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Expert Q&A:
How does smoking affect my unborn child?

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Elaine Zwelling
Answered by Elaine Zwelling R.N., Ph.D., L.C.C.E., F.A.C.C.E.
Elaine Zwelling, R.N., Ph.D., has been involved in maternal-newborn health care for 40 years. She has a bachelor's degree in nursing from Capital University and a master's degree in nursing and a Ph.D. in Family Relations and Human Development from Ohio State University. Dr. Zwelling brings to the Pampers Parenting Network her experience of helping expectant parents enjoy their pregnancy, plan and create a positive birth experience, and learn about parenting their newborn baby. She is certified by Lamaze International as a childbirth educator, is a Fellow in the American College of Childbirth Educators, and has taught childbirth classes for 25 years. Dr. Zwelling was the director and faculty for the Lamaze International Childbirth Educator Certification Program of Florida; in that role she prepared many nurses to become childbirth educators.

Dr. Zwelling was a Professor of Maternal-Newborn Nursing for 23 years at both Capital University and Ohio State University in Columbus, Ohio. At these institutions she taught undergraduate and graduate students and conducted research. For eight years she was a Senior Consultant with Phillips &; Fenwick, a women's health consulting firm in Santa Cruz, California, specializing in helping hospitals implement family-centered maternity care. Currently Dr. Zwelling is a Perinatal Nurse Consultant with the Hill-Rom Company. In this position, she provides comprehensive support and consultation to hospital maternity units to create quality care environments equipped with the appropriate equipment for labor and birth and provides clinical education for nursing staff.

Dr. Zwelling is the co-author of a maternal-newborn nursing textbook, Maternal-Newborn Nursing: Theory and Practice, and has published many professional journal articles related to maternal-newborn health care, family-centered maternity care, and childbirth education. Dr. Zwelling is a recognized speaker at professional conferences and teaches continuing education seminars for childbirth educators and perinatal nurses throughout the country.

Dr. Zwelling resides in Sarasota, Florida, and has a grown son, lovely daughter-in-law, and two grandchildren.

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Question


What effect does smoking have on my unborn child?

Answer


The fact that you are asking this question indicates that you probably realize that smoking does have a significant effect on your baby. Research studies demonstrate clearly that smoking is related to spontaneous abortion, ectopic pregnancy, preterm labor, low birthweight babies, and irregularities of the placenta (such as placenta previa, the placenta implanting too low in the uterus, or abruptio placenta, the placenta separating from the uterine wall before the baby is born). All of these complications can cause serious problems for your baby. Research is also showing that these complications can be caused by a woman's exposure to secondhand smoke during her pregnancy. Smoking has an effect on the baby after birth as well. If the mother is breastfeeding, the nicotine can pass into her breast milk, resulting in a higher incidence of respiratory problems in the first year of life. The risk of sudden infant death syndrome (SIDS) is also higher in infants who are exposed to smoke in the home. The best gift you can give your baby is to stop smoking and to avoid places where you are exposed to secondhand smoke. If you find this challenge difficult to meet on your own, ask your health care providers for help and seek out a program in your community to help you achieve this important goal.

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