Skip to main content
American Journal of Public Health logoLink to American Journal of Public Health
. 1991 Jan;81(1):69–73. doi: 10.2105/ajph.81.1.69

Does maternal tobacco smoking modify the effect of alcohol on fetal growth?

J Olsen 1, A da C Pereira 1, S F Olsen 1
PMCID: PMC1404936  PMID: 1983919

Abstract

Smoking and drinking habits were registered by a self-administered questionnaire in 36th week of gestation in 11,698 pregnant women, more than 80 percent of all such women in two Danish cities 1984-87. Alcohol consumption of 120 g/week or more was associated with a greater reduction in the average birthweight in the babies of smokers than of non-smokers (about 40 grams for the non-smokers and about 200 grams for the smokers). This is particularly striking considering that the average birthweight for smokers is lower than for non-smokers. A birthweight difference of more than 500 grams was found between babies of mothers who neither smoked nor drank and mothers who smoked and drank heavily. Our data suggest that women's smoking habits should be taken into consideration when giving pregnant women advice about drinking.

Full text

PDF

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brooke O. G., Anderson H. R., Bland J. M., Peacock J. L., Stewart C. M. Effects on birth weight of smoking, alcohol, caffeine, socioeconomic factors, and psychosocial stress. BMJ. 1989 Mar 25;298(6676):795–801. doi: 10.1136/bmj.298.6676.795. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Kariniemi V., Rosti J. Maternal smoking and alcohol consumption as determinants of birth weight in an unselected study population. J Perinat Med. 1988;16(3):249–252. doi: 10.1515/jpme.1988.16.3.249. [DOI] [PubMed] [Google Scholar]
  3. Kline J., Stein Z., Hutzler M. Cigarettes, alcohol and marijuana: varying associations with birthweight. Int J Epidemiol. 1987 Mar;16(1):44–51. doi: 10.1093/ije/16.1.44. [DOI] [PubMed] [Google Scholar]
  4. Lumley J., Correy J. F., Newman N. M., Curran J. T. Cigarette smoking, alcohol consumption and fetal outcome in Tasmania 1981-82. Aust N Z J Obstet Gynaecol. 1985 Feb;25(1):33–40. doi: 10.1111/j.1479-828x.1985.tb00599.x. [DOI] [PubMed] [Google Scholar]
  5. Martin J., Martin D. C., Lund C. A., Streissguth A. P. Maternal alcohol ingestion and cigarette smoking and their effects on newborn conditioning. Alcohol Clin Exp Res. 1977 Jul;1(3):243–247. doi: 10.1111/j.1530-0277.1977.tb05879.x. [DOI] [PubMed] [Google Scholar]
  6. Mills J. L., Graubard B. I., Harley E. E., Rhoads G. G., Berendes H. W. Maternal alcohol consumption and birth weight. How much drinking during pregnancy is safe? JAMA. 1984 Oct 12;252(14):1875–1879. [PubMed] [Google Scholar]
  7. Naeye R. L. Do placental weights have clinical significance? Hum Pathol. 1987 Apr;18(4):387–391. doi: 10.1016/s0046-8177(87)80170-3. [DOI] [PubMed] [Google Scholar]
  8. Olsen J., Frische G., Poulsen A. O., Kirchheiner H. Changing smoking, drinking, and eating behaviour among pregnant women in Denmark. Evaluation of a health campaign in a local region. Scand J Soc Med. 1989;17(4):277–280. doi: 10.1177/140349488901700404. [DOI] [PubMed] [Google Scholar]
  9. Sulaiman N. D., Florey C. D., Taylor D. J., Ogston S. A. Alcohol consumption in Dundee primigravidas and its effects on outcome of pregnancy. Br Med J (Clin Res Ed) 1988 May 28;296(6635):1500–1503. doi: 10.1136/bmj.296.6635.1500. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Walpole I., Zubrick S., Pontré J. Confounding variables in studying the effects of maternal alcohol consumption before and during pregnancy. J Epidemiol Community Health. 1989 Jun;43(2):153–161. doi: 10.1136/jech.43.2.153. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES