Women who are pregnant, or who think they could be, should avoid using e-cigarettes because of a lack of evidence around their safety, an expert warns.
Writing in a viewpoint in the Lancet Respiratory Medicine Associate Professor Alexander Larcombe, Head of Respiratory and Environmental Health at the Telethon Kids Institute said many people believed that Electronic Nicotine Delivery Systems (ENDS), were either safe or at least far safer than tobacco smoking during pregnancy.
“There is this general perception that it’s either orders of magnitude safer or completely safe to vape during pregnancy, which is completely unfounded and almost certainly not true, because women and babies are still potentially getting exposed to nicotine and other potentially harmful chemicals,” Dr Larcombe said.
Recent research by Dr Larcombe and colleagues found six out of 10 ‘nicotine-free’ e-cigarette liquids purchased over the counter and online in Australia contained nicotine as well as an acutely toxic chemical typically found in pesticides and disinfectants.
“The literature suggests that it is the nicotine in traditional cigarettes and in nicotine replacement therapy that has the greatest impacts on an unborn baby’s health. We know that nicotine impacts brain development, so it affects the behaviour, memory and learning of the child. It also affects lung growth and development and affects the range of other organs in a negative way as well.
“That fact that people may be using e-cigarettes with nicotine during pregnancy probably means that those children are also going to have their health impacted.”
He also said there was a misconception that ENDS aerosols (particularly second-hand aerosols) were non-toxic, which may lead to parents using ENDS around their children more readily than they might smoke if they were smoking tobacco cigarettes.