Evid Based Nurs doi:10.1136/ebn.2011.100213
  • Midwifery
  • Cohort study

Prenatal exposure to second hand smoke and adverse perinatal outcomes

  1. Kristin B Ashford
  1. Department of Nursing, University of Kentucky, Lexington, KY, USA
  1. Correspondence to Kristin B Ashford
    Department of Nursing, #417 CON Building, University of Kentucky, Lexington, KY 40514, USA; khashf0{at}

Commentary on:

Implications for practice and research

  • Consistent and valid prenatal screening methods are necessary to document accurate exposure rates to second hand smoke (SHS).

  • Preconceptual parental education regarding the effects of prenatal exposure to SHS could contribute to a reduction in adverse perinatal outcomes.

  • Future research should consider using biochemical markers to determine exposure.


The science is clear that maternal tobacco use during pregnancy has adverse effects on acute and long-term perinatal outcomes. However, evidence regarding outcomes of prenatal SHS exposure is …

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