Tobacco Use During Pregnancy.
Thursday, June 16, 2022
Posted by: Natalia Gromov
Havard
A, Chandran JJ, Oei JL.
Tobacco Use During
Pregnancy.
Addiction. 2022;117(6):1801-1810. doi:10.1111/add.15792
The use of tobacco during pregnancy is the leading preventable cause of
pregnancy complications and adverse birth outcomes. In high-income countries,
around one in 10 pregnant women smokes tobacco, while smokeless tobacco is the
primary form of tobacco used in many low- and middle-income countries. Although
the risk of tobacco-related harms can be reduced substantially if mothers cease
smoking in the first trimester of pregnancy, the proportion of women who
successfully quit smoking during pregnancy remains modest. Psychosocial
interventions are first-line treatment, with some high-quality evidence showing
that counselling is effective in promoting smoking cessation among pregnant
women. There is insufficient evidence regarding the efficacy and safety of
smoking cessation pharmacotherapies when used during pregnancy, although in
some countries nicotine replacement therapy is recommended for pregnant women
who have been unable to quit without pharmacological assistance. E-cigarettes
are increasingly being used as a smoking cessation aid in the general
population of smokers, but more research is needed to determine if e-cigarettes
are a safe and effective treatment option for pregnant women.
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