Maternal use of nicotine products and breastfeeding 3 months postpartum. (29th April 2020)

• Record Type: Journal Article
• Authors: Nordhagen, Live S.; Kreyberg, Ina; Bains, Karen Eline S.; Carlsen, Kai‐Håkon; Glavin, Kari; Skjerven, Håvard O.; Småstuen, Milada C.; Hilde, Katarina; Nordlund, Björn; Vettukattil, Riyas; Hedlin, Gunilla; Granum, Berit; Jonassen, Christine M.; Gudmundsdóttir, Hrefna K.; Haugen, Guttorm; Rehbinder, Eva Maria; Söderhäll, Cilla; Staff, Anne Cathrine; Lødrup Carlsen, Karin C.
• Other Names: Asarnoj Anna investigator.; Lødrup Carlsen Oda C. investigator.; Wik Despriée Åshild investigator.; Dyrseth Vibeke investigator.; Endre Kim A. investigator.; Granlund Peder A. investigator.; Holmstrøm Henrik investigator.; Håland Geir investigator.; Mägi Caroline‐Aleksi O. investigator.; Nygaard Unni C. investigator.; Rudi Knut investigator.; Saunders Carina M. investigator.; Sjøborg Kathrine D. investigator.; Skrindo Ingebjørg investigator.; Tedner Sandra G. investigator.; Værnesbranden Magdalena R. investigator.; Wiik Johanna investigator.
• Is Part Of: Acta pædiatrica. Volume 109:Number 12(2020)
• Page Start: 2594
• Page End: 2603
• Publication Date: 2020-04-29
• Subjects: birth cohort -- breastfeeding -- maternal smoking -- pregnancy -- snus use; Pediatrics -- Periodicals; Pediatrics; 618.92
• DOI: 10.1111/apa.15299
• Languages: English
• ISSNs: 0803-5253

Abstract

Abstract: Aim: We aimed to determine the prevalence of and factors associated with maternal use of nicotine products in relation to breastfeeding. Methods: Nicotine use 3 months postpartum was determined in the Scandinavian PreventADALL mother‐child birth cohort study recruiting 1837 women from 2014 to 2016. Electronic questionnaires at 18 weeks pregnancy and 3 months postpartum provided information on snus use, smoking or other nicotine use, infant feeding and socio‐economic factors. The risk of nicotine use in relation to breastfeeding was analysed with logistic regression. Results: Overall, 5.6% of women used snus (2.9%), smoked (2.7%) or both (n = 2) 3 months postpartum, while one used other nicotine products. Among the 1717 breastfeeding women, 95.1% reported no nicotine use, while 2.4% used snus, 2.5% smoked and one dual user. Compared to 3.7% nicotine use in exclusively breastfeeding women (n = 1242), the risk of nicotine use increased by partly (OR 2.26, 95% CI 1.45‐3.52) and no breastfeeding (OR 4.58, 95% CI 2.57‐8.21). Nicotine use before (14.5% snus, 16.4% smoking) or in pregnancy (0.2% snus, 0.4% smoking) significantly increased the risk of using nicotine during breastfeeding. Conclusion: Few breastfeeding women used snus or smoked 3 months postpartum, with increased risk by nicotine use before or during pregnancy.