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BBC News Health

12 March 2011 Last updated at 01:32 GMT


Passive smoking increases stillbirth risk, says study
A man smoking Fathers who smoke should be aware of the danger they pose to 
their unborn child, experts say

Fathers-to-be should stop smoking to protect their unborn child from the risk 
of stillbirth or birth defects, scientists say.

University of Nottingham researchers found that pregnant women exposed to smoke 
at work or home increased their risk of stillbirth by 23% and of having a baby 
with defects by 13%.

They looked at 19 previous studies from around the world.

A UK expert said it was "vital" women knew the risks of second-hand smoke.

The studies used to pull this research together were carried out in North 
America, South America, Asia and Europe.

All the studies focused on pregnant women who did not smoke themselves but were 
passive smokers due to their proximity to a partner who smoked or work 
colleagues who smoked.

The combined data from the studies suggests that being exposed to more than 10 
cigarettes a day is enough for the risks to be increased.

However, the University of Nottingham study did not find an increased risk of 
miscarriage or newborn death from second-hand smoke - only an increased risk of 
still birth and birth defects.

The results did not point to a link with any specific congenital birth defect.
Impact on sperm development

The researchers say fathers who smoke should be more aware of the danger they 
pose to their unborn child.

Previous research has shown that women who smoke during their pregnancy create 
serious health risks for their unborn baby, including low birth weight, 
premature birth and a range of serious birth defects such as cleft palate, club 
foot and heart problems.

Dr Jo Leonardi-Bee, lead researcher of the study and associate professor in 
medical statistics at the University of Nottingham, said they still did not 
know when the effects of the second-hand smoke begin.

"What we still don't know is whether it is the effect of sidestream smoke that 
the woman inhales that increases these particular risks or whether it is the 
direct effect of mainstream smoke that the father inhales during smoking that 
affects sperm development, or possibly both.

"More research is needed into this issue although we already know that smoking 
does have an impact on sperm development, so it is very important that men quit 
smoking before trying for a baby."

Dr Leonardi-Bee added: "The risks are related to the amount of cigarettes that 
are smoked so it is therefore very important for men to cut down.

"Ultimately though, in the interests of their partner and their unborn child, 
the best option would be to give up completely."

Andrew Shennan, professor of obstetrics at St. Thomas' Hospital in London and 
spokesperson for baby charity Tommy's, said: "It is vital that women are made 
aware of the possible risks associated with second-hand smoke and alert those 
around them of the impact it could potentially have on the health of their 
unborn baby.

"The chemicals in cigarettes are known to significantly increase the risk of 
serious pregnancy complications."




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