Lung Injury Associated with E-cigarettes (“Vaping”)

  • Practice Advisory PA
  • October 2019

(Reaffirmed October 2021)

The Centers for Disease Control and Prevention (CDC) has released interim recommendations for health care providers in response to the outbreak of lung injury reported with the use of e-cigarettes, or vaping. To date, the CDC has not identified a specific etiology of the outbreak; its investigation has not identified any specific e-cigarette or vaping product (devices, liquids, refill pods, and/or cartridges) or substance linked to all cases. 

The American College of Obstetricians and Gynecologists (ACOG) and CDC both recommend against the use of e-cigarette products by pregnant and postpartum individuals, children and adolescents, and adults who currently do not use tobacco products.

The CDC has released the recommendations for health care providers while its investigation of the cases continues, which may be accessed here. The recommendations provide, among other things, that health care providers ask all patients who report e-cigarette or vaping product use within the past 90 days about signs and symptoms of respiratory illness and that they obtain a patient history regarding the substance vaped and product history if vaping is suspected as a possible etiology of respiratory symptoms. The full recommendations are here.

ACOG continues to monitor the outbreak and the guidance for health care providers released by the CDC.

For more information on this developing issue, including resources for health care providers and updated statistics on the outbreak, see the CDC’s “Outbreak of Lung Injury Associated with E-cigarette Use, or Vaping” webpage. Click here to identify your local health department.

Please contact [email protected] with any questions.

A Practice Advisory is issued when information on an emergent clinical issue (e.g. clinical study, scientific report, draft regulation) is released that requires an immediate or rapid response, particularly if it is anticipated that it will generate a multitude of inquiries. A Practice Advisory is a brief, focused statement issued within 24-48 hours of the release of this evolving information and constitutes ACOG clinical guidance. A Practice Advisory is issued only on-line for Fellows but may also be used by patients and the media. Practice Advisories are reviewed periodically for reaffirmation, revision, withdrawal or incorporation into other ACOG guidelines. 

This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. This information should not be considered as inclusive of all proper treatments or methods of care or as a statement of the standard of care. It is not intended to substitute for the independent professional judgment of the treating clinician. Variations in practice may be warranted when, in the reasonable judgment of the treating clinician, such course of action is indicated by the condition of the patient, limitations of available resources, or advances in knowledge or technology. The American College of Obstetricians and Gynecologists reviews its publications regularly; however, its publications may not reflect the most recent evidence. Any updates to this document can be found on or by calling the ACOG Resource Center.

While ACOG makes every effort to present accurate and reliable information, this publication is provided “as is” without any warranty of accuracy, reliability, or otherwise, either express or implied. ACOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. Neither ACOG nor its officers, directors, members, employees, or agents will be liable for any loss, damage, or claim with respect to any liabilities, including direct, special, indirect, or consequential damages, incurred in connection with this publication or reliance on the information presented.

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The American College of Obstetricians and Gynecologists (ACOG), is the nation's leading group of physicians providing health care for women. As a private, voluntary, nonprofit membership organization of more than 58,000 members, ACOG strongly advocates for quality health care for women, maintains the highest standards of clinical practice and continuing education of its members, promotes patient education, and increases awareness among its members and the public of the changing issues facing women's health care.