The association between smoking during pregnancy and hypertensive disorders of pregnancy: A systematic review and meta‐analysis

Wang, Jianbo; Yang, Wenbo; Xiao, Wenjun; Cao, Shiyi

doi:10.1002/ijgo.13709

Cited by 24 publications

(28 citation statements)

References 52 publications

(139 reference statements)

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“…The frequency of stillbirth was too small to estimate an adjusted OR. Other studies found a reduced risk of HDP 37 38 with maternal smoking, although we did not replicate this association.…”

Section: Discussioncontrasting

confidence: 99%

The Impact of Self-Reported Alcohol, Tobacco, and Recreational Drug Use during Pregnancy on Adverse Pregnancy Outcomes in First-Time Mothers

et al. 2022

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Objective The objective of this study was to derive profiles of alcohol, tobacco, and recreational drug use during pregnancy for first-time mothers with latent class growth analysis (LCGA) and determine the association of these classes with the risk of adverse pregnancy outcomes (APO). Study Design A secondary analysis of a prospective cohort of Nulliparous Outcomes in Pregnancy: Monitoring Mothers-to-Be was conducted in eight medical centers across the United States from September 30, 2010, to September 23, 2013. Self-reported use of any alcohol, tobacco, or recreational drugs in the 1 month prior to the visit was assessed at up to four visits throughout pregnancy, and APOs included a composite of preterm birth, hypertensive disorder of pregnancy (HDP), small for gestational age (SGA) infant, or stillbirth, and each adverse outcome separately. Results Four latent classes were identified from the LCGA for 10,031 nulliparous pregnant women that were on average 26.9 years old (standard deviation [SD] = 5.7) and mostly non-Hispanic White (59.7%). Classes included consistent tobacco users (N = 517, 5.2%), nonusers (N = 8,945, 89.2%), alcohol users (N = 500, 5.0%), and a combination of alcohol/tobacco/drug users (N = 69, 0.7%). Logistic regression demonstrated that the class of tobacco users was more likely to have an APO (odds ratio [OR] = 1.48, 95% confidence interval [CI] = 1.22–1.81), preterm birth (OR = 1.53, 95% CI = 1.15–2.02), and SGA (OR = 1.79, 95% CI = 1.36–2.35) relative to the class of nonusers. The class of alcohol users was more likely to have HDP (OR = 1.37, 95% CI = 1.11–1.70) and less likely to have preterm birth (OR = 0.59, 95% CI = 0.38–0.90) and SGA (OR = 0.61, 95% CI = 0.40–0.93) compared to nonusers. Conclusion Trajectories of substance use are associated with APOs; thus, interventions to mitigate the use when encountered early in pregnancy are warranted. Key Points

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Section: Discussioncontrasting

confidence: 99%

The Impact of Self-Reported Alcohol, Tobacco, and Recreational Drug Use during Pregnancy on Adverse Pregnancy Outcomes in First-Time Mothers

et al. 2022

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“…Other risk factors for HDP include a previous history of HDP 93 , 98 , 99 , a family history of HDP 93 and pre-existing diseases, such as chronic hypertension, pregestational diabetes mellitus, thrombophilia, systemic lupus erythematosus, antiphospholipid antibody syndrome, kidney disease and obstructive sleep apnoea 16 , 93 , 94 , 97 . Smoking has been revealed to be a potential protective factor for HDP 100 , but the evidence of the association between smoking during pregnancy and HDP remains controversial 101 , 102 .…”

Section: Risk Factorsmentioning

confidence: 99%

A global view of hypertensive disorders and diabetes mellitus during pregnancy

Tang

Magee

et al. 2022

Nat Rev Endocrinol

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Two important maternal cardiometabolic disorders (CMDs), hypertensive disorders in pregnancy (HDP) (including pre-eclampsia) and gestational diabetes mellitus (GDM), result in a large disease burden for pregnant individuals worldwide. A global consensus has not been reached about the diagnostic criteria for HDP and GDM, making it challenging to assess differences in their disease burden between countries and areas. However, both diseases show an unevenly distributed disease burden for regions with a low income or middle income, or low-income and middle-income countries (LMICs), or regions with lower sociodemographic and human development indexes. In addition to many common clinical, demographic and behavioural risk factors, the development and clinical consequences of maternal CMDs are substantially influenced by the social determinants of health, such as systemic marginalization. Although progress has been occurring in the early screening and management of HDP and GDM, the accuracy and long-term effects of such screening and management programmes are still under investigation. In addition to pharmacological therapies and lifestyle modifications at the individual level, a multilevel approach in conjunction with multisector partnership should be adopted to tackle the public health issues and health inequity resulting from maternal CMDs. The current COVID-19 pandemic has disrupted health service delivery, with women with maternal CMDs being particularly vulnerable to this public health crisis.

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“…A systematic review based on 13 studies revealed that in Asia smoking is a risk factor for hypertensive disorders of pregnancy. 14 Prevalence of PIH was more in the women with higher prepregnancy BMI (≥25) with a prevalence of about 10% than the women with lower BMI with a prevalence of 3.3% and this relationship was statistically significant (p=0.007). Similar findings have been noted in most of the studies.…”

Section: Discussionmentioning

confidence: 80%

Prevalence of pregnancy induced hypertension and associated factors in Kashmiri women attending a tertiary care hospital at Srinagar: a cross-sectional study

Ain

Gull

Qulsum

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Background: Pregnancy induced hypertension (PIH) is a significant cause of morbidity among pregnant females and also affects the foetal outcome. Numerous risk factors have been identified. This study was conducted to estimate the prevalence of PIH and the factors associated with PIH. Methods: This was a cross-sectional hospital-based study. Pregnant women admitted for delivery in the gynaecology and obstetrics department of SKIMS Soura formed the study participants. Patients with chronic hypertension were excluded. A minimum sample size of 295 was calculated but finally a sample of 402 was achieved. The data was collected over a 3-month period from July to September 2021 using convenient sampling. Data was entered in Microsoft excel and analysed using IBM SPSS version 23. Results: A total of 402 pregnant women were included. Majority (61%) of the participants were up to 30 years of age, majority (97.8%) were up to para 3 and 89% were literate. The prevalence of PIH was 6.5%. Hypertension was more frequent among the women with age more than 30 years (p=0.041) and women with higher pre-pregnancy BMI (p=0.010). Maternal education, occupation and parity were not associated with hypertension in pregnancy. Conclusions: In our study older women and women with higher body mass index (BMI) were more at risk of having PIH in pregnancy. Therefore, we would recommend earlier age at marriage and lifestyle modification for maintaining normal BMI.

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The association between smoking during pregnancy and hypertensive disorders of pregnancy: A systematic review and meta‐analysis

Cited by 24 publications

References 52 publications

The Impact of Self-Reported Alcohol, Tobacco, and Recreational Drug Use during Pregnancy on Adverse Pregnancy Outcomes in First-Time Mothers

The Impact of Self-Reported Alcohol, Tobacco, and Recreational Drug Use during Pregnancy on Adverse Pregnancy Outcomes in First-Time Mothers

A global view of hypertensive disorders and diabetes mellitus during pregnancy

Prevalence of pregnancy induced hypertension and associated factors in Kashmiri women attending a tertiary care hospital at Srinagar: a cross-sectional study

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