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Maternal Smoking and Infant Feeding: Breastfeeding is Better and Safer

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Abstract

The rise in smoking rates among young women has implications for children’s health aggravated in lower social strata where infant morbidity and mortality rates are higher. The protection afforded by breastfeeding is beneficial to infants in rich and poor countries alike. Women (especially when young, uneducated, and unsupported) who are smokers constitute a risk group for abandoning breastfeeding; moreover, their bottle-fed newborns run a greater risk of morbidity and mortality. Bottle-feeding is attendant on maternal cigarette smoking. The advantages of breastfeeding over bottle-feeding are discussed with regard to systemic effects and the specific effects of cyanide (which can affect the iodine metabolism of infants) and nicotine derived from food and maternal smoking. Despite great strides in bans on smoking, public health policies should be designed to keep in perspective that breastfeeding is an effective tool to counterbalance the health disadvantages that under-privileged infants of smoking mothers face. This paper argues that infants born to smoking parents are better protected by breastfeeding than by formula feeding. Therefore, if public health policies cannot stop addicted mothers from smoking during pregnancy it is fundamental not to miss the chance of encouraging and supporting breastfeeding. The food and health inequalities of socially disadvantaged groups demand well crafted public-health policies to reduce the incidence of diseases and compress morbidity: these policies need to make it clear that breastfeeding is better and safer.

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References

  1. Sebrié E, Glantz SA. The tobacco industry in developing countries. BMJ 2006;332:313–4.

    Article  PubMed  Google Scholar 

  2. Sebrié EM, Barnoya J, Perez-Stable EJ, Glantz SA. Tobacco industry successfully prevented tobacco control legislation in Argentina. Tob Control 2005;14(5):e2.

    Article  PubMed  Google Scholar 

  3. Charlesworth A, Glantz SA. Smoking in the movies increases adolescent smoking: a review. Pediatrics 2005;116(6):1516–28.

    Article  PubMed  Google Scholar 

  4. Charlesworth A, Glantz SA. Tobacco and the movie industry. Clin Occup Environ Med 2006;5:73–84.

    PubMed  Google Scholar 

  5. Watson R. European Union may relax rules on marketing baby milk. BMJ 2004;329:1121. (doi:10.1136/bmj.329.7475.1121, 13 November).

    Article  PubMed  Google Scholar 

  6. Butler S, Williams M, Tukuitonga C, Paterson J. Factors associated with not breastfeeding exclusively among mothers of a cohort of Pacific infants in New Zealand. N Z Med J 2004;117:U908.

    PubMed  Google Scholar 

  7. Field CJ. The immunological components of human milk and their effect on immune development in infants. J Nutr 2005;135:1–4.

    PubMed  CAS  Google Scholar 

  8. Edmond KM, Zandoh C, Quigley MA, Amenga-Etego S, Owusu-Agyei S, Kirkwood BR. Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics 2006;117:e380–6.

    Article  PubMed  Google Scholar 

  9. Chantry CJ, Howard CR, Auinger P. Full breastfeeding duration and associated decrease in respiratory tract infection in US children. Pediatrics 2006;117:425–32.

    Article  PubMed  Google Scholar 

  10. Chen A, Rogan WJ. Breastfeeding and the risk of postneonatal death in the United States. Pediatrics 2004;113:e435–9.

    Article  PubMed  Google Scholar 

  11. WHO. Fifty-fifth World Health Assembly,13–18 May 2002 (http://www.who.int/gb/).

  12. Kaneita Y, Yokoyama E, Miyake T, Harano S, Asai T, Tsutsui T, Ibuka E, Suzuki K, Kaneko A, Sone T, Takemura S, Kawahara K, Ohida T. Epidemiological study on passive smoking among Japanese infants and smoking behavior of their respective parents: A nationwide cross-sectional survey. Prev Med 2006;42:210–7.

    Article  PubMed  Google Scholar 

  13. Eades SJ, Read AW, Bibbulung Gnarneep Team. Infant care practices in a metropolitan Aboriginal population. J Paed Child Health 1999;35:541–4.

    Article  CAS  Google Scholar 

  14. Riojas-Rodriguez H, Romano-Riquer P, Santos-Burgoa C, Smith KR. Household firewood use and the health of children and women of Indian communities in Chiapas, Mexico. Int J Occup Environ Health 2001;7:44–53.

    PubMed  CAS  Google Scholar 

  15. Zhong L, Goldberg MS, Gao YT, Jin F. Lung cancer and indoor air pollution arising from Chinese-style cooking among nonsmoking women living in Shanghai, China. Epidemiology 1999;10:488–94.

    Article  PubMed  CAS  Google Scholar 

  16. Mishra V, Retherford RD, Smith KR. Cooking smoke and tobacco smoke as risk factors for stillbirth. Int J Environ Health Res 2005;15:397–410.

    Article  PubMed  CAS  Google Scholar 

  17. Boy E, Bruce N, Delgado H. Birth weight and exposure to kitchen wood smoke during pregnancy in rural Guatemala. Environ Health Perspect 2002;110:109–14.

    Article  PubMed  CAS  Google Scholar 

  18. Bruce N, Perez-Padilla R, Albalak R. Indoor air pollution in developing countries: A major environmental and public health challenge. Bull World Health Organ 2000;78:1080–92.

    Google Scholar 

  19. da Costa JL, Navarro A, Neves JB, Martin M. Household wood and charcoal smoke increases risk of otitis media in childhood in Maputo. Int J Epidemiol 2004;33:573–8.

    Article  PubMed  Google Scholar 

  20. Siegmund B, Leitner E, Pfannhauser W. Determination of the nicotine content of various edible nightshades (Solanaceae) and their products and estimation of the associated dietary nicotine intake. J Agric Food Chem 1999;47:3113–20.

    Article  PubMed  CAS  Google Scholar 

  21. Tonacchera M, Pinchera A, Dimida A, Ferrarini E, Agretti P, Vitti P, Santini F, Crump K, Gibbs J. Relative potencies and additivity of perchlorate, thiocyanate, nitrate, and iodide on the inhibition of radioactive iodide uptake by the human sodium iodide symporter. Thyroid 2004;14:1012–9.

    Article  PubMed  CAS  Google Scholar 

  22. Dorea JG. Maternal thiocyanate and thyroid status during breast-feeding. J Am Coll Nutr 2004;23:97–101.

    PubMed  CAS  Google Scholar 

  23. Laurberg P, Nohr SB, Pedersen KM, Fuglsang E. Iodine nutrition in breast-fed infants is impaired by maternal smoking. J Clin Endocrinol Metabol 2004;89:181–7.

    Article  CAS  Google Scholar 

  24. Oyelola OO, Ayangade SO, Oke OL. The possible role of cassava in the thiocyanate level of pregnant women. Nutr Rep Int 1983;28:585–92.

    Google Scholar 

  25. Vanderpas J, Bourdoux P, Lagasse R, Rivera M, Dramaix M, Lody D, Nelson G, Delange F, Ermans AM, Thilly CH. Endemic infantile hypothyroidism in a severe endemic goitre area of central Africa. Clin Endocrinol 1984;20:327–40.

    CAS  Google Scholar 

  26. Joad JP. Smoking and pediatric respiratory health. Clin Chest Med 2000;21:37–46.

    Article  PubMed  CAS  Google Scholar 

  27. Baker RJ, Hertz-Picciotto I, Dostál M, Keller JA, Nozicka J, Kotesovec F, Dejmek J, Loomis D, Wosramodruff RJ. Coal home heating and environmental tobacco smoke in relation to lower respiratory illness in Czech children, from birth to 3 years of age. Environ Health Perspect 2006;114:1126–32.

    Article  PubMed  CAS  Google Scholar 

  28. Larkin FA, Basiotis PP, Riddick HA, Sykes KE, Pao EM. Dietary patterns of women smokers and non-smokers. J Am Diet Assoc 1990;90:230–7.

    PubMed  CAS  Google Scholar 

  29. Trygg K, Lund-Larsen K, Sandstad B, Hoffman HJ, Jacobsen G, Bakketeig LS. Do pregnant smokers eat differently from pregnant non-smokers? Paediatr Perinat Epidemiol 1995;9:307–19.

    Article  PubMed  CAS  Google Scholar 

  30. Crawley HF, While D. The diet and body weight of British teenage smokers at 16–17 years. Eur J Clin Nutr 1995;49:904–14.

    PubMed  CAS  Google Scholar 

  31. Geelhoed GW. Marginal Micronutrients: Iodine insufficiency in subcontinental diets—Cultural, biological, and humanitarian implications. Nutrition 2004;20:334–5.

    Article  PubMed  CAS  Google Scholar 

  32. Knudsen N, Laurberg P, Perrild H, Bulow I, Ovesen L, Jorgensen T. Risk factors for goiter and thyroid nodules. Thyroid 2002;12:879–88.

    Article  PubMed  Google Scholar 

  33. Delange F. Iodine deficiency as a cause of brain damage. Postgrad Med J 2001;77:217–20.

    Article  PubMed  CAS  Google Scholar 

  34. Ozmert EN, Yurdakok K, Soysal S, Kulak-Kayikci ME, Belgin E, Ozmert E, Laleli Y, Saracbasi O. Relationship between physical, environmental and sociodemographic factors and school performance in primary schoolchildren. J Trop Pediatr 2005;51:25–32.

    Article  PubMed  Google Scholar 

  35. Oddy WH, Kendall GE, Blair E, De Klerk NH, Stanley FJ, Landau LI, Silburn S, Zubrick S. Breastfeeding and cognitive development in childhood: a prospective birth cohort study. Paediatr Perinat Epidemiol 2003;17:81–90.

    Article  PubMed  Google Scholar 

  36. Dorea JG. Iodine nutrition during breast-feeding. J Tr Elem Med Biol 2002;16:207–20.

    Article  CAS  Google Scholar 

  37. Matturri L, Ottaviani G, Corti G, Lavezzi AM. Pathogenesis of early atherosclerotic lesions in infants. Pathol Res Pract 2004;200:403–10.

    Article  PubMed  Google Scholar 

  38. Rich-Edwards JW, Stampfer MJ, Manson JE, Rosner B, Hu FB, Michels KB, Willett WC. Breastfeeding during infancy and the risk of cardiovascular disease in adulthood. Epidemiology 2004;15:550–6.

    Article  PubMed  Google Scholar 

  39. Al-Shehri MA, Sadeq A, Quli K. Bronchiolitis in Abha, Southwest Saudi Arabia: viral etiology and predictors for hospital admission. West Afr J Med 2005;24:299–304.

    PubMed  Google Scholar 

  40. Nafstad P, Jaakkola JJ, Hagen JA, Botten G, Kongerud J. Breastfeeding, maternal smoking and lower respiratory tract infections. Eur Respir J 1996;9:2623–9.

    Article  PubMed  CAS  Google Scholar 

  41. Batstra L, Neeleman J, Hadders-Algra M. Can breast feeding modify the adverse effects of smoking during pregnancy on the child’s cognitive development? J Epidemiol Community Health 2003;57:403–4.

    Article  PubMed  CAS  Google Scholar 

  42. Myr R. Promoting, protecting, and supporting breastfeeding in a community with a high rate of tobacco use. J Hum Lact 2004;20:415–6.

    Article  PubMed  Google Scholar 

  43. AAP-American Academy of Pediatrics Committee on Drugs. Transfer of drugs and other chemicals into human milk. Pediatrics 2001;108:776–89.

    Article  Google Scholar 

  44. Lepage M, Dumas L, Renaud L. Fight against tobacco and promote breastfeeding: a distinctive challenge. Sante Publique 2005;17:637–47.

    PubMed  CAS  Google Scholar 

  45. Quinn G, Ellison BB, Meade C, Roach CN, Lopez E, Albrecht T, Brandon TH. Adapting smoking relapse-prevention materials for pregnant and postpartum women: formative research. Matern Child Health J 2006;10:235–45.

    Article  PubMed  Google Scholar 

  46. Winickoff JP, Tanski SE, McMillen RC, Klein JD, Rigotti NA, Weitzman M. Child health care clinicians’ use of medications to help parents quit smoking: a national parent survey. Pediatrics 2005;115:1013–7.

    Article  PubMed  Google Scholar 

  47. Fontaine B. Smoking and breastfeeding: how can we help mothers stop smoking? J Gynecol Obstet Biol Reprod 2005;34:3S209–12.

    Google Scholar 

  48. Alm B, Lagercrantz H, Wennergren G. Stop SIDS–sleeping solitary supine, sucking soother, stopping smoking substitutes. Acta Paediatr 2006;95:260–2.

    Article  PubMed  Google Scholar 

  49. Dahlstrom A, Ebersjo C, Lundell B. Nicotine exposure in breastfed infants. Acta Paediatr 2004;93:810–6.

    Article  PubMed  CAS  Google Scholar 

  50. Ilett KF, Hale TW, Page-Sharp M, Kristensen JH, Kohan R, Hackett LP. Use of nicotine patches in breast-feeding mothers: transfer of nicotine and cotinine into human milk. Clin Pharmacol Ther 2003;74:516–24.

    Article  PubMed  CAS  Google Scholar 

  51. Minchin MK. Smoking and breastfeeding: an overview. J Hum Lact 1991;7:183–8.

    Article  PubMed  CAS  Google Scholar 

  52. Gasparoni A, Autelli M, Ravagni-Probizer MF, Bártoli A, Regazzi-Bonora M, Chirico G, et al. Effect of passive smoking on thyroid function in infants. Eur J Endocrinol 1998;138:379–82.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Nutrition, Universidade de Brasília, and Division of Post-Graduate Studies, ESCS (School of Medicine) FEPECS-SES, C.P. 04322, 70919–970, Brasilia, DF, Brazil

    Jose G. Dorea

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Correspondence to Jose G. Dorea.

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Dorea, J.G. Maternal Smoking and Infant Feeding: Breastfeeding is Better and Safer. Matern Child Health J 11, 287–291 (2007). https://doi.org/10.1007/s10995-006-0172-1

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  • DOI: https://doi.org/10.1007/s10995-006-0172-1

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