IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i6p2034-d334323.html
   My bibliography  Save this article

Exposure to Tobacco, Environmental Tobacco Smoke and Nicotine in Pregnancy: A Pragmatic Overview of Reviews of Maternal and Child Outcomes, Effectiveness of Interventions and Barriers and Facilitators to Quitting

Author

Listed:
  • Gillian S. Gould

    (School of Medicine and Public Health, The University of Newcastle, Callaghan 2308, Australia)

  • Alys Havard

    (Centre for Big Data Research in Health, UNSW Sydney, Sydney NSW 2052, Australia)

  • Ling Li Lim

    (School of Medicine and Public Health, The University of Newcastle, Callaghan 2308, Australia)

  • The PSANZ Smoking in Pregnancy Expert Group

    (Perinatal Society of Australia and New Zealand, Mornington, Victoria 3931, Australia)

  • Ratika Kumar

    (School of Medicine and Public Health, The University of Newcastle, Callaghan 2308, Australia)

Abstract

The aim of this review of reviews was to collate the latest evidence from systematic reviews about the maternal and child health outcomes of being exposed to tobacco and nicotine during pregnancy; the effectiveness of interventions designed to reduce these exposures, and barriers to and facilitators of smoking cessation during pregnancy. Two databases were searched to obtain systematic reviews published from 2010 to 2019. Pertinent data from 76 articles were summarized using a narrative synthesis (PROSPERO reference: CRD42018085896). Exposure to smoke or tobacco in other forms during pregnancy is associated with an increased risk of obstetric complications and adverse health outcomes for children exposed in-utero. Counselling interventions are modestly effective, while incentive-based interventions appear to substantially increase smoking cessation. Nicotine replacement therapy is effective during pregnancy but the evidence is not conclusive. Predictors and barriers to smoking cessation in pregnancy are also discussed. Smoking during pregnancy poses substantial risk to mother’s and child’s health. Psychosocial interventions and nicotine replacement therapy (NRT) appear to be effective in helping pregnant women quit smoking. Barriers to smoking cessation must be identified and steps taken to eradicate them in order to reduce smoking among pregnant women. More research is needed on smoking cessation medications and e-cigarettes.

Suggested Citation

  • Gillian S. Gould & Alys Havard & Ling Li Lim & The PSANZ Smoking in Pregnancy Expert Group & Ratika Kumar, 2020. "Exposure to Tobacco, Environmental Tobacco Smoke and Nicotine in Pregnancy: A Pragmatic Overview of Reviews of Maternal and Child Outcomes, Effectiveness of Interventions and Barriers and Facilitators," IJERPH, MDPI, vol. 17(6), pages 1-34, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:6:p:2034-:d:334323
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/6/2034/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/6/2034/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Miriam Abraham & Salem Alramadhan & Carmen Iniguez & Liesbeth Duijts & Vincent W V Jaddoe & Herman T Den Dekker & Sarah Crozier & Keith M Godfrey & Peter Hindmarsh & Torstein Vik & Geir W Jacobsen & W, 2017. "A systematic review of maternal smoking during pregnancy and fetal measurements with meta-analysis," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-13, February.
    2. Lin Zhang & Xing-Huan Wang & Xin-Min Zheng & Tong-Zu Liu & Wei-Bin Zhang & Hang Zheng & Mi-Feng Chen, 2015. "Maternal Gestational Smoking, Diabetes, Alcohol Drinking, Pre-Pregnancy Obesity and the Risk of Cryptorchidism: A Systematic Review and Meta-Analysis of Observational Studies," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-17, March.
    3. Julie Boucher & Anne T. M. Konkle, 2016. "Understanding Inequalities of Maternal Smoking—Bridging the Gap with Adapted Intervention Strategies," IJERPH, MDPI, vol. 13(3), pages 1-16, March.
    4. Shiming Tang & Ying Wang & Xuan Gong & Gaohua Wang, 2015. "A Meta-Analysis of Maternal Smoking during Pregnancy and Autism Spectrum Disorder Risk in Offspring," IJERPH, MDPI, vol. 12(9), pages 1-14, August.
    5. Angela Ratsch & Fiona Bogossian, 2014. "Smokeless tobacco use in pregnancy: an integrative review of the literature," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(4), pages 599-608, August.
    6. Gillian S. Gould & Yael Bar Zeev & Laura Tywman & Christopher Oldmeadow & Simon Chiu & Marilyn Clarke & Billie Bonevski, 2017. "Do Clinicians Ask Pregnant Women about Exposures to Tobacco and Cannabis Smoking, Second-Hand-Smoke and E-Cigarettes? An Australian National Cross-Sectional Survey," IJERPH, MDPI, vol. 14(12), pages 1-11, December.
    7. Yael Bar-Zeev & Michelle Bovill & Billie Bonevski & Maree Gruppetta & Jennifer Reath & The ICAN QUIT in Pregnancy Pilot Group & Gillian S. Gould, 2017. "Assessing and Validating an Educational Resource Package for Health Professionals to Improve Smoking Cessation Care in Aboriginal and Torres Strait Islander Pregnant Women," IJERPH, MDPI, vol. 14(10), pages 1-15, September.
    8. Hong Cui & Ting-Ting Gong & Cai-Xia Liu & Qi-Jun Wu, 2016. "Associations between Passive Maternal Smoking during Pregnancy and Preterm Birth: Evidence from a Meta-Analysis of Observational Studies," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-18, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. María Morales-Suárez-Varela & Isabel Peraita-Costa & Alfredo Perales-Marín & Agustín Llopis-Morales & Agustín Llopis-González, 2022. "Risk of Gestational Diabetes Due to Maternal and Partner Smoking," IJERPH, MDPI, vol. 19(2), pages 1-18, January.
    2. Xia Xiao & Yan Li & Xiaoxiao Song & Qinghua Xu & Siwei Yang & Jie Wu & Edmund Seto, 2018. "Discrepancy between Self-Reported and Urine Cotinine-Verified Environmental Tobacco Smoke Exposure among Rural Pregnant Women in China," IJERPH, MDPI, vol. 15(7), pages 1-11, July.
    3. Isabell K. Rumrich & Kirsi Vähäkangas & Matti Viluksela & Otto Hänninen, 2020. "Chained Risk Assessment for Life-Long Disease Burden of Early Exposures–Demonstration of Concept Using Prenatal Maternal Smoking," IJERPH, MDPI, vol. 17(5), pages 1-17, February.
    4. Christi A. Patten & Kathryn R. Koller & Christie A. Flanagan & Vanessa Hiratsuka & Zoe T. Merritt & Flora Sapp & Crystal D. Meade & Christine A. Hughes & Paul A. Decker & Neil Murphy & Timothy K. Thom, 2019. "Postpartum Tobacco Use and Perceived Stress among Alaska Native Women: MAW Phase 4 Study," IJERPH, MDPI, vol. 16(17), pages 1-12, August.
    5. Olivia Wynne & Billie Bonevski, 2018. "Developments in the Research Base on Reducing Exposure to Second-Hand Smoke," IJERPH, MDPI, vol. 15(9), pages 1-4, August.
    6. Catherine Hayes & Morgan Kearney & Helen O’Carroll & Lina Zgaga & Michael Geary & Cecily Kelleher, 2016. "Patterns of Smoking Behaviour in Low-Income Pregnant Women: A Cohort Study of Differential Effects on Infant Birth Weight," IJERPH, MDPI, vol. 13(11), pages 1-15, October.
    7. Chihiro Miyashita & Yasuaki Saijo & Yoshiya Ito & Atsuko Ikeda-Araki & Sachiko Itoh & Keiko Yamazaki & Sumitaka Kobayashi & Yu Ait Bamai & Hideyuki Masuda & Naomi Tamura & Mariko Itoh & Takeshi Yamagu, 2021. "Association between the Concentrations of Metallic Elements in Maternal Blood during Pregnancy and Prevalence of Abdominal Congenital Malformations: The Japan Environment and Children’s Study," IJERPH, MDPI, vol. 18(19), pages 1-13, September.
    8. Martin M. O’Donnell & Janis Baird & Cyrus Cooper & Sarah R. Crozier & Keith M. Godfrey & Michael Geary & Hazel M. Inskip & Catherine B. Hayes, 2020. "The Effects of Different Smoking Patterns in Pregnancy on Perinatal Outcomes in the Southampton Women’s Survey," IJERPH, MDPI, vol. 17(21), pages 1-13, October.
    9. Fizzah B. Abidi & Libby Laing & Sue Cooper & Tim Coleman & Katarzyna A. Campbell, 2020. "Experts’ Views on Behaviour Change Techniques for Smoking Cessation in Pregnancy: A Qualitative Study," IJERPH, MDPI, vol. 17(21), pages 1-13, October.
    10. Lisa McDaid & Ross Thomson & Joanne Emery & Tim Coleman & Sue Cooper & Lucy Phillips & Felix Naughton, 2021. "Agreement and Disparities between Women and Stop-Smoking Specialists about How to Promote Adherence to Nicotine Replacement Therapy in Pregnancy," IJERPH, MDPI, vol. 18(9), pages 1-16, April.
    11. Inês Francisco & Francisco Caramelo & Maria Helena Fernandes & Francisco Vale, 2021. "Parental Risk Factors and Child Birth Data in a Matched Year and Sex Group Cleft Population: A Case-Control Study," IJERPH, MDPI, vol. 18(9), pages 1-9, April.
    12. Meng Li & Reiko Okamoto & Aoki Tada & Misaki Kiya, 2020. "Factors Associated with Prenatal Smoking Cessation Interventions among Public Health Nurses in Japan," IJERPH, MDPI, vol. 17(17), pages 1-14, August.
    13. Alicia Alemán & Paola Morello & Mercedes Colomar & Laura Llambi & Mabel Berrueta & Luz Gibbons & Pierre Buekens & Fernando Althabe, 2016. "Brief Counseling on Secondhand Smoke Exposure in Pregnant Women in Argentina and Uruguay," IJERPH, MDPI, vol. 14(1), pages 1-11, December.
    14. Ivan Berlin & Léontine Goldzahl & Florence Jusot & Noémi Berlin, 2024. "Do smoking abstinence periods among pregnant smokers improve birth weight? A secondary analysis of a randomised, controlled trial," Post-Print hal-04521664, HAL.
    15. Karina Jansone & Anna Eichler & Peter A. Fasching & Johannes Kornhuber & Anna Kaiser & Sabina Millenet & Tobias Banaschewski & Frauke Nees & on behalf of the IMAC-Mind Consortium, 2023. "Association of Maternal Smoking during Pregnancy with Neurophysiological and ADHD-Related Outcomes in School-Aged Children," IJERPH, MDPI, vol. 20(6), pages 1-14, March.
    16. Nguyen N Rang & Tran Q Hien & Ton Q Chanh & Tran K Thuyen, 2020. "Preterm birth and secondhand smoking during pregnancy: A case–control study from Vietnam," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-8, October.
    17. Natalie Hemsing & Lorraine Greaves, 2018. "New Challenges: Developing Gendered and Equitable Responses to Involuntary Exposures to Electronic Nicotine Delivery Systems (ENDS) and Cannabis Vaping," IJERPH, MDPI, vol. 15(10), pages 1-7, September.
    18. Lubica Argalasova & Ingrid Zitnanova & Diana Vondrova & Monika Dvorakova & Lucia Laubertova & Jana Jurkovicova & Juraj Stofko & Michael Weitzman & Iveta Waczulikova & Martin Simko, 2019. "Self-Reported Exposure to ETS (Environmental Tobacco Smoke), Urinary Cotinine, and Oxidative Stress Parameters in Pregnant Women—The Pilot Study," IJERPH, MDPI, vol. 16(9), pages 1-14, May.
    19. Isabell Katharina Rumrich & Otto Hänninen & Matti Viluksela & Kirsi Vähäkangas, 2021. "Effect of Grandmaternal Smoking on Body Size and Proportions at Birth," IJERPH, MDPI, vol. 18(9), pages 1-13, May.
    20. Anja Oechsle & Michel Wensing & Charlotte Ullrich & Manuela Bombana, 2020. "Health Knowledge of Lifestyle-Related Risks during Pregnancy: A Cross-Sectional Study of Pregnant Women in Germany," IJERPH, MDPI, vol. 17(22), pages 1-18, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:6:p:2034-:d:334323. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.