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Table 4 Associations of the intensity of maternal cigarette smoking in the first trimester with birth congenital anomalies

From: Maternal cigarette smoking before or during pregnancy increases the risk of birth congenital anomalies: a population-based retrospective cohort study of 12 million mother-infant pairs

 

Number of cigarettes consumed per day

0

1–5

6–10

≥ 11

Congenital diaphragmatic hernia

 

n (/10000)

1314 (1.16)

39 (1.41)

69 (2.05)

46 (1.97)

 RR (95% CI)

1.00

1.06 (0.76–1.46)

1.42 (1.10–1.83)

1.33 (0.98–1.80)

P value

 

0.7408

0.0063

0.0647

Gastroschisis

 

n (/10000)

2263 (2.00)

149 (5.40)

179 (5.31)

129 (5.53)

 RR (95% CI)

1.00

1.48 (1.25–1.75)

1.39 (1.18–1.63)

1.46 (1.22–1.76)

P value

 

< 0.0001

< 0.0001

< 0.0001

Limb reduction defect

 

n (/10000)

1433 (1.27)

59 (2.14)

92 (2.73)

71 (3.04)

 RR (95% CI)

1.00

1.35 (1.03–1.76)

1.63 (1.31–2.03)

1.77 (1.38–2.27)

P value

 

0.0287

< 0.0001

< 0.0001

Cleft lip with or without cleft palate

 

n (/10000)

5660 (5.01)

208 (7.54)

268 (7.95)

209 (8.96)

 RR (95% CI)

1.00

1.26 (1.10–1.45)

1.21 (1.07–1.38)

1.33 (1.15–1.53)

P value

 

0.0012

0.0028

0.0001

Cleft palate alone

 

n (/10000)

2554 (2.26)

108 (3.91)

175 (5.19)

130 (5.58)

 RR (95% CI)

1.00

1.39 (1.14–1.69)

1.66 (1.41–1.95)

1.73 (1.44–2.08)

P value

 

0.0010

< 0.0001

< 0.0001

Hypospadias*

 

n (/10000)

6910 (11.96)

179 (12.68)

285 (16.51)

182 (15.23)

 RR (95% CI)

1.00

0.99 (0.85–1.16)

1.23 (1.09–1.39)

1.12 (0.96–1.30)

P value

 

0.9344

0.0011

0.1489

Any outcome

 

n (/10000)

19562 (17.32)

726 (26.31)

1029 (30.52)

727 (31.18)

 RR (95% CI)

1.00

1.23 (1.14–1.33)

1.33 (1.24–1.42)

1.33 (1.23–1.43)

P value

 

< 0.0001

< 0.0001

< 0.0001

  1. Poisson regression models were adjusted for maternal age, race/ethnicity, educational level, marital status, maternal pre-pregnancy body mass index, eclampsia, gestational hypertension and diabetes, parity, infant sex, gestational age at delivery, and total number of prenatal care visits
  2. *Only for boys
  3. Any outcome was defined as having any one of congenital diaphragmatic hernia, gastroschisis, limb reduction defect, cleft lip with or without cleft palate, cleft palate alone, and hypospadias
  4. CI confidence interval, RR risk ratio