Evidence map›Paper›PMID 42647831›Full record

ReviewRhode Island medical journal (2013)2026

Impact of Maternal Smoking During Pregnancy on Fetal and Neonatal Neurobehavioral Development: A Narrative Review.

Gina Erato Garza, Destiny Printz Pereira, Alana Corey, Meaghan McCallum, Laura R Stroud

Abstract readReview
In one paragraph

Review in Rhode Island medical journal (2013), 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

5 authors.

Gina Erato GarzaDepartment of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University; Center for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI.
Destiny Printz PereiraDepartment of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University; Center for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI.
Alana CoreyCenter for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI.
Meaghan McCallumCenter for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI.
Laura R StroudDepartment of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University; Center for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI.

Funding

Training in Child/Adolescent Biobehavioral HIV ResearchT32MH078788 · NIMH · RHODE ISLAND HOSPITAL · PI LARRY K BROWN · 2007 to 2026
$6.2M
Electronic Cigarettes During Pregnancy: Impact on Fetal DevelopmentR01DA045492 · NIDA · MIRIAM HOSPITAL · PI SALISBURY, AMY L, STROUD, LAURA R · 2018 to 2023
$3.3M
Placental Genomics in the Developmental Consequences of Marijuana Use in PregnancyR01DA056787 · NIDA · MIRIAM HOSPITAL · PI Todd M Everson, Carmen Joseph Marsit · 2023 to 2026
$2.6M
Research Training in Childhood Stress, Trauma, and ResilienceT32HD101392 · NICHD · MIRIAM HOSPITAL · PI PARADE, STEPHANIE HART, STROUD, LAURA R · 2020 to 2024
$1.7M
Enriching the Rhode Island Child Health StudyU24ES028507 · NIEHS · EMORY UNIVERSITY · PI MARSIT, CARMEN JOSEPH, STROUD, LAURA R · 2023 to 2025
$1.0M
NICHD NIH HHS L30 HD119793NICHD NIH HHS T32 HD101392NIDA NIH HHS R01 DA045492NIDA NIH HHS R01 DA056787NIEHS NIH HHS U24 ES028507NIMH NIH HHS T32 MH078788
6 · The paper itself

Abstract

backgroundMaternal smoking during pregnancy (MSDP) remains a common source of prenatal drug exposure worldwide. MSDP has been shown to increase fetal health risks and interfere with fetal development. Although newborns prenatally exposed to other substances (e.g., opiates, benzodiazepines) have been shown to have increased stress and withdrawal symptoms, few studies have explored the effect of MSDP on the fetal and neonatal periods.

methodsWe performed a comprehensive search for empirical research articles investigating the effects of MSDP on fetal and neonatal neurobehavior and signs of abstinence in PubMed and PsycINFO databases. Our search yielded 11 fetal and 14 neonatal empirical articles published between 1980 and 2025.

resultsIn the fetal period, MSDP-exposed fetuses showed decreased fetal heart rate variability, and fetal movement and reactivity vs unexposed fetuses. In the early neonatal period (birth to five days), MSDP-exposed newborns showed increased excitability, irritability, need for handling, arousal, and alertness. In the late neonatal period (10 to 35 days), studies found MSDP to have an effect on neonatal self-regulation, attention, quality of movement, abnormalities in reflexes, lethargy, need for handling, and stress signs.

conclusionsOur review of the literature revealed that MSDP has been associated with alterations in behavior suggestive of potential abstinence symptoms, especially found for excitability, irritability, hypertonicity, attention, reflex abnormalities, and stress/abstinence signs. Additional rigorous research needs to delineate the impact of MSDP on fetal and neonatal signs of abstinence to improve infant health.

Indexed as

Child DevelopmentFetal DevelopmentPrenatal Exposure Delayed EffectsSmokingFemaleHumansInfant, NewbornNeonatal Abstinence SyndromePregnancybehaviorfetalinfantneurodevelopmentpregnancysmokingtobacco

Identifiers

PMID42647831
PMCPMC13616101

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.