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Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Office on Smoking and Health
Tel: 1-800-CDC-INFO
(1-800-232-4636)
TTY: 1-888-232-6348
E-mail: tobaccoinfo@cdc.gov
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Morbidity and Mortality Weekly Reports (MMWRs)
State Estimates of Neonatal Health-Care Costs Associated with Maternal Smoking
—United States, 1996
October 7, 2004 / Vol. 53 / No. 39
Smoking during pregnancy can cause poor outcomes for both the pregnant woman and her unborn child
and also result in added health-care expenditures. To characterize costs by state, CDC analyzed pregnancy
risk surveillance and birth certificate data to estimate the association between maternal smoking and
the probability of infant admission to a neonatal intensive care unit (NICU). Neonatal health-care
costs, in 1996 dollars, were assigned on the basis of data from private health insurance claims.
This report summarizes the results of that analysis, which estimated smoking-attributable neonatal
expenditures (SAEs) of $366 million in the United States in 1996, or $704 per maternal smoker, and
indicated wide variations in SAEs among states. These costs are preventable. States can use these
data to justify or support their prevention and cessation treatment strategies.
Page last reviewed 02/28/2007
Page last modified 02/28/2007