Smoking and Tobacco Use: Ill Effects on Reproductive, Maternal, Newborn, Child Health, and Adolescent (RMNCHA) Program—A Review

Mittal, Suneeta

doi:10.1055/s-0039-1694071

Cited by 12 publications

(7 citation statements)

References 109 publications

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“…Cessation of smoking depends on many factors that can be personal and social. Many smokers make several attempts to quit smoking but fail to stay abstinent [10]. The early age initiation of smoking is majorly the cause for addiction effects.…”

Section: Methodsmentioning

confidence: 99%

Cigarette Smoking and Cessation Perception in Student Population in India: An E-Survey

Pattanshetty¹,

Fernandes²,

Nabar³

et al. 2021

IJPR

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Background and objectives: Cigarette smoking is one of the major types of tobacco consumption seen worldwide. It contains the highest number of carcinogens and is associated with various forms of cancer. The early initiation of smoking is a cause of addiction and causing greater harm in younger population. Hence, this study aimed to evaluate the patterns of cigarette smoking and cessation perception in college students in India. Methods: 1009 participants between the ages of 18 to 30 years were recruited in the study. Self-designed questionnaire was prepared in the form of Google forms and links were posted on social media (including E-mails, Whatsapp, Instagram and Facebook). Results: Out of 1009 participants 54.2% (n=547) 72.22% males and 24.27% females smoked cigarettes. 68.55% smokers were between the ages of 22 to 26 years. 67.1% smoked for the first time when they were in the age group of 18 to 21 years. More than 60% were daily smokers consuming 1 to 5 cigarettes/day. 38.19 of the participants wished to stop smoking and around 62% of the participants had never made and attempt to quit. Conclusion: The present study demonstrated that more than half of Indian college students who participated in the study smoked cigarettes with the number of males being significantly higher than females. The study suggests for more tobacco prevention and cessation programs to be undertaken targeting the Indian student population leading to cancer prevention in later years of life. KEY WORDS: Cigarette Smoking, Cessation, Students.

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Section: Methodsmentioning

confidence: 99%

Cigarette Smoking and Cessation Perception in Student Population in India: An E-Survey

Pattanshetty¹,

Fernandes²,

Nabar³

et al. 2021

IJPR

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“…Prior work has suggested that tobacco use is less likely to change during pregnancy compared with other substances. 47 It is important to consider given its potential influence on low birth weight, preterm birth, and congenital anomalies 48 and that tobacco may interact with other substances to increase risk for adverse neonatal outcomes. 49 Future research may explore specific service offerings, patterns of engagement, and their impact on neonatal outcomes.…”

Section: Researchmentioning

confidence: 99%

Neonatal outcomes of pregnant women attending integrated and standard substance use treatment programs in Ontario, Canada

Milligan,

Tarasoff,

Rodrigues

et al. 2023

Birth

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BackgroundSubstance use in pregnancy raises concern given its potential teratogenic effects. Given the unique needs of parenting people and the potential impact for developing children, specialized substance use treatment programs are increasingly being implemented for this population. Substance use treatment is associated with more positive neonatal outcomes compared with no treatment, however treatment models vary limiting our understanding of key treatment components/modelsFew studies have explored the influence of treatment model type (i.e., integrated treatments designed for pregnant clients compared with standard treatment models) and no studies have examined the influence of treatment model on neonatal outcomes using Canadian data.MethodWe conducted a population‐based cohort study of clients who were pregnant when initiating integrated (n = 564) and standard (n = 320) substance use treatment programs in Ontario, Canada.ResultsNeonatal outcomes did not significantly differ by treatment type (integrated or standard), with rates of adverse neonatal outcomes higher than published rates for the general population, despite receipt of adequate levels of prenatal care. While this suggests no significant impact of treatment, it is notable that as a group, clients engaged in integrated treatment presented with more risk factors for adverse neonatal outcomes than those in standard treatment. While we controlled for these risks in our analyses, this may have obscured their influence in relation to treatment type.ConclusionFindings underscore the need for more nuanced research that considers the influence of client factors in interaction with treatment type. Pregnant clients engaged in any form of substance use treatment are at higher risk of having children who experience adverse neonatal outcomes. This underscores the urgent need for further investment in services and research to support maternal and neonatal health before and during pregnancy, as well as long‐term service models that support women and children beyond the perinatal and early childhood periods.

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“…The Australian Category D definition is “drugs which have caused, are suspected to have caused or may be expected to cause, an increased incidence of human foetal malformations or irreversible damage” [ 41 ]. The immediate adverse foetal and neonatal outcomes (i.e., pre-term birth, lower birthweight, stillbirth, SIDS) tend to overshadow and draw attention away from the adverse impact of in-utero nicotine exposure on foetal programming and the consequences to the offspring of lifelong increased risks for acute and chronic illness and disease including childhood obesity, early onset cardiovascular and respiratory disease and cognitive and behavioural barriers (attention-deficit/hyperactivity disorder (ADHD) and learning challenges) [ 42 – 46 ].…”

Section: Introductionmentioning

confidence: 99%

Higher blood nicotine concentrations following smokeless tobacco (pituri) and cigarette use linked to adverse pregnancy outcomes for Central Australian Aboriginal pregnancies

Ratsch¹,

Bogossian

Burmeister³

et al. 2022

BMC Public Health

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Background In central Australia, Aboriginal women use wild tobacco plants, Nicotiana spp. (locally known as pituri) as a chewed smokeless tobacco, with this use continuing throughout pregnancy and lactation. Our aim was to describe the biological concentrations of nicotine and metabolites in samples from mothers and neonates and examine the relationships between maternal self-reported tobacco use and maternal and neonatal outcomes. Methods Central Australian Aboriginal mothers (and their neonates) who planned to birth at the Alice Springs Hospital (Northern Territory, Australia) provided biological samples: maternal blood, arterial and venous cord blood, amniotic fluid, maternal and neonatal urine, and breast milk. These were analysed for concentrations of nicotine and five metabolites. Results A sample of 73 women were enrolled who self-reported: no-tobacco use (n = 31), tobacco chewing (n = 19), or smoking (n = 23). Not all biological samples were obtained from all mothers and neonates. In those where samples were available, higher total concentrations of nicotine and metabolites were found in the maternal plasma, urine, breast milk, cord bloods and Day 1 neonatal urine of chewers compared with smokers and no-tobacco users. Tobacco-exposed mothers (chewers and smokers) with elevated blood glucose had higher nicotine and metabolite concentrations than tobacco-exposed mothers without elevated glucose, and this was associated with increased neonatal birthweight. Neonates exposed to higher maternal nicotine levels were more likely to be admitted to Special Care Nursery. By Day 3, urinary concentrations in tobacco-exposed neonates had reduced from Day 1, although these remained higher than concentrations from neonates in the no-tobacco group. Conclusions This research provides the first evidence that maternal pituri chewing results in high nicotine concentrations in a wide range of maternal and neonatal biological samples and that exposure may be associated with adverse maternal and neonatal outcomes. Screening for the use of all tobacco and nicotine products during pregnancy rather than focusing solely on smoking would provide a more comprehensive assessment and contribute to a more accurate determination of tobacco and nicotine exposure. This knowledge will better inform maternal and foetal care, direct attention to targeted cessation strategies and ultimately improve long-term clinical outcomes, not only in this vulnerable population, but also for the wider population. Note to readers In this research, the central Australian Aboriginal women chose the term ‘Aboriginal’ to refer to themselves, and ‘Indigenous’ to refer to the broader group of Australian First Peoples. That choice has been maintained in the reporting of the research findings.

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Smoking and Tobacco Use: Ill Effects on Reproductive, Maternal, Newborn, Child Health, and Adolescent (RMNCHA) Program—A Review

Cited by 12 publications

References 109 publications

Cigarette Smoking and Cessation Perception in Student Population in India: An E-Survey

Cigarette Smoking and Cessation Perception in Student Population in India: An E-Survey

Neonatal outcomes of pregnant women attending integrated and standard substance use treatment programs in Ontario, Canada

Higher blood nicotine concentrations following smokeless tobacco (pituri) and cigarette use linked to adverse pregnancy outcomes for Central Australian Aboriginal pregnancies

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