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首页> 外文期刊>Journal of women’s health >Consequences of smoking during pregnancy on maternal health.
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Consequences of smoking during pregnancy on maternal health.

机译：孕产妇健康期间吸烟后果。

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OBJECTIVE: To estimate the incidence of maternal cardiovascular and pulmonary events and the prevalence of other comorbid conditions among pregnant smokers. METHODS: We queried the Nationwide Inpatient Sample (NIS) from the Healthcare Cost and Utilization Project (HCUP) of the Agency for Healthcare Research and Quality (AHRQ) for pregnancy-related discharge codes for the years 2000-2004. The prevalence of various conditions and the incidence of various complications were compared between smokers and nonsmokers. RESULTS: The majority of smokers were young and white and had public insurance. Smokers were more likely to have experienced deep vein thrombosis (odds ratio [OR] 1.3, 95% confidence interval [CI] 1.1, 1.6), stroke (OR 1.7, 95% CI 1.2, 2.5), pulmonary embolus (OR 2.5, 95% CI 2.1, 3.0), and myocardial infarction (OR 4.6, 95% CI 3.3, 6.4). They were 3 times more likely to have experienced influenza or pneumonia (OR 2.9, 95% CI 2.7, 3.2) and 15 times more likely to have bronchitis (OR 15.2, 95% CI 12.8, 18.2). They were more likely to suffer from a number of comorbidities, including asthma (OR 4.0, 95% CI 3.7, 4.2) and gastrointestinal ulcers (OR 3.7, 95% CI 2.6, 5.5). Although they were less likely to have experienced gestational diabetes (OR 0.9, 95% CI 0.9, 1.0), preeclampsia (OR 0.8, 95% CI 0.8, 0.9), or eclampsia (OR 0.7, 95% CI 0.6, 0.9), they were more than 5 times as likely to have experienced an ectopic pregnancy (OR 5.4, 95% CI 4.6, 6.3). CONCLUSIONS: Smoking has a negative impact on maternal health. Counseling about the risks of smoking in pregnancy should include not only fetal risks but maternal risks as well.
机译：目的：估算孕产妇心血管和肺事件的发病率及孕妇吸烟者中其他合并症病症的患病率。方法：我们从2000 - 2004年怀孕相关的卸货代码的医疗保健研究和质量（AHRQ）的医疗保健成本和利用项目（HCUP）中查询了全国住院样本（NIS）。在吸烟者和非发家之间比较了各种条件的患病率和各种并发症的发生率。结果：大多数吸烟者都是年轻人和白色的，并且有公共保险。吸烟者更有可能经历深静脉血栓形成（差距[或] 1.3,95％置信区间[CI] 1.1,1.6），中风（或1.7,95％CI 1.2,2.5），肺栓塞（或2.5,95 ％CI 2.1,3.0）和心肌梗死（或4.6,95％CI 3.3,6.4）。它们有可能经历过型流感或肺炎（或2.9,95％CI 2.7,3.2）的可能性3倍，患有支气管炎的可能性更高（或15.2,95％CI 12.8,18.2）。它们更容易患有许多合并症，包括哮喘（或4.0,95％CI 3.7,4.2）和胃肠溃疡（或3.7,95％CI 2.6,5.5）。虽然它们不太可能具有经验丰富的妊娠糖尿病（或0.9,95％CI 0.9,1.0），预口度（或0.8,95％CI 0.8,0.9），或异丙烷（或0.7,95％CI 0.6,0.9），但它们经历异位妊娠的可能性超过5倍（或5.4,95％CI 4.6,6.3）。结论：吸烟对产妇健康产生负面影响。关于怀孕吸烟风险的咨询应不仅包括胎儿风险，而且还包括产妇风险。

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