Use of Swedish smokeless tobacco during pregnancy: A systematic review of pregnancy and early life health risk.
Background and Aims: Smokeless tobacco is a heterogeneous product group with diverse composition and prevalence globally. Tobacco use during pregnancy is concerning due to the risk of adverse pregnancy outcomes and effects on child health. Nicotine may mediate several of these effects. This systemat...
| Publicado en: | Addiction Vol. 118; no. 5; pp. 789 - 804 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
May2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162841691&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162841691 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: May2023 vid: 118 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 162841691 161378520 162841691 162841691 10.1111/add.16114 162841691 ppf: 789 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Use of Swedish smokeless tobacco during pregnancy: A systematic review of pregnancy and early life health risk. aug: au: Brinchmann, Bendik C. Vist, Gunn E. Becher, Rune Grimsrud, Tom K. Elvsaas, Ida‐Kristin Ørjasæter Underland, Vigdis Holme, Jørn A. Carlsen, Karin C. Lødrup Kreyberg, Ina Nordhagen, Live S. Bains, Karen Eline Stensby Carlsen, Kai‐Håkon Alexander, Jan Valen, Håkon affil: Division of Climate and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway sug: subj: Tobacco, Smokeless Utilization Tobacco Products Adverse Effects Pregnancy Outcomes Substance Abuse, Perinatal Complications Human Pregnancy Female Fetus Infant, Newborn Systematic Review Meta Analysis Descriptive Statistics Confidence Intervals Odds Ratio Uncertainty Child Health Prenatal Exposure Delayed Effects Medline Embase Psycinfo Cochrane Library Infant Mortality Risk Factors Fetus, conception to birth Infant, Newborn: birth-1 month Female ab: Background and Aims: Smokeless tobacco is a heterogeneous product group with diverse composition and prevalence globally. Tobacco use during pregnancy is concerning due to the risk of adverse pregnancy outcomes and effects on child health. Nicotine may mediate several of these effects. This systematic review measured health outcomes from Swedish smokeless tobacco (snus) use during pregnancy. Method: Literature search was conducted by an information specialist in May 2022. We included human studies of snus use during pregnancy compared with no tobacco use, assessed risk of bias, conducted a meta‐analysis and assessed confidence in effect‐estimates using Grading of Recommendations, Assessment, Development and Evaluations (GRADE). Results: We included 18 cohort studies (42 to 1 006 398 participants). Snus use during pregnancy probably (moderate confidence in risk estimates) increase the risk of neonatal apnea, adjusted odds ratio 95% confidence interval [aOR (95% CI)] 1.96 (1.30 to 2.96). Snus use during pregnancy possibly (low confidence in risk estimates) increase the risk of stillbirths aOR 1.43 (1.02 to 1.99), extremely premature births aOR 1.69 (1.17 to 2.45), moderately premature birth aOR 1.26 (1.15 to 1.38), SGA aOR 1.26 (1.09 to 1.46), reduced birth weight mean difference of 72.47 g (110.58 g to 34.35 g reduction) and oral cleft malformations aOR 1.48 (1.00 to 2.21). It is uncertain (low confidence in risk estimates, CI crossing 1) whether snus use during pregnancy affects risk of preeclampsia aOR 1.11 (0.97 to 1.28), antenatal bleeding aOR 1.15 (0.92 to 1.44) and very premature birth aOR 1.26 (0.95 to 1.66). Risk of early neonatal mortality and altered heart rate variability is uncertain, very low confidence. Snus using mothers had increased prevalence of caesarean sections, low confidence. Conclusions: This systematic review reveals that use of smokeless tobacco (snus) during pregnancy may adversely impact the developing child. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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