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孕期和产后母亲吸烟对母婴健康结局的影响:伞式评价方案。

Health outcomes of maternal smoking during pregnancy and postpartum period for the mother and infant: protocol for an umbrella review.

机构信息

Health Economics Unit, Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.

出版信息

Syst Rev. 2018 Dec 19;7(1):235. doi: 10.1186/s13643-018-0900-9.

DOI:10.1186/s13643-018-0900-9
PMID:30567597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6299640/
Abstract

BACKGROUND

Internationally, tobacco smoking is a leading cause of mortality, morbidity and health inequality. In England, despite increasing awareness about importance of public health interventions to reduce smoking, about 10% of pregnant women are known to be smokers at the time of delivery. There are many systematic reviews investigating the impact of maternal smoking during pregnancy on particular health conditions. Hence, this overview of systematic reviews, which aims to include all health conditions for mother and infant caused by smoking during pregnancy, is timely.

METHODS

CINAHL, EMBASE, MEDLINE, PsycINFO, Web of Science, CRD Database (includes DARE, NHSEED and HTA) and HMIC databases will be searched for systematic reviews investigating the effects of smoking during pregnancy. Only reviews written in English and published by 31/12/17 will be included. Studies focussed on low-income countries will be excluded. Study selection and quality assessment will be completed by two reviewers independently. To assess the quality of included studies, the Centre for Reviews and Dissemination checklist for systematic reviews will be utilised.

DISCUSSION

Existing systematic reviews focus on the impact of smoking during pregnancy on a specific health condition. This review aims to analyse current evidence on the overall health outcomes associated with smoking whilst pregnant by providing an overview of evidence from systematic reviews.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42018086350 .

摘要

背景

在国际上,吸烟是导致死亡、发病和健康不平等的主要原因。在英国,尽管人们越来越意识到采取公共卫生干预措施减少吸烟的重要性,但在分娩时,仍有 10%左右的孕妇吸烟。有许多系统评价研究了孕妇吸烟对特定健康状况的影响。因此,本系统评价综述及时地涵盖了怀孕期间吸烟对母婴健康状况的所有影响。

方法

将对 CINAHL、EMBASE、MEDLINE、PsycINFO、Web of Science、CRD 数据库(包括 DARE、NHSEED 和 HTA)和 HMIC 数据库进行检索,以寻找调查怀孕期间吸烟影响的系统评价。仅包括用英语撰写并于 2017 年 12 月 31 日之前发表的综述。将排除专注于低收入国家的研究。研究选择和质量评估将由两名评审员独立完成。为了评估纳入研究的质量,将使用系统评价综述的中心评价和传播清单(Centre for Reviews and Dissemination checklist for systematic reviews)。

讨论

现有的系统评价侧重于吸烟对特定健康状况的影响。本综述旨在通过对系统评价证据的概述来分析与怀孕期间吸烟相关的整体健康结果的现有证据。

系统评价注册

PROSPERO CRD42018086350 。

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Nicotine Tob Res. 2017 May 1;19(5):497-505. doi: 10.1093/ntr/ntw228.
2
Is maternal smoking during pregnancy associated with an increased risk of congenital heart defects among offspring? A systematic review and meta-analysis of observational studies.孕期母亲吸烟会增加后代患先天性心脏缺陷的风险吗?一项观察性研究的系统评价和荟萃分析。
J Matern Fetal Neonatal Med. 2017 Mar;30(6):645-657. doi: 10.1080/14767058.2016.1183640. Epub 2016 May 16.
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Short and long term health effects of parental tobacco smoking during pregnancy and lactation: a descriptive review.孕期和哺乳期父母吸烟对健康的短期和长期影响:描述性综述
J Transl Med. 2015 Oct 15;13:327. doi: 10.1186/s12967-015-0690-y.
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Tobacco use in pregnant women: analysis of data from Demographic and Health Surveys from 54 low-income and middle-income countries.孕妇吸烟行为:54 个低收入和中等收入国家人口与健康调查数据分析。
Lancet Glob Health. 2014 Sep;2(9):e513-e520. doi: 10.1016/S2214-109X(14)70283-9. Epub 2014 Aug 27.
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Why do women not use antenatal services in low- and middle-income countries? A meta-synthesis of qualitative studies.为什么在中低收入国家,女性不使用产前服务?一项定性研究的荟萃分析。
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