Evidence map›Paper›PMID 42506938›Full record

ArticleThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association2026

Maternal Smoking and Preterm Birth Among Infants With Orofacial Clefts.

Peichun Han, Renata H Benjamin, Katherine L Ludorf, Rachel P Allred, Jenil R Patel, Wendy N Nembhard, Gary M Shaw, Suzan L Carmichael, Tania A Desrosiers, Eirini Nestoridi and 4 more

Abstract read
In one paragraph

Article in The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Peichun HanDepartment of Epidemiology, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.ORCID 0000-0002-8460-5984
Renata H BenjaminDepartment of Epidemiology, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.
Katherine L LudorfDepartment of Epidemiology, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.ORCID 0000-0003-2431-5755
Rachel P AllredBirth Defects Epidemiology and Surveillance Branch, Texas Department of State Health Services, Austin, TX, USA.ORCID 0000-0003-0633-8013
Jenil R PatelDepartment of Epidemiology, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Dallas, TX, USA.ORCID 0000-0002-4875-7390
Wendy N NembhardDepartment of Epidemiology, Fay W Boozman College of Public Health and the Arkansas Center for Birth Defects Research and Prevention, University of Arkansas for Medical Sciences, Little Rock, AR, USA.ORCID 0000-0002-8318-4049
Gary M ShawDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0001-7438-4914
Suzan L CarmichaelDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0001-6310-5924
Tania A DesrosiersDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0003-1600-3700
Eirini NestoridiDivision for Family Health Data and Analytics, Center for Birth Defects Research and Prevention, Massachusetts Department of Public Health, Boston, MA, USA.ORCID 0009-0009-6555-8623
Eva M WillifordBirth Defects Registry, New York State Department of Health, Albany, NY, USA.ORCID 0000-0003-3609-5665
Katherine RegaladoBirth Defects Epidemiology and Surveillance Branch, Texas Department of State Health Services, Austin, TX, USA.
A J AgopianDepartment of Epidemiology, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.ORCID 0000-0002-5874-4155
National Birth Defects Prevention Study and the Birth Defects Study To Evaluate Pregnancy exposureS

Funding

ACL HHS U01DD001300ACL HHS U01DD001302ACL HHS U01DD001304ACL HHS U01DD001306ACL HHS U01DD001308ACL HHS U01DD001309EPA EP-D-18-001HSRD VA CDP 13-003NCBDD CDC HHS U01 DD001227NCBDD CDC HHS U01 DD001309
6 · The paper itself

Abstract

ObjectiveTo evaluate the associations between maternal cigarette smoking and preterm birth (PTB) among infants with orofacial clefts (OFCs).DesignPopulation-based retrospective cohort study.SettingUsing data from the National Birth Defects Prevention Study (NBDPS, 1997-2011 deliveries) and the Birth Defects Study To Evaluate Pregnancy exposureS (2014-2021 deliveries), we evaluated the association between maternal smoking and PTB (<37 weeks) among liveborn infants with cleft lip with/without cleft palate (CL±P), cleft palate only (CP), or any OFC.ParticipantsIn total, 5618 liveborn infants with OFCs (3699 CL±P and 1919 CP).Main Outcome Measure(s)Adjusted relative risks (aRRs) and 95% confidence intervals (CIs) were calculated using Poisson regression, adjusted for covariates. For each OFC group, smoking (any vs none) was evaluated during 5 pregnancy timepoints (eg, first trimester). Analyses were repeated for smoking intensity (none, 1-14, ≥15 cigarettes/day) (NBDPS only). Any smoking and smoking intensity were also evaluated for extremely-to-very (<32 weeks) and moderate-to-late preterm (32 to <37 weeks).ResultsAmong infants with OFCs, 14.5% were born preterm. Heavy smoking (≥15 cigarettes/day vs none) in the second trimester was associated with PTB among infants with CP (aRR: 1.89, 95% CI: 1.03-3.45) and extremely-to-very PTB among infants with any OFC (aRR: 3.37, 95% CI: 1.47-7.73). Associations were generally stronger for CP than for CL±P, though imprecise.ConclusionsHeavy smoking during the second trimester may increase the risk of extremely-to-very PTB in infants with OFCs and PTB among infants with CP, further supporting the importance of promoting maternal smoking cessation or reduction.

Indexed as

cleft lipcleft lip and palatecleft palateepidemiologymaternal factorsretrospective studies

Identifiers

PMID42506938
PMCPMC13643889

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.