Cigarette Smoking as a risk factor for coronary artery disease and sudden unexpected death in fetuses and infants

Maternal smoking during pregnancy makes it more likely that the baby will be stillborn or die in the first year of life. Cigarette smoke is the most important risk factor for fetal and infant sudden death (SIDS). The risk of stillbirthor death during the infant's first year of life is directly related to the amount the mother smoked. The present study adds significant evidence on the need to avoid cigarette smoking. The pathogenic mechanism of smoke is referable to different factors. The combustion products of nicotine, in addition to their diffuse toxicity, are heterogeneous and cause specific lesion of the automatic nervous system. Gaseous combustion products, such as carbon oxide, lead to atheosclerotic plaques in the cardiovascular district and in the sino-atrial and atrio-ventricular arteries.