E-Cigarettes, Nicotine Patch While Pregnant May Hike SIDS Risk

 

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What the science says about the safety of e-cigarettes

Video taken from the channel: CBS This Morning


THURSDAY, July 19, 2018 Using any form of nicotine during pregnancy or while nursing may raise a baby’s risk for sudden infant death syndrome (SIDS), new animal research suggests. The findings indicate that nicotine patches or electronic cigarettes may not be a safe alternative to cigarettes during pregnancy, the study authors said. THURSDAY, July 19, 2018 (HealthDay News)—Using any form of nicotine during pregnancy or while nursing may raise a baby’s risk for sudden infant death syndrome (SIDS), new animal research suggests.

The findings indicate that nicotine patches or electronic cigarettes may not be a safe alternative to cigarettes during pregnancy, the study authors said. THURSDAY, July 19, 2018 (HealthDay News) Using any form of nicotine during pregnancy or while nursing may raise a baby’s risk for sudden infant death syndrome (SIDS), new animal research suggests. The findings indicate that nicotine patches or electronic cigarettes may not be a safe alternative to cigarettes during pregnancy, the study authors said. Smoking is known to increase the risk of SIDS. Some women who want to quit smoking during pregnancy switch to nicotine patches or electronic cigarettes, but the impact on a baby’s risk of SIDS has been unclear.

This research suggests that the use of nicotine, e.g. nicotine patches or electronic cigarettes, are not a safe alternative to cigarettes during pregnancy, because exposure to nicotine by any route may be harmful to a baby’s cardiorespiratory function and increase the risk of SIDS. Nicotine exposure during pregnancy, whether from smoking cigarettes, nicotine patches, or e-cigarettes, increases risk of sudden infant death syndrome (SIDS), according to new research published in The Journal of Physiology. FRIDAY, July 20, 2018 Using any form of nicotine during pregnancy or while nursing may raise a baby’s risk for sudden infant death syndrome, new animal research suggests.

Vaping and using nicotine patches may increase SIDS risk. Smoking e-cigarettes and using nicotine patches during pregnancy could increase the risk of cot death in newborns, a study has found. It’s already known that smoking during pregnancy or after birth can increase the risk of sudden infant death syndrome (SIDS) because of the harmful chemicals in cigarettes, like carbon monoxide and tar. Studies demonstrate an increased risk of altered fetal autonomic cardiac regulation and nicotine withdrawal in neonates born to women who used snus during pregnancy, effects that are similar to those found in women who smoke tobacco 32 33.

Nicotine exposure during pregnancy, whether from smoking cigarettes, or nicotine patches and e-cigarettes, increases risk of sudden infant death syndrome

List of related literature:

Nicotine patch, nasal spray, inhaler • Risks to the fetus include spontaneous abortion, low birth weight, anencephaly, cleft palate, and congenital heart disease (similar to smoking).

“Pharmacology for the Primary Care Provider E-Book” by Marilyn Winterton Edmunds, Maren Stewart Mayhew
from Pharmacology for the Primary Care Provider E-Book
by Marilyn Winterton Edmunds, Maren Stewart Mayhew
Elsevier Health Sciences, 2008

Passive inhalation of smoke also increases the risk for SIDS in infants.203 In another study,204 researchers found that maternal smoking during pregnancy doubled the rate of SIDS from 2.3 to 4.6 per 1000 births.

“Fetal and Neonatal Physiology” by Richard A. Polin, Steven H. Abman, William W. Fox
from Fetal and Neonatal Physiology
by Richard A. Polin, Steven H. Abman, William W. Fox
Elsevier Health Sciences, 2011

Additionally, because nicotine concentrations on the fetal side of the placenta generally reach levels 15% higher than maternal levels, even a small amount of cigarette smoking may expose the fetus to harmful amounts of nicotine.

“Comprehensive Neonatal Care: An Interdisciplinary Approach” by Carole Kenner, Judy Wright Lott
from Comprehensive Neonatal Care: An Interdisciplinary Approach
by Carole Kenner, Judy Wright Lott
Saunders Elsevier, 2007

Some evidence suggests that pregnant women increasingly switch from smoking combustible tobacco cigarettes to e-cigarettes because of their perceived lower harm (Bruin et al., 2010).

“Public Health Consequences of E-Cigarettes” by National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Population Health and Public Health Practice, Committee on the Review of the Health Effects of Electronic Nicotine Delivery Systems, David L. Eaton, Leslie Y. Kwan, Kathleen Stratton
from Public Health Consequences of E-Cigarettes
by National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, et. al.
National Academies Press, 2018

Nicotine gum carries a category C classification and the nicotine patch is a category D agent, despite its reported safety in the limited clinical studies involving pregnant women that have been conducted to date.

“Reproductive and Developmental Toxicology” by Ramesh C. Gupta
from Reproductive and Developmental Toxicology
by Ramesh C. Gupta
Elsevier Science, 2011

Nicotine replacement therapy during pregnancy has been shown to improve smoking cessation in heavy smokers during pregnancy and 1-year postpartum.129 Nicotine patch use in the second and third trimesters was not associated with maternal or fetal compromise.

“Obstetrics: Normal and Problem Pregnancies E-Book” by Steven G. Gabbe, Jennifer R. Niebyl, Henry L Galan, Eric R. M. Jauniaux, Mark B Landon, Joe Leigh Simpson, Deborah A Driscoll
from Obstetrics: Normal and Problem Pregnancies E-Book
by Steven G. Gabbe, Jennifer R. Niebyl, et. al.
Elsevier Health Sciences, 2016

Another completely preventable source of developmental risk is maternal smoking, along with exposure to secondhand smoke during pregnancy (CDC, 2007b; Rogers, 2009).

“Child Development From Infancy to Adolescence: An Active Learning Approach” by Laura E. Levine, Joyce Munsch
from Child Development From Infancy to Adolescence: An Active Learning Approach
by Laura E. Levine, Joyce Munsch
SAGE Publications, 2014

The nicotine patch is believed to be safer than continuing smoking in pregnancy and should be offered to women addicted to nicotine who are already pregnant and unable to quit without its use.

“Endocrine Secrets E-book” by Michael T. McDermott
from Endocrine Secrets E-book
by Michael T. McDermott
Elsevier Health Sciences, 2013

Clinical guidelines assume that when pregnant women are heavily dependent on nicotine, use of NRT will be less harmful to them and their babies than continued smoking; however, these findings have not produced evidence for this assumption.

“Health Promotion Throughout the Life Span E-Book” by Carole Lium Edelman, Carol Lynn Mandle, Elizabeth C. Kudzma
from Health Promotion Throughout the Life Span E-Book
by Carole Lium Edelman, Carol Lynn Mandle, Elizabeth C. Kudzma
Elsevier Health Sciences, 2017

● Increased perinatal mortality (stillbirths or deaths in the first week)—There is an increased risk of sudden infant death syndrome (SIDS) associated with maternal smoking during pregnancy and evidence that household exposure to tobacco smoke has an independent additive effect (Blair et al 1996).

“Physiology in Childbearing: With Anatomy and Related Biosciences” by Dorothy Stables, Jean Rankin
from Physiology in Childbearing: With Anatomy and Related Biosciences
by Dorothy Stables, Jean Rankin
Elsevier Health Sciences UK, 2010

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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20 comments

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  • Pure air? The O’s we breath in is not pure and contains toxic chemicals. You can’t breath in pure O’s constantly can die from oxygen toxicity.

  • funny is that my great grand pa he smoke since he was 5 and he smoke 4 pack a day 2 pack a night but he stil liveing he is now 105 and still smoke

  • Kudos for the video content! Forgive me for chiming in, I am interested in your thoughts. Have you thought about Tarbbatigan Beyond Dreams Tip (do a search on google)? It is an awesome exclusive product for quitting smoking minus the hard work. Ive heard some great things about it and my close friend Aubrey at very last got amazing success with it.

  • The arteries became 2.5% stiffer in both studies. I wonder if there is a third variable possibly due to an aging rat or diet that could contribute. If it’s not nicotine, then what else is similar in both?

  • i hope my kid doesnt vape,i smoke 30yrs camels……but i use nic salts now…..tried all the patches the zyban etc etc juul is stronger than bloody camel filters……i hope my kid never fkn uses a juul.

  • They are both dangerous why don’t you attack cigarettes to you’re telling people to stay in sigarettes and quit vaping great sponsoring

  • the test on the lab mice is completely unrealistic. first, those mice where breathing nothing but vapor, no fresh air at all, in a realistic setting, when you’re vaping, you’re outside or in a room that has a/c, and you’re taking in fresh air in between every puff. second, most lab mice are not healthy, most of the mice that where tested already had some form of cancer.

    vaping really is not a public health issue, it’s a political issue, because many states are going to be faulting on bonds they pulled out due to the Master Settlement Plan, and instead of states just taking what ever tax revenue big tobacco companies make each year, states instead pulled out bonds with the expectation that these cigarette companies would pay it back at the end of each year, that’s the only reason why vaping is a “threat,” but your gready lying politicians would never admit that.

  • As a 15 year smoker who recently switched to vaping I can confidently say I can breathe much easier now. I do agree that it’s a healthier alternative to smoking but that’s what people need to understand: it’s an alternative. Yes it’s unhealthy compared to not vaping but it wasn’t made for the everyday person, it’s for people who want an easier and safer way to leave Tabacco. The only reason why it’s no getting praise is cause it’s not profitable to the government since it’s not taxed like Tabacco products.

  • The second so called scientist mark does not know what he’s talking about, technically referring VG and PG as oil is the dumbest thing he said

  • It’s illegal THC carts, and occasionally an allergic reaction to certain flavourings. How what percentage of vapers die each year from vaping compared to smokers from smoking. Just look at the numbers. Money talks. Capitalism and tax revenue. The government does not care about us, and neither does big business!!

  • All marketing
    It’s all marketing
    I vape and quit smoking
    I don’t even vape anymore
    Once every blue moon to remind me why I quit smoking

  • Ecigs can’t reach boiling point of an oil for sure so it’s safe. What they are weighing right now is the risk on health vs risk of overpopulation

    If people use cigs it will increase the volume of deaths while if people use vape/e-cigs it will make people live longer risking us overpopulation. It seems that both parties on the video has different insights regarding these things.

  • To me there is a risk in everything even food for example is harmful but we need it we can get high blood pressure or high cholesterol even diabetes from food you know why?? because the person or persons consume too much of it!!!! my point is…..too much off one thing is not healthy!!! same goes for cigs weed and e cigs!!u only need to take in a little of the drugs not a lot plenty can lead to major damage a little can get u far so just take in a little bit of e cigarettes every now and then after take a month or a few months break to repair lungs and heart even throat.Bye hope this idea helped…..

  • I never got addicted to smoke or vape i only tried for once, i watch this to inform myself to never ever got addicted to things that’s going to be bad to me. Thank god this vid convinced me to never ever tries to do them ever.

  • . Addiction is the main issue. Addiction of sugar,drugs,alcohol, and many others. I started smoking when I was 9 to be cool. I quite smoking when I was pregnant but one stressful day after my child was born I smoked a cigarette and was hooked until I got pregnant with my second child and his life was so much more valuable than nicotine just like my daughter life was but I started back and then was weezing couldn’t breath. I switched to capping and I breath and feel so much better. If I could just not do it fine but it’s an addiction. and it always is there. even when you quite

  • This “reporter” actually said around the 4:07 mark, “you got pure air over here, healthiest thing on the planet”. Over 7 million people die annually from AIR pollution. We don’t have “pure air” in industrialized “society”. Then, you got the lady card reader at the end, around 5:25, talking about “corn syrup or sugar, which is better for you, but here (on vaping v cigarettes) both are bad”. News flash: corn syrup AND sugar are BAD for you! Attention TV media, please have actual smart people report on general topics instead of those who are deemed good looking but dumb and unread.

  • Don’t go back to cigarettes unless you live in a state that has banned sales of flavored vape. Then you might as well because what’s the difference? Kids are obviously the only one’s who enjoy flavors.

  • E cigarette (SAFE) percent % will decrease if:
    1.using same coil more than 4 weeks
    2. Inhaling same cotton more than 3 weeks
    3. Tank dirty including i/o let..
    4. Sharing some puff
    5. Barery wash
    6. Has expired or using cheap flavour
    7. Add more in comment

  • The reason the third guy saw had effect is most likely cuz he used a mod and never changed the coil or let it rest they don’t show all the research

  • Here’s the actual mice study: https://journals.physiology.org/doi/full/10.1152/japplphysiol.00713.2017

    The mice were exposed to 18 mg of nicotine!! That’s like smoking 3 packs of cigarettes a day!!