD, MSPH, FCCP
Author and Funding Information

From the Department of Pediatrics, Section of Pulmonology, Baylor College of Medicine, Texas Children’s Hospital.

Correspondence to: Harold J. Farber, MD, MSPH, FCCP, Department of Pediatrics, Section of Pulmonology, Baylor College of Medicine, Texas Children’s Hospital, 6701 Fannin, Ste 1040.00, Houston, TX 77030; e-mail: hjfarber@texaschildrens.org


Financial/nonfinancial disclosures: The author has reported to CHEST the following conflicts of interest: Dr Farber serves as Associate Medical Director for Texas Children’s Health Plan and on the executive committee of the (provisional) Section on Tobacco Control of the American Academy of Pediatrics. He is a member of the American Academy of Pediatrics Julius B. Richmond Center of Excellence Tobacco Consortium and Faculty Expert Panel.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;145(6):1182-1184. doi:10.1378/chest.13-2868
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Extract

The substantial harms of tobacco smoke exposure are becoming increasingly well documented. In utero tobacco smoke exposure is associated with an increased risk for prematurity, low birth weight,1 stillbirth, congenital malformations,2 sudden infant death,3 childhood obesity,4 behavior problems, and neurocognitive deficits.5 Prenatal exposure is associated with an increased risk of wheezing and poorly controlled asthma in early life and when assessed again during later childhood.6,7

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