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June 1981

Effect of Maternal Cigarette Smoking on Apgar Scores

Am J Dis Child. 1981;135(6):503-506. doi:10.1001/archpedi.1981.02130300003003

• As shown in a total of 43,492 live-born singleton infants, the proportion of low and depressed Apgar scores is related to the extent of maternal cigarette usage during pregnancy. In particular, the three-pack level of smoking (41 to 60 cigarettes per day) is reflected in a near-quadrupling of low and depressed one-minute and five-minute Apgar scores in both blacks and whites and also after exclusion of prematurely born infants.

(Am J Dis Child 1981;135:503-506)