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SNUS Photo Credit: Bengt Wiberg |
Infants whose mothers have used snus (a moist oral tobacco product) during pregnancy run three times the risk of sudden infant death, according to a comprehensive registry study from Karolinska Institutet published in the journal Pediatric Research. The risk was much lower if the mother had stopped taking snus before the first antenatal visit. The researchers conclude that all types of nicotine products should be avoided during pregnancy.
“Fortunately, the incidence of sudden infant death is very low, but we can see that taking snus or smoking while pregnant is associated with an increased risk,” says Anna Gunnerbeck, pediatrician at the Astrid Lindgren Children’s Hospital and researcher at the Department of Medical Epidemiology and Biostatistics, Karolinska Institutet.
Studied two million babies
While it is known that smoking during pregnancy is a risk factor in sudden infant death, little research has been done on snus and other nicotine products. To address this, the researchers conducted a registry study comprising over two million babies born in Sweden between 1999 and 2019. During this time, only two out of 10,000 babies suffered sudden infant death, which is when death occurs suddenly for no apparent reason during sleep.