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Prevalence of smoking during pregnancy in the Republic of the Congo: Maternal smoking is associated with increased risk of prenatal alcohol exposure

机译:刚果共和国怀孕期间吸烟的流行:孕妇吸烟与产前酒精暴露的风险增加相关

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Williams, A., Nkombo, Y., Nkodia, G., Leonardson, G., & Burd, L. (2014). Prevalence of smoking during pregnancy in the Republic of the Congo: Maternal smoking is associated with increased risk of prenatal alcohol exposure. The International Journal Of Alcohol And Drug Research, 3(1), 105-111 . doi:10.7895/ijadr.v3i1.131 Aims: Development of useful estimates of rates of maternal smoking during pregnancy, and the impact of smoking on rates and duration of maternal alcohol use during pregnancy. Design: A prospective study utilizing systematic screening of consecutive pregnant women. Setting: Ten prenatal care sites in Brazzaville, Congo’s largest city, where 50% of live births in the Congo occur. Women were asked to report the number of cigarettes smoked per day. Findings: From the 10 sites, 3,099 women were screened and 5.5% ( n = 172) reported smoking. The mean number of cigarettes smoked per day was 1.1 and only 11% ( n = 19) of the women reported smoking two or more cigarettes per day during pregnancy. Smoking during pregnancy was associated with a 4.9-fold increase in prenatal alcohol exposure during pregnancy. We found that 93% of the women who smoked also used alcohol during pregnancy. Conclusions: While the prevalence of smoking and the average number of cigarettes smoked per day were both low, smoking at any level results in a huge increase in risk for maternal alcohol use during pregnancy. The trend across the developing world is for increasing rates of smoking among women and children. Since the number of cigarettes smoked per day was low, smoking cessation programs and public health warnings may be useful in further reducing rates of smoking during pregnancy and, thus, risk for prenatal alcohol exposure in the Congo. We believe this is the first report quantifying the risk of smoking and prenatal alcohol use in a population of pregnant women.
机译:Williams,A.,Nkombo,Y.,Nkodia,G.,Leonardson,G.,&Burd,L.(2014年)。刚果共和国怀孕期间的吸烟率:孕妇吸烟与产前饮酒的风险增加有关。国际酒精与药物研究杂志,3(1),105-111。 doi:10.7895 / ijadr.v3i1.131目的:得出有用的估计怀孕期间孕产妇吸烟率以及吸烟对怀孕期间孕产妇饮酒率和持续时间的影响的估计。设计:一项前瞻性研究,利用对连续孕妇的系统筛查。地点:刚果最大的城市布拉柴维尔有10个产前保健场所,刚果有50%的活产发生在这里。要求妇女报告每天吸烟的数量。结果:在这10个地点中,对3099名妇女进行了筛查,有5.5%(n = 172)报告吸烟。每天吸烟的平均数量为1.1,只有11%(n = 19)的妇女报告在怀孕期间每天吸烟两支或以上。怀孕期间吸烟与怀孕期间产前酒精暴露增加4.9倍有关。我们发现,抽烟的女性中有93%在怀孕期间也喝酒。结论:虽然吸烟率和每天平均抽烟量均较低,但任何水平的吸烟都会导致孕期孕妇饮酒的风险大大增加。整个发展中国家的趋势是妇女和儿童中吸烟率的增加。由于每天吸烟的数量很少,因此戒烟计划和公共卫生警告可能对进一步降低怀孕期间的吸烟率以及因此降低刚果产前饮酒风险很有帮助。我们相信这是第一份量化孕妇人群吸烟和产前饮酒风险的报告。

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