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Maternal use of nicotine products and breastfeeding 3 months postpartum
Author(s) -
Nordhagen Live S.,
Kreyberg Ina,
Bains Karen Eline S.,
Carlsen KaiHåkon,
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.
Publication year - 2020
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.15299
Subject(s) - snus , medicine , breastfeeding , nicotine , pregnancy , obstetrics , logistic regression , cohort study , environmental health , pediatrics , population , tobacco use , smokeless tobacco , biology , genetics
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.