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Dagens #fsvoversigt:
Smokeless tobacco use in pregnancy: an integrative review of the literature.
Int J Public Health. 2014 Aug;59(4):599-608
Authors: Ratsch A, Bogossian F
Abstract
OBJECTIVES: To systematically critique and summarise the available evidence on
the outcomes of smokeless tobacco use in pregnancy to inform the public health
response.
METHODS: In March 2013, a search was conducted of observational studies where
the exposure to smokeless tobacco during pregnancy and maternal, placental
and/or neonatal outcomes was assessed. Two reviewers extracted data and
completed quality assessment of the literature utilizing the Agency for
Healthcare Research and Quality criteria (West et al. 2002).
RESULTS: The search resulted in 211 articles, 21 (10%) of which met the final
criteria for integrative review. Ten (10) of the studies are from India, seven
(7) from Sweden, two (2) from Alaska and one (1) each from South Africa and
Pakistan.
CONCLUSIONS: Many studies lacked sufficient power to estimate precise risks.
Most reports were hindered by imprecise measures of exposure and lack of
confounding variable control. However, there were indications that maternal
smokeless tobacco use increases rates of stillbirth, low birth weight and
alters the male:female live birth ratio. Maternal smokeless tobacco use may not
be safe for mother or foetus.
PMID: 24794708 [PubMed - indexed for MEDLINE]
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Dette abstract er hentet via PubMed fra National Library of Medicine, USA
(http://www.ncbi.nlm.nih.gov/About/disclaimer.html).
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Se abstractet i PubMed: http://evidens.link/1Q2M0ww
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