Recently, the birth rate of small for gestational age (SGA) neonate has increased in Japan. The aim of this study is to investigate the prognosis of SGA neonate associated with parental smoking. A retrospective cohort study was conducted at Sendai Medical Center Hospital. A total of 11569 infants were born in ourhospital during a 12-year period, 514 of whom were SGA neonates. The subjects comprised 137 SGA neonates whose prognoses could be estimated, about half of whom had smoking-related complications, including 2 cases of sudden infant death syndrome (SIDS). Many mothers (73%) quit smoking during pregnancy, but most fathers (98%) continued to smoke. Bronchial asthma was significantly present in the group whom mother and/or father smoked compared to the group whom they did not smoke (odds ratio 6.896, p＜0.05). We conclude that smoking cessation guidance in early pregnancy for parents are necessary to prevent various complications and SIDS in their infant.

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Objective: The aim of this study is to examine the effects of a lecture on “cognition and stress” on attitudes toward smoking.
Methods: We collected and analyzed responses on stress level, Kano Test for Social Nicotine Dependence (KTSND), and students’ impressions of the class.
Results: The total KTSND score decreased significantly from 11.17 (SD = 6.00) to 8.52 (SD = 5.12) for 396 first-year students before and after the lecture. Except for item 2, scores decreased in individual items.
Discussion: The lecture improved attitudes toward smoking. It was suggested that knowing the relationship between cognition and stress, and reviewing one’s own cognition and coping style was effective in preventing smoking.
Conclusion: It is necessary to take the psychological education and appropriate coping styles to prevent smoking.

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