Clustering of Socioeconomic, Behavioural, and Neonatal Risk Factors for Infant Health in Pregnant Smokers

Lanting, C.I.; Buitendijk, S. E.; Crone, Mathilde R.; Segaar, Dewi; Gravenhorst, J. Bennebroek; Wouwe, J.P. van

doi:10.1371/journal.pone.0008363

Cited by 48 publications

(48 citation statements)

References 31 publications

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“…Fifthly, the percentage of mothers that smoked during pregnancy in our cohort is quite low, compared with other cohort studies. However, the rates of maternal smoking throughout pregnancy have decreased significantly in the Netherlands during recent decades, to 7.6% in 2007 [34]. As smoking during pregnancy is associated with reduced birthweight and increased wheezing symptoms, it could be a confounder.…”

Section: Discussionmentioning

confidence: 99%

Rapid early weight gain is associated with wheeze and reduced lung function in childhood

Gugten¹,

Koopman²,

Evelein³

et al. 2011

European Respiratory Journal

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The aim of our study was to investigate the association between rapid weight gain in the first 3 months of life and the prevalence of wheeze in the first years of life and lung function at 5 yrs of age.The infants selected were participating in an ongoing birth cohort. Information on growth and respiratory symptoms was collected during the first year of life, and on primary care consultations during total follow-up. Forced expiratory volume in 1 s (FEV1) and forced expiratory flow at 25-75% of forced vital capacity (FEF25-75%) were measured at 5 yrs of age.Information on growth and respiratory symptoms was obtained for 1,431 infants, out of whom 235 children had already had 5 yrs of follow-up. Every one-point z-score increase in weight gain resulted in a 37% increase in days with wheeze (incidence rate ratio 1.37, 95% CI 1.27-1.47; p,0.001) and in associated consultations by 16% (incidence rate ratio 1.16, 95% CI 1.01-1.34; p50.04). Children with rapid weight gain reported significantly more physician-diagnosed asthma. FEV1 and FEF25-75% were reduced by 34 mL (adjusted regression coefficient -0.034, 95% CI -0.056--0.013; p50.002) and 82 mL (adjusted regression coefficient -0.082, 95% CI -0.140--0.024; p50.006) per every one-point z-score increase in weight gain, respectively. These associations were independent of birthweight.Rapid early weight gain is a risk factor for clinically relevant wheezing illnesses in the first years of life and lower lung function in childhood.

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Section: Discussionmentioning

confidence: 99%

Rapid early weight gain is associated with wheeze and reduced lung function in childhood

Gugten¹,

Koopman²,

Evelein³

et al. 2011

European Respiratory Journal

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“…23 Roken tijdens de zwangerschap geeft onder andere een verhoogd risico op vroeggeboorte, groeivertraging, en perinatale sterfte. 24 Dit geldt ó ó k wanneer weinig wordt gerookt (bijvoorbeeld na minderen met roken) en voor passief roken. Zo kan naar schatting 29% van de vroeggeboortes en 17% van de intra-uteriene groeivertraging per jaar vermeden worden als geen van de zwangere vrouwen zou roken tijdens de zwangerschap.…”

Section: Rokenunclassified

“…Zo kan naar schatting 29% van de vroeggeboortes en 17% van de intra-uteriene groeivertraging per jaar vermeden worden als geen van de zwangere vrouwen zou roken tijdens de zwangerschap. 24 De dalende trend in rookprevalentie bij zwangere vrouwen in Nederland heeft waarschijnlijk dan ook bijgedragen aan de dalende perinatale sterftetrend.…”

Section: Rokenunclassified

Trends in determinanten van perinatale sterfte in Nederland

Bruin

Mohangoo

Achterberg³

et al. 2012

Tijds. gezondheids.wetenschappen

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Perinatale sterfte is een belangrijke indicator van de kwaliteit van de verloskundige zorg. Er zijn een groot aantal, interacterende, determinanten die de trend in perinatale sterfte beïnvloeden. Het betreft een samenspel van kenmerken van moeder (zoals medische geschiedenis, leefstijlfactoren, leefomstandigheden) en kind (vroeggeboorte, laag geboortegewicht, aangeboren afwijkingen) en kenmerken gerelateerd aan de organisatie van de verloskundige zorg. In Nederland is de perinatale sterfte de afgelopen jaren verder gedaald. Dat wil niet zeggen dat alle determinanten die van invloed zijn op de perinatale sterfte ook een gunstige ontwikkeling laten zien. Determinanten die bijdragen aan het verminderen van de perinatale sterfte zijn onder andere betere overlevingskansen bij vroeg geborenen tussen 28-36 weken zwangerschap door ontwikkelingen in de zorg en een lager aantal rokende vrouwen tijdens de zwangerschap. Ongunstige ontwikkelingen zijn de toename van obesitas bij vrouwen, het nog licht toenemend aantal zwangerschappen bij vrouwen van 35 jaar of ouder en bij niet-westerse allochtone vrouwen. Gezien de relatie tussen leefstijlfactoren, niet-optimale leefomstandigheden en ongunstige zwangerschapsuitkomsten is het belangrijk dat, naast medisch ingestoken oplossingen en integrale zorg, ook middels preventie voorafgaand aan en tijdens de zwangerschap de gezondheid van toekomstige ouders en pasgeborenen wordt bevorderd.

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“…Based on the researches of Lanting et al (2009) and Vasina et al (2012), it appears that women smoking during their pregnancy have similar social status: a low level of education, they often do not have a permanent job, they are single, under 20 years old pregnant women smoke more often than over 2030 years old pregnant women and they are single mostly, and by Koshy et al (2010), smokers are bad examples for their daughters. As reported by Gilman et al (2008), the level of education is linked to earlier exposure to smoking and consuming first cigarette immediately after waking.…”

mentioning

confidence: 99%

“…et al (2008) Koshy et al (2010), it is efficient to quit smoking with the partner who also wants to stop smoking. From the article of Lanting et al (2009) it turns out that convincing not to light a cigarette is more efficient than blaming, which contains a smoking cessation plan. Several researchers show that pregnancy may be a strong motivator to quit smoking remarked by Hannõver et al (2008) and Schneider et al ( 2008).…”

mentioning

confidence: 99%

Experiences and Views of Pregnant Women on Smoking

Kaasik-Aaslav

Vanatoa

Kotkas

2014

EMHPJ

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24Urve KaasikAaslav, Mare Vanatoa, Ene Kotka Backround: Worldwide, approximately 1 billion people, from which 200250 million are women, smoke. Based on the Estonian Medical Birth Register data, in 2010, 7,5% of pregnant women were smokers, and in 2012, 7% of pregnant women were smoking during their pregnancy. Thus, smoking rates among pregnant women fell only 0,5%. The objective of the research was to find out the views of pregnant women who were smoking during pregnancy of the effect of smoking on the health of them and their babies, and experiences in quitting smoking, changing indicators, e.g. smoking and socioeconomical status (initial exposure to smoking, employment, longterm partnerships etc.) in 20092013.Methods: This research is a phenomenological study, which was being carried out from October 2009 until January 2013. Data collection methods were semistructured interviews with 45 pregnant women smoking during their pregnancy and being registered for antenatal care in three health care institutions of Republic of Estonia. An inductive approach for qualitative analysis was used.Results: Most women smoking during pregnancy started smoking in their teens, their parents smoked, they were under 30 years old housewives or unemployed. On an average of 1120 cigarettes were consumed each day, the pregnancy of the research group did not influence frequency and tobacco intake. The participants in the research group reported that tobacco consumption helped them relax, gave them a chance to spend time in a good company, and it was not regarded as a bad habit but a social addiction, being caused by availability of tobacco products. Although most of them had an opinion about harmful effects of smoking, e.g. a cough, asthma and rapid fatigue, on the health of them and less on their expected babies, they continued smoking.Conclusions: The smoking and socioeconomical status of women smoking during pregnancy in 20092013 has not changed, health awareness of them is low and has not improved. Support groups with close relatives are needed to motivate cessation. In the first place, prevention needs a good example, purposeful cooperation, which starts in daily life context at homes, in educational institutions and in the community. Limiting the availability of tobacco products, postponing and preventing an initial exposure to smoking are thought to be of great importance. The results of the research will be introduced in health care institutions and they can be used in the health promotion process.

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Clustering of Socioeconomic, Behavioural, and Neonatal Risk Factors for Infant Health in Pregnant Smokers

Cited by 48 publications

References 31 publications

Rapid early weight gain is associated with wheeze and reduced lung function in childhood

Rapid early weight gain is associated with wheeze and reduced lung function in childhood

Trends in determinanten van perinatale sterfte in Nederland

Experiences and Views of Pregnant Women on Smoking

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