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Freedom from Nicotine - a cold turkey nicotine dependency recovery forum
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Smoking and Pregnancy
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Re: Smoking and Pregnancy
Author
Comment
JohnPolito
#1
[url]
[-]
Jun 30 09 10:17 PM
Consequences of smoking during
pregnancy on maternal health
Journal of Womens Health (Larchmt).
2009 Jun;18(6):867-72.
Roelands J
,
Jamison MG
,
Lyerly AD
,
James AH
.
Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina 27710, USA.
Abstract
OBJECTIVE: To estimate the incidence of maternal cardiovascular and pulmonary events and the prevalence of other comorbid conditions among pregnant smokers.
METHODS: We queried the Nationwide Inpatient Sample (NIS) from the Healthcare Cost and Utilization Project (HCUP) of the Agency for Healthcare Research and Quality (AHRQ) for pregnancy-related discharge codes for the years 2000-2004. The prevalence of various conditions and the incidence of various complications were compared between smokers and nonsmokers.
RESULTS: The majority of smokers were young and white and had public insurance. Smokers were more likely to have experienced deep vein thrombosis (odds ratio [OR] 1.3, 95% confidence interval [CI] 1.1, 1.6), stroke (OR 1.7, 95% CI 1.2, 2.5), pulmonary embolus (
OR 2.5,
95% CI 2.1, 3.0), and myocardial infarction (
OR 4.6,
95% CI 3.3, 6.4). They were 3 times more likely to have experienced influenza or pneumonia (
OR 2.9,
95% CI 2.7, 3.2) and 15 times more likely to have bronchitis (
OR 15.2
, 95% CI 12.8, 18.2). They were more likely to suffer from a number of comorbidities, including asthma (
OR 4.0
, 95% CI 3.7, 4.2) and gastrointestinal ulcers (OR 3.7, 95% CI 2.6, 5.5). Although they were less likely to have experienced gestational diabetes (OR 0.9, 95% CI 0.9, 1.0), preeclampsia (OR 0.8, 95% CI 0.8, 0.9), or eclampsia (OR 0.7, 95% CI 0.6, 0.9), they were more than 5 times as likely to have experienced an ectopic pregnancy (
OR 5.4
, 95% CI 4.6, 6.3).
CONCLUSIONS: Smoking has a negative impact on maternal health. Counseling about the risks of smoking in pregnancy should include not only fetal risks but maternal risks as well.
http://www.liebertonline.com/doi/abs/10.1089/jwh.2008.1024
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