Effect of maternal cigarette smoking on pregnancy complications and sudden infant death syndrome.
Effect of maternal cigarette smoking on pregnancy complications and sudden infant death syndrome.
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DOI：
10.3109/13814789509160303
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发表时间：
1995-04
期刊：
影响因子：
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通讯作者：
J. Difranza;R. Lew
中科院分区：
文献类型：
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作者：
J. Difranza;R. Lew
本研究的目的是估计每年的发病率和死亡率的胎儿和婴儿，可归因于使用烟草制品的孕妇。方法通过文献综述确定的已发表的研究报告结合在一系列荟萃分析中计算合并风险比，进而用于确定人群归因风险。每年，烟草制品的使用估计造成19，000至141，000例烟草诱导的流产，32，000至61，000例出生体重不足的婴儿，以及14，000至26，000例需要进入新生儿重症监护室的婴儿。烟草的使用也是每年估计1900至4800名婴儿死于围产期疾病和1200至2200名婴儿死于婴儿猝死综合症的原因。结论：烟草使用是导致流产、低出生体重、围产期疾病和SIDS死亡的一个重要的可预防原因。所有的孕妇都应该被告知吸烟会使她们未出生的孩子处于危险之中。孕妇戒烟成功率低表明，减少孕妇吸烟引起的妊娠并发症的努力应侧重于预防少女的尼古丁成瘾。
BACKGROUND The purpose of this study was to estimate the annual morbidity and mortality among fetuses and infants that can be attributed to the use of tobacco products by pregnant women. METHODS Published research reports identified by literature review were combined in a series of meta-analyses to compute pooled risk ratios, which, in turn, were used to determine the population attributable risk. RESULTS Each year, use of tobacco products is responsible for an estimated 19,000 to 141,000 tobacco-induced abortions, 32,000 to 61,000 infants born with low birthweight, and 14,000 to 26,000 infants who require admission to neonatal intensive care units. Tobacco use is also annually responsible for an estimated 1900 to 4800 infant deaths resulting from perinatal disorders, and 1200 to 2200 deaths from sudden infant death syndrome (SIDS). CONCLUSIONS Tobacco use is an important preventable cause of abortions, low birthweight, and deaths from perinatal disorders and SIDS. All pregnant women should be advised that smoking places their unborn children in danger. The low success rate of smoking cessation among pregnant women suggests that efforts to reduce the complications of pregnancy attributable to tobacco use by pregnant women should focus on preventing nicotine addiction among teenaged girls.