Cigarette smoking and pregnancy: Results of a survey at a Turkish women's hospital in 1,020 patients

Karçaaltıncaba, Deniz; Kandemir, Ömer; Yalvaç, Serdar; Güven, Emine Seda Güvendağ; Yildirim, Burcu Aykan; Haberal, Alı

doi:10.1080/01443610902984953

Cited by 23 publications

(18 citation statements)

References 16 publications

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“…The rate of smoking in pregnancy in Turkey was reported to be 11.6% by Doğu and Berkiten (14), 12.8% by Altıparmak et al (26), and 14.8% by Karçaaltınçaba et al (27), which are consistent with that found in the current study, and the rate was reported as 54.8% by Durualp et al (8), which is higher than that in this study. According to TPHS, 15% of the pregnant women were .…”

Section: Discussionsupporting

confidence: 59%

Smoking status and effects of happiness on smoking in turkish pregnant women

Sonmez¹,

Aksu²

2018

Eur J Ther

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Objective: The aim of this research was to explore smoking during pregnancy, features of pregnant women who smoke, factors that affect smoking during pregnancy, and effects of anxiety and happiness on smoking during pregnancy. Methods: This was a cross-sectional and analytical study. The study was conducted at 16 family health centers in Aydın, Turkey. In total, 187 pregnant women were selected through stratified random sampling. Data were collected using a questionnaire developed by researchers (D.S, H.A,) the Beck Anxiety Inventory, and Oxford Happiness Questionnaire. Data obtained were analyzed using descriptive statistics, Chi-square test, logistic regression analysis, Kolmogorov-Smirnov test, Mann-Whitney U test, and receiver operating characteristic analysis. Results: The rate of smoking was 32.1% before pregnancy and 13.9% during pregnancy. Not having a civil marriage and moving to another place increased smoking. There was a statistically significant difference in the smoking status and the number of cigarettes smoked before and during pregnancy between the groups. Smoking of spouses and other people increased the number of smoking women. There was no statistically significant difference (U=-1.465, p=0.143) between anxiety scores and smoking during pregnancy; however, the difference between happiness scores and smoking during pregnancy was significant (U=-2.804, p=0.005). Conclusion: Feeling happy, smoking spouses or other people around the women, and the number of cigarettes smoked before pregnancy were found to affect smoking during pregnancy.

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Section: Discussionsupporting

confidence: 59%

Smoking status and effects of happiness on smoking in turkish pregnant women

Sonmez¹,

Aksu²

2018

Eur J Ther

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“…Active or passive smoke contains numerous compounds emitted in gases, many of which are oxidants and prooxidants, and is associated with numerous adverse pregnancy outcomes, including intrauterine growth retardation and fetal death [23,27]. The enhanced production of reactive oxygen species by smoke is related to increased free radical production, depleted serum antioxidants, and oxidative stress [3,6,18,28], which can result in the oxidation of lipids, induction of DNA single-strand breakage, inactivation of certain proteins, and the disruption of biological membranes [14,26,36].…”

Section: Introductionmentioning

confidence: 99%

Maternal active or passive smoking causes oxidative stress in placental tissue

et al. 2010

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The aim of this study was to assess the influence of active and passive maternal smoking on placenta total oxidant/antioxidant status in term infants. The levels of cord blood total antioxidant capacity (TAC), total oxidant status (TOS), and oxidative stress index (OSI) were measured in samples of fetal placental tissue, cord blood, and the maternal peripheral blood serum and from 19 mothers who were active smokers, 19 who were passive smokers, and 22 who were nonsmokers (not exposed to active or passive smoking). The pregnancies were between 37 and 40 weeks' gestation, were uncomplicated, and the infants were delivered vaginally. Birth weight and head circumference in the active smokers were significantly (P < 0.001) lower than those in the controls. Placenta, cord blood, and the maternal peripheral TAC levels were significantly lower in the active smokers compared with the controls (P < 0.001), while TOS and OSI levels were significantly higher in the active and passive smokers than in the controls (P < 0.001). A positive significant correlation was found between active maternal smoking and placenta TOS and OSI levels (P < 0.016), and a significant negative correlation was found between number of cigarettes exposed to and birthweight and head circumference (P < 0.05). In conclusion, active or passive maternal smoking is associated with important alterations in oxidant and antioxidant balance in fetal placental tissue and causes potent oxidative stress.

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“…Although we expect pregnant women not to smoke during pregnancy, data from both Turkey and other countries show that such an expectation is not realistic in today's world. For example, in previous Turkish study, Karcaaltincaba et al [23] declared that 14.0% of pregnant women were still smoking when they applied to the clinic for their control visit. Similarly, Uncu et al [24] reported a 9.8% frequency of smoking among 499 pregnant women who delivered at a university hospital in Bursa.…”

Section: Definitionsmentioning

confidence: 99%

Factors Related to Smoking Status of Pregnant Women Aged 15-49 in Turkey

Aslan¹,

Şengelen²,

Çağatay³

2014

Tur Toraks Der

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(TDHS-2008) were used. A total of 423 pregnant women, accounting for 6% of married women aged 15-49 years in 2008, were interviewed in the study. Data use approval was obtained from the Hacettepe University Institute of Population Studies. resULTs:The prevalence of smoking among pregnant women was 11.4%. The frequency was higher (12.7%) among educated women than in those who were less educated (7.5%). Logistic regression analysis showed that the educational status of the pregnant women (OR=2.72; 95% CI=1.14-6.50) and smoking inside the home (OR=20.83; 95% CI=4.23-102.49) were statistically significantly associated with smoking status during pregnancy. Women at high risk age for pregnancy (below 18 years and above 35 years of age) smoked less frequently compared with the other age groups (OR=0.32; 95% CI=0.16-0.65).CoNCLUsIoN: Despite the health risks for both the baby and the mother, the prevalence of smoking during pregnancy was 11.4% in Turkey during 2008. Long term awareness and educational studies are needed to prevent pregnant women from this global risk. Key words: Smoking, pregnancy, prevalence INTrodUCTIoNSmoking is an important risk factor for morbidity and mortality in every individual irrespective of age. When an individual starts smoking, dependency develops due to nicotine [1]. Smoking during pregnancy carries many risks for both the women and the baby [2][3][4]. Low birth weight, preterm labour, neonatal mortality, and a decrease in breast milk production all show an increased risk associated with smoking [5,6]. Smoking during pregnancy is responsible for 5% of infant mortality, 10% of preterm labour and 30% of low birth weight cases [7].Data on smoking during pregnancy has shown that in previous years, the prevalence of smoking in pregnant women was about 20-45% worldwide [8]. In the United States of America (USA) the prevalence of smoking during pregnancy is reported to be about 22-34% [7,9,10].Recent research has revealed a decrease in smoking prevalence suggesting the necessity to continue research in this area in the future. For example, in a study conducted in Holland, smoking prevalence among pregnant women in 2001 and 2010 were evaluated and a 50% decrease by 2010 was detected. In the same study, smoking prevalence was higher among pregnant women with a low level of education than those with a higher level of education [11]. Ingall and Cropley stated that although pregnant women were aware of the health risks of smoking to the foetus, this knowledge did not provide sufficient motivation to quit smoking [12].In Turkey, actions on legislation about tobacco control has accelerated since 2008 [13]. "Smoke-free Turkey" efforts which started in 2009 have resulted in a decrease in smoking prevalence in recent years [14]. Turkish data from the Global Adult Tobacco Survey (GATS) indicates that smoking prevalence among individuals aged 15 years and over is 27% [15]. In countries where GATS is conducted, smoking prevalence in women of reproductive age varies between 0.4% (Egypt) and 30.8% (Russia) [...

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Cigarette smoking and pregnancy: Results of a survey at a Turkish women's hospital in 1,020 patients

Cited by 23 publications

References 16 publications

Smoking status and effects of happiness on smoking in turkish pregnant women

Smoking status and effects of happiness on smoking in turkish pregnant women

Maternal active or passive smoking causes oxidative stress in placental tissue

Factors Related to Smoking Status of Pregnant Women Aged 15-49 in Turkey

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