RT Journal Article SR Electronic T1 Occult maternal exposure to environmental tobacco smoke exposure JF Tobacco Control JO Tob Control FD BMJ Publishing Group Ltd SP 64 OP 65 DO 10.1136/tc.2006.018291 VO 16 IS 1 A1 Ingrid de Chazeron A1 Pierre-Michel Llorca A1 Sylvie Ughetto A1 François Coudore A1 Didier Boussiron A1 Jean Perriot A1 Françoise Vendittelli A1 Vincent Sapin A1 Didier Lemery YR 2007 UL http://tobaccocontrol.bmj.com/content/16/1/64.abstract AB Background: Environmental tobacco smoke (ETS) is a recognised air pollutant. Its harmful effects have been found to be implicated in health disorders, including unfavourable pregnancy outcomes. The discrepancy between self-reported emvironmental tobacco smoke exposure and cotinine levels in pregnant non-smokers in France was examined. Method: Plasma cotinine was determined by a CPG-SM method on women who had answered a self-questionnaire describing their habits and environment during pregnancy. Results: Of 698 pregnant women reported as non-smokers, 305 (43.7%) claimed not to be exposed to ETS, yet 196 of these (64.3%) had plasma cotinine levels above the limit of detection. Conclusion: Self-reported data on ETS exposure in pregnant women therefore underestimate actual exposure. However, cotinine assay cab rectify this misclassification. An accurate identification of this risk factore will help to change attitudes towards ETS and avert its adverse effects on mother and fetus.