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International Journal of Public Health

Erschienen in:

01.08.2014 | Review

Smokeless tobacco use in pregnancy: an integrative review of the literature

verfasst von: Angela Ratsch, Fiona Bogossian

Erschienen in: International Journal of Public Health | Ausgabe 4/2014

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Abstract

Objectives

To systematically critique and summarise the available evidence on the outcomes of smokeless tobacco use in pregnancy to inform the public health response.

Methods

In March 2013, a search was conducted of observational studies where the exposure to smokeless tobacco during pregnancy and maternal, placental and/or neonatal outcomes was assessed. Two reviewers extracted data and completed quality assessment of the literature utilizing the Agency for Healthcare Research and Quality criteria (West et al. 2002).

Results

The search resulted in 211 articles, 21 (10 %) of which met the final criteria for integrative review. Ten (10) of the studies are from India, seven (7) from Sweden, two (2) from Alaska and one (1) each from South Africa and Pakistan.

Conclusions

Many studies lacked sufficient power to estimate precise risks. Most reports were hindered by imprecise measures of exposure and lack of confounding variable control. However, there were indications that maternal smokeless tobacco use increases rates of stillbirth, low birth weight and alters the male:female live birth ratio. Maternal smokeless tobacco use may not be safe for mother or foetus.

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Titel: Smokeless tobacco use in pregnancy: an integrative review of the literature
verfasst von: Angela Ratsch
Fiona Bogossian
Publikationsdatum: 01.08.2014
Verlag: Springer Basel
Erschienen in: International Journal of Public Health / Ausgabe 4/2014
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-014-0558-6

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Smokeless tobacco use in pregnancy: an integrative review of the literature

Abstract

Objectives

Methods

Results

Conclusions

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

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