Waterpipe Tobacco (Hookah) Use in Pregnancy: Associations with Nausea and Vomiting of Pregnancy.

Waterpipe Tobacco (Hookah) Use in Pregnancy: Associations with Nausea and Vomiting of Pregnancy.
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DOI:
10.1055/a-2024-0987
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发表时间:
2023-07
影响因子:
2
通讯作者:
--
中科院分区:
医学4区
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--
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水烟在育龄患者中很常见,通常被认为比吸烟更安全。先前的研究表明,使用香烟的孕妇恶心和呕吐症状减少,但迄今为止还没有研究检查使用水烟的孕妇的这些症状。调查怀孕期间和怀孕前自我报告使用水烟(WPT)的参与者中恶心和呕吐症状的程度。参与者(N=99)被招募进行一项前瞻性队列研究,检查怀孕期间使用水烟。参与者在妊娠早期和晚期使用妊娠独特呕吐量化(PUQE)自我报告整个妊娠期间的恶心和呕吐症状。通过病历审查确定医疗状况(高血压、妊娠期糖尿病)。通过单独使用WPT与使用双重/多个WPT以及使用WPT的频率对参与者进行评价。所有(n=99)参与者在妊娠早期完成了PUQE问卷,82(82.8%)在妊娠晚期完成了PUQE。几乎所有(91.9%)参与者在两次评估中都报告了中度恶心和呕吐症状。在所有PUQE问卷水平的参与者中,妊娠期使用WPT的频率或双重/多重WPT使用率没有差异。单独WPT使用者和双重/聚乙烯使用者之间的WPT使用率或PUQE评分也没有差异。当比较低使用WPT(怀孕期间1-8次)和高使用(9次或更多)时,使用频率较高的组的水管依赖量表评分较高(7.2 vs 5.3,p<0.02)。关于母亲的医学合并症,两组之间唯一的差异是,单独使用WPT的患者比双重/多用途使用者更可能诊断为哮喘(36.8% vs 14.9% p<0.02)。在怀孕期间以任何频率使用WPT的孕妇中,妊娠恶心和呕吐症状或医疗状况没有差异。然而,单一WPT使用者的哮喘发病率高于双重/多WPT使用者。
Waterpipe tobacco (hookah) use is common among reproductive age patients and is often perceived as safer than cigarette use. Prior studies have shown a decrease in nausea and vomiting symptoms among pregnant people who use cigarettes, but no studies to date have examined these symptoms in pregnant people who use waterpipe tobacco. To investigate the extent of symptoms of nausea and vomiting of pregnancy among participants who self-reported waterpipe tobacco (WPT) use during and prior to pregnancy. Participants (N=99) were recruited for a prospective cohort study examining waterpipe tobacco use during pregnancy. Participants self-reported nausea and vomiting symptoms throughout pregnancy using the Pregnancy Unique Quantification of Emesis (PUQE) during first and third trimester. Medical conditions (hypertension, gestational diabetes mellitus) were determined by medical record review. Participants were evaluated by sole WPT use versus dual/poly WPT use and frequency of WPT use. All (n=99) participants completed the PUQE questionnaire during first trimester and 82 (82.8%) completed the PUQE during third trimester. Almost all (91.9%) of participants reported moderate nausea and vomiting symptoms at both assessments. There was no difference in frequency of WPT use in pregnancy or rates of dual/poly WPT use in participants with all levels of the PUQE questionnaire. There was also no difference in rates of WPT use or PUQE scores between sole WPT users and dual/poly users. When comparing low WPT use (1-8 times during pregnancy) and high use (9 or more times), those who were in the higher-frequency use group had higher waterpipe dependence scale scores (7.2 vs 5.3, p<0.02). With regards to maternal medical comorbidities, the only difference between groups was that sole WPT users were more likely to have a diagnosis of asthma than dual/poly users (36.8% vs 14.9% p<0.02). There were no differences in symptoms of nausea and vomiting of pregnancy or medical conditions in pregnant people who use WPT with any frequency during pregnancy. However, sole WPT users had higher rates of asthma than dual/poly WPT users.
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