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SMOKING DOES NOT CAUSE UROGENITAL BIRTH DEFECTS

 

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Bear in mind that 1.0 equals NO EXCESS RISK.  Risks of less than 2.0 or results that include "zero" within their range of results (for example, 0.8 - 1.18) are considered extremely weak results and viewed with skepticism by responsible scientists.

Summary of findings of studies of urogenital birth defects, including hypospadias: Seidman DS, Ever-Hadani P, Gale R. Effect of maternal smoking and age on congenital anomalies. Obstet. Gynecol Dec. 1990; 76: 1046-1050. RATES/K, 10 genitourinary 0c 0.4, <1p 1.3, >/=1 p 1.8; 62 hypospadias 0c 3.5, <1p 3.2, >/= 1 p 4.4 [calculated crude relative risk gu 3.25 4.5; hyposp. 0.9 1.26].

Andrews, J, McGarry JM. A community study of smoking in pregnancy. J Obstet Gynaecol Br Commonw 1972 Dec; 79(12): 1057-1073. Cardiff. In %: 64 genitourinary, 39n 0.43, 25s 0.33 [calculated crude relative risk 0.77]

Himmelberger DU, Brown BW, Cohen EN. Cigarette smoking during pregnancy and the risk of spontaneous abortion and congenital anomaly. Am J Epidemiol 1978; 108(6): 470-479. Trace Anesthetic Study, retrospective mail survey of health professionals. Rates/1000 186 urogen s21.32 n 15.81. [calculated crude relative risk 0.74]

Heinonen OP, Slone D, Shapiro S, eds. Birth defects and drugs in pregnancy. Littleton, MA: Publishing Sciences Group, 1977. Collaborative Perinatal Project prospective. genitourinary 366, no total RR. Hypospadias 187 /= 30c 2.0 (14 cases), >/= 30c 1.7 [subgroup].

Van Den Eeden SK, Karagas MR, Daling JR, Vaughan TL. A case-control study of maternal smoking and congenital malformations. Paediatr Perinatal Epidemiol 1990; 4:147-155. 206 hypospadias 0.8 (0.5-1.1).

McDonald, AD, Armstrong BG, Sloan M. Cigarette, alcohol, and coffee consumption and congenital defects. AJPH Jan 1992; 82(1):91-93. 209 renal/urinary 1-9c 1.55 (1.0-2.5), 10- 19c 1.42 (0.9-2.1), 20+c 1.17 (0.8-1.8).

Christianson, RE. The relationship between maternal smoking and the incidence of congenital anomalies. Am J Epidemiol 1980; 112 (5): 684-695. Kaiser Foundation. Rates/1000: 218 genitourinary never 15.1, 1-19c 15.6, >/=20c 14.1. [calculated crude relative risk 1.03, 0.93]

Evans, DR, Newcombe RG, Campbell H. Maternal smoking habits and congenital malformations: a population study. BMJ Jul 21 1979; 2:171-173. Cardiff. Rates/1000 308 genitourinary 0c 4.6, 1-9c 4.5, 10-19c 4.4, 20+c 4.9. [calculated crude relative risk 0.98, 1.06].

Shiono, PH, Klebanoff MA, Berendes HW. Congenital malformations and maternal smoking during pregnancy. Teratol 1986: 34:65-71. Kaiser-Permanente prospective. 202 crytorchism 1.2 (0.9-1.7); 101 hypospadias 1.0 (0.7-1.6); 536 hydrocele 0.7 (0.6-0.9); 32 other m sex 0.8 (0.4-1.8); 68 other f sex 1.1 (0.7-1.8); 13 renal agenesis 1.1 (0.3-3.6); 18 other renal 0.3 (0.1-1.4); 13 other urogential 1.1 (0.3-3.6). [0.87 overall].

Malloy MH, Kleinman JC, Bakewell JM, Schramm WF, Land GH. Maternal smoking during pregnancy: No association with congenital malformations in Missouri. AJPH 1989 Sep;79(9): 1243-1246. 1622 Genitourinary 0.97 (0.86-1.08). 

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Courtesy of Carol Thompson 08/23/93
Smokers' Rights Action Group
P.O. Box 259575
Madison, WI 53725-9575
Phone: 608-249-4568