Description of tobacco addiction in pregnant women

Grangé, G.; Vayssière, Christophe; Borgne, Anne; Ouazana, Albert; L’Huillier, Jean-Pierre; Valensi, P.; Peiffer, G.; Aubin, Henri‐Jean; Renon, D.; Thomas, Daniel; Lebargy, F.

doi:10.1016/j.ejogrb.2004.09.002

Cited by 33 publications

(16 citation statements)

References 17 publications

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“…In addition, data from France show that single gravid women report a stronger level of addiction. For instance, they tend to smoke the first cigarette of the day sooner than their married counterparts 30 .…”

Section: Relation To Other Studiesmentioning

confidence: 99%

Who smokes during pregnancy? A systematic literature review of population-based surveys conducted in developed countries between 1997 and 2006

Schneider

Schütz

2008

The European Journal of Contraception & Reproductive Health

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Section: Relation To Other Studiesmentioning

confidence: 99%

Who smokes during pregnancy? A systematic literature review of population-based surveys conducted in developed countries between 1997 and 2006

Schneider

Schütz

2008

The European Journal of Contraception & Reproductive Health

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“…During the first trimester, cellular division and organogenesis occurs, leading to the development of all organ systems of the fetus. It is during this initial phase of pregnancy that the developing fetus is most susceptible to the harmful effects of many compounds, including those found in tobacco smoke such as the various PAHs (70,111,112). Amniotic fluid is an integral part of pregnancy and fetal development.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Polycyclic Aromatic Hydrocarbons in Amniotic Fluid Samples From Smokers and Nonsmokers

Myers

Zamora

Ali

et al. 2008

Polycyclic Aromatic Compounds

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Previous studies from this laboratory have focused on the characterization of blood protein adducts formed in utero as a result of maternal smoking during pregnancy. These biological samples, obtained during the third trimester of pregnancy, at delivery, have clearly shown a correlation between maternal smoking histories and exposure of the fetus to tobacco smoke carcinogens, including 4-aminobiphenyl and benzo(a)pyrene. In the present study, we examined exposure of the fetus during the first trimester of pregnancy to various environmental carcinogens, particularly those found in tobacco smoke. Amniotic fluid samples were obtained from women undergoing routine amniocentesis between 16 and 20 weeks gestational age. Amniotic fluid, produced by the fetal lungs and kidneys, is an important part of pregnancy and fetal development and this fluid surrounds the fetus throughout pregnancy. In these studies, samples of amniotic fluid were obtained from nonsmokers as well as 0.5 pack per day smokers, 1.0 pack per day smokers, and greater than 2.0 pack per day smokers. Maternal smoking status was determined by questionnaire as well as assessment of amniotic fluid for 39 Downloaded by [University of Kent] at 15:01 07 December 2014 40 S. R. Myers et al. cotinine via immunoassay. Amniotic fluid samples were extracted and analyzed for the presence of polycyclic aromatic hydrocarbons (PAHs). A clear correlation was found between levels of maternal smoking and PAHs in the amniotic fluid.Amniotic fluid 1-hydroxypyrene levels ranged from 1.54 ± 0.12 µg/L in nonsmokers to 11.72 ± 0.67 µg/L in women smoking greater than 2 pks/da, indicating approximately a 10X increase over nonsmokers. Similar results were found 3-hydroxybenzo(a)pyrene, 6-hydroxybenzo(a)pyrene, and 3,6-dihydroxybenzo(a)pyrene, metabolites of the carcinogen benzo(a)pyrene as well as with the 9-hydroxy and 9,10-dihydroxy metabolites of anthracene. The 5-hydroxymethyl metabolite of 5-methylchrysene was found to range in concentrations from 1.65 ± 0.11 µg/L in nonsmokers to 12.67 ± 0.79 µg/L in greater than 2 packs per day smokers.These results demonstrate that amniotic fluid can serve as a biological marker of exposure to tobacco related polycyclic aromatic hydrocarbons. Identification of potentially harmful compounds detected at an early stage of pregnancy may prevent subsequent exposures to the fetus and as a result decrease the risk of potential genotoxic as well as teratogenic events.

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“…Em contrapartida, os resultados, em especial da amostra da população geral, mostram que campanhas de cessação do uso de SPAs, durante a gestação e a lactação, podem ter como alvo não apenas gestantes e mães, mas pessoas próximas a elas, com ênfase especial em amigas confidentes que, estranhamente ou não, têm mais influência sobre o comportamento da gestante do que seus parceiros (3) . Em oposição aos dados epidemiológicos de utilização de SPAs durante a gestação (9,(13)(14)(15)(16)(17) , é bastante positivo o fato de que os índices de atitudes de restrição ao consumo de SPAs durante a gestação tenham se mostrado altos. Entretanto, fica evidente a discrepância de atitude na amostra de gestantes estudadas, o que pode ser importante objeto de estudo e possível alvo dentro de campanhas de prevenção ao uso de SPAs, durante a gestação e a amamentação.…”

Section: Discussionunclassified

Atitudes de gestantes e da população geral quanto ao uso de substâncias durante a gestação

Matta

Soares

Bizarro

2011

SMAD, Rev. Eletrônica Saúde Mental Álcool Drog. (Ed. port.)

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Investigaram-se atitudes permissivas ou restritivas ao uso de substâncias psicoativas (SPA) e medicações sem prescrição, durante a gestação e a amamentação. Os participantes da população geral (n=172) e gestantes (n=137) responderam uma enquete sobre cenários nos quais uma gestante e uma lactante poderiam ou não consumir SPAs e medicações.O uso de SPAs e medicações foi restringido pela maioria. Dentre os participantes que permitiram o consumo, esse deveria ser em frequência e/ou doses menores. Dentre as gestantes, houve discrepância entre atitudes e comportamento, pois parte das gestantes fumou durante a gestação, mesmo tendo atitude restritiva.

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Description of tobacco addiction in pregnant women

Cited by 33 publications

References 17 publications

Who smokes during pregnancy? A systematic literature review of population-based surveys conducted in developed countries between 1997 and 2006

Who smokes during pregnancy? A systematic literature review of population-based surveys conducted in developed countries between 1997 and 2006

Analysis of Polycyclic Aromatic Hydrocarbons in Amniotic Fluid Samples From Smokers and Nonsmokers

Atitudes de gestantes e da população geral quanto ao uso de substâncias durante a gestação

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