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孕期母亲吸烟习惯与妊娠结局的关联

Association of Smoking Habits of Mother during Pregnancy with Pregnancy Outcome.

作者信息

Azimi Cyrus, Lotfi Mahshid

机构信息

Genetics Group, Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.

International Development Research Center (IDRC), Ottawa, Canada.

出版信息

Iran J Public Health. 2013 Jul 1;42(7):748-57. eCollection 2013.

Abstract

BACKGROUND

The objectives of this work were to study the association of maternal smoking habits with stillbirths, abortions, neonatal deaths, birth weights, placental weights and the outcomes on the 28(th) day of life.

METHODS

A questionnaire was developed and completed with the hospitals' recorded data collected over a period of 5 years from 47,000 babies born in several hospitals in Ontario, Canada. The mothers were classified into four categories: non-smokers, light smokers (less than 10 cigarettes per day), moderate smokers (between 10 and 19 cigarettes per day) and heavy smokers (20 or more cigarettes per day). The population surveyed was of mixed ethnicity from both rural and urban areas. Statistical analysis was performed using the SPSS statistical package.

RESULTS

Even the light smoking habit has an effect on the birth weight and the placental weight but for other characteristics, stillbirth, abortion, and the outcomes on the 28(th) day of life, no significant difference observed between light smokers and non-smokers.

CONCLUSION

While quit smoking must be the ultimate goal for any smoker, the present study concludes that moderate and heavy smokers, if they will not be able to quit, they should reduce their number of cigarettes per day to at least the level of light smokers to achieve the same results for non-smokers. All characteristics show significant difference between non-smokers and moderate and heavy smokers.

摘要

背景

本研究旨在探讨孕妇吸烟习惯与死产、流产、新生儿死亡、出生体重、胎盘重量以及出生后第28天的结局之间的关联。

方法

设计了一份问卷,并结合加拿大安大略省多家医院在5年时间里收集的47000名婴儿的医院记录数据来完成该问卷。母亲们被分为四类:不吸烟者、轻度吸烟者(每天少于10支香烟)、中度吸烟者(每天10至19支香烟)和重度吸烟者(每天20支或更多香烟)。调查人群来自农村和城市地区,种族混合。使用SPSS统计软件包进行统计分析。

结果

即使是轻度吸烟习惯也会对出生体重和胎盘重量产生影响,但对于其他特征,如死产、流产以及出生后第28天的结局,轻度吸烟者和不吸烟者之间未观察到显著差异。

结论

虽然戒烟必须是任何吸烟者的最终目标,但本研究得出结论,中度和重度吸烟者如果无法戒烟,应将每日吸烟量至少减少到轻度吸烟者的水平,以达到与不吸烟者相同的结果。在所有特征方面,不吸烟者与中度和重度吸烟者之间均存在显著差异。

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Association of Smoking Habits of Mother during Pregnancy with Pregnancy Outcome.
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