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Table 6 Associations of the intensity of maternal cigarette smoking in the third 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)

1325 (1.16)

52 (1.70)

54 (2.02)

24 (2.08)

 RR (95% CI)

1.00

1.27 (0.95–1.68)

1.39 (1.05–1.84)

1.37 (0.91–2.07)

 P value

 

0.1031

0.0228

0.1308

Gastroschisis

 

 n (/10000)

2350 (2.06)

175 (5.73)

132 (4.95)

51 (4.43)

 RR (95% CI)

1.00

1.59 (1.35–1.87)

1.32 (1.10–1.59)

1.20 (0.91–1.59)

 P value

 

<0.0001

0.0025

0.2043

Limb reduction defect

 

 n (/10000)

1474 (1.29)

70 (2.29)

73 (2.74)

34 (2.95)

 RR (95% CI)

1.00

1.38 (1.08–1.77)

1.55 (1.21–1.98)

1.61 (1.14–2.28)

 P value

 

0.0100

0.0004

0.0075

Cleft lip with or without cleft palate

 

 n (/10000)

5762 (5.04)

229 (7.50)

223 (8.36)

108 (9.38)

 RR (95% CI)

1.00

1.20 (1.05–1.38)

1.23 (1.07–1.41)

1.33 (1.10–1.63)

 P value

 

0.0075

0.0032

0.0033

Cleft palate alone

 

 n (/10000)

2630 (2.3)

121 (3.96)

150 (5.62)

59 (5.12)

 RR (95% CI)

1.00

1.32 (1.09–1.59)

1.70 (1.43–2.02)

1.52 (1.16–1.97)

 P value

 

0.0042

<0.0001

0.0020

Any outcome*

 

 n (/10000)

13022 (11.39)

624 (20.45)

597 (22.38)

264 (22.92)

 RR (95% CI)

1.00

1.33 (1.22–1.44)

1.35 (1.24–1.47)

1.35 (1.19–1.52)

 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. *Any outcome was defined as having any one of congenital diaphragmatic hernia, gastroschisis, limb reduction defect, cleft lip with or without cleft palate, and cleft palate alone
  3. CI confidence interval, RR risk ratio