Extract

It is without doubt that smoking during pregnancy has detrimental effects on the developing fetus in both the short and long terms. Pregnancy smoking has been associated with a myriad of unfavorable outcomes for the mother and child including, but not limited to, stillbirth, preterm labor, low birth weight, congenital anomalies, sudden infant death syndrome, childhood obesity, and asthma.1 Despite this, smoking during pregnancy remains very common, with the prevalence up to 38% in some high-income countries.2 In the United Kingdom, it was estimated, in 2010, that the additional costs to the National Health Service of smoking in pregnancy were over £8 million for obstetric complications and in excess of £23.5 million for additional health care during the first 12 months of the infant lives.3 However, that analysis did not include the burden of poor health comes in later childhood and adulthood, and indeed the recent work by Kääntä et al.4 suggests that childhood fracture should be added to the ever-expanding list on which any such analysis should be based.

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