The Association between Passive Smoking during Pregnancy and Adverse Birth Outcomes in Chinese:A Meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

 LIZhao-qing , DAIYa-xin , ZHAOYa-ling ,  YANHong

School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China;

Corresponding?author：

YANHong, Email: yanhonge@mail.xjtu.edu.cn

Keywords：

Passive smoking; Pregnancy; Adverse birth outcome; Meta-analysis; Cohort study

DOI：

10.7507/1672-2531.20150140

Video：

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Objective To systematically evaluate the association between passive smoking during pregnancy and adverse birth outcomes in Chinese, as well as to provide evidence for the prevention of adverse birth outcomes. Methods We electronically searched the CNKI, VIP, WanFang Data, PubMed and EMbase databases to collected cohort studies about the association between passive smoking during pregnancy and adverse birth outcomes in Chinese. The search date was from January 1^st 1980 to 30^th August, 2014. Two reviewers independently screened literature according to the inclusion and exclusion criteria, extracted data and assessed the risk bias of included studies. Then meta-analysis was performed using RevMan 5.1 software. Results A total of 24 studies were included in the meta-analysis. The results of meta-analysis showed that, the passive smoking during pregnancy was associated with increased risks of preterm (RR=1.97, 95%CI 1.38 to 2.80), low birth weight (RR=1.94, 95%CI 1.37 to 2.76), birth defects (RR=2.01, 95%CI 1.58 to 2.56), neonatal asphyxia (RR=3.34, 95%CI 1.76 to 6.33), small-for-gestational age (RR=2.62, 95%CI 1.49 to 4.63), stillbirth (RR=3.10, 95%CI 2.00 to 4.80) and spontaneous abortion (RR=1.37, 95%CI 1.19 to 1.59). Conclusion Passive smoking during pregnancy is associated with increased risks of adverse birth outcomes.

Citation： LIZhao-qing, DAIYa-xin, ZHAOYa-ling, YANHong. The Association between Passive Smoking during Pregnancy and Adverse Birth Outcomes in Chinese:A Meta-analysis. Chinese Journal of Evidence-Based Medicine, 2015, 15(7): 816-823. doi: 10.7507/1672-2531.20150140 Copy

1.	Spontag LW,Wallace RF.The effects of cigarette smoking during pregnancy upon the fetal heart rate.Am J Obstet Gynecol,1935,29:77-83.
2.	Cnattingius S.The epidemiology of smoking during pregnancy:smoking prevalence.maternal characteristics,and pregnancy outcomes.Nicotine Tob Res,2004,Suppl 2:S125-140.
3.	DiFranza JR,Lew RA.Effect of maternal cigarette smoking on pregnancy complications and sudden infant death syndrome.J Fam Pract,1995,40(4):385-394.
4.	Shah NR,Bracken MB.A systematic review and meta-analysis of prospective studies on the association between maternal cigarette smoking and preterm delivery.Am J Obstet Gynecol,2000,182(2):465-472.
5.	Khoury MJ,Gomez-Farias M,Mulinare J.Does maternal cigarette smoking during pregnancy cause cleft lip and palate in offspring? Am J Dis Child,1989,143(3):333-337.
6.	Fantuzzi G,Aggazzotti G,Righi E,et al.Preterm delivery and exposure to active and passive smoking during pregnancy:a case-control study from Italy.Paediatr Perinat Epidemiol,2007,21(3):194-200.
7.	Pichini S,Basagana XB,Pacifici R,et al.Cord serum cotinine as a biomarker of fetal exposure to cigarette smoke at the end of pregnancy.Environ Health Perspect,2000,108(11):1079-1083.
8.	Rashid M,Rashid H.Passive maternal smoking and pregnancy outcome in a Saudi population.Saudi Med J,2003,24(3):248-253.
9.	Yao T,Lee AH,Mao Z.Potential Unintended Consequences of Smoke-Free Policies in Public Places on Pregnant Women in China.Am J Prev Med,2009,37(2):159-164.
10.	Loke AY,Lam TH,Pan SC,et al.Exposure to and actions against passive smoking in non-smoking pregnant women in Guangzhou,China.Acta Obstet Gynecol Scand,2000,79(11):947-952.
11.	Yang L,Tong EK,Mao Z.Exposure to secondhand smoke and associated factors among non-smoking pregnant women with smoking husbands in Sichuan province,China.Acta Obstet Gynecol Scand,2010,89(4):549-557.
12.	World Health Organization.WHO framework convention on tobacco control.Geneva:WHO,2005.
13.	Wells GA,Shea B,O'Connell D,et al.The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomized studies in meta-analyses.Available at:http://www.ohri.ca/programs/clinical-epidemiology/oxford.htm.
14.	Yuhara H,Steinmaus C,Cohen SE,et al.Is diabetes mellitus an independent risk factor for colon cancer and rectal cancer? Am J Gastroenterol,2011,106(11):1911-1921.
15.	李振元,張菁.孕婦被動吸煙對妊娠和胎兒影響的調查研究.環境與健康雜志,1989,6(5):9-11.
16.	潘明明,孟忠紅,張振鈞,等.孕婦被動吸煙對胎兒的影響.中華婦產科雜志,1992,27(6):348-350.
17.	Zhang J,Ratcliffe JM.Paternal Smoking and Birthweight in Shanghai.Am J Public Health,1993,83(2):207-210.
18.	袁曉蓉,喬宗凱.母親孕期被動吸煙及父親飲酒與低出生體重兒關系研究.現代預防醫學,1997,24(1):76-78.
19.	林邦和,朱舜麗,邵炳英,等.被動吸煙孕婦血中兒茶酚胺的含量及其與低體重新生兒發生率的關系.基礎醫學與臨床,1997,17(2):147-150.
20.	任芬若,楊如鏡,李洪玲,等.被動吸煙對母體及胎兒的影響.河南醫學研究,1998,7(2):104-106.
21.	馮建莊,郭寶成,李紹江.被動吸煙與婦女異常妊娠關系的研究.河南預防醫學雜志,2000,11(4):197-199.
22.	徐韶杰,王琴.孕婦被動吸煙與優生.中國優生與遺傳雜志,2000,8(3):60-67.
23.	李朝平,武權生,華紅,等.被動吸煙對孕期生殖結局影響的研究.中國婦幼保健,2004,19(10):28-30.
24.	Venners SA,Wang X,Chen C,et al.Paternal smoking and pregnancy loss:a prospective study using a biomarker of pregnancy.Am J Epidemiol,2004,159(10):993-1001.
25.	徐娟,徐育松,聶紹發,等.妊娠早期被動吸煙與不良妊娠結局的隊列研究.中國公共衛生,2005,21(8):910-912.
26.	Wu T,Hu Y,Chen C,et al.Passive smoking,metabolic gene polymorphisms,and infant birth weight in a prospective cohort study of Chinese women.Am J Epidemiol,2007,166(3):313-322.
27.	Wu FY,Wu HDI,Yang HL,et al.Associations among genetic susceptibility,DNA damage,and pregnancy outcomes of expectant mothers exposed to environmental tobacco smoke.Sci Total Environ,2007,386(1-3):124-133.
28.	黃舒娥,劉萍.被動吸煙對母嬰健康影響的研究.海南醫學,2008,19(4):147-148.
29.	王溢.溫州地區孕產婦異常妊娠結局與影響因素的相關性調查研究.溫州:溫州醫學院,2008.
30.	張愛英.孕婦被動吸煙對胎兒的影響研究.河南職工醫學院學報,2009,21(4):373-374.
31.	孫菊香,劉金華.被動吸煙和肥胖對圍產期妊娠結局的影響.山東醫學高等專科學校學報,2010,32(1):31-34.
32.	徐蓉,郝加虎,陶芳標,等.10407名單胎活產兒SGA發生率及其影響因素的隊列研究.中國婦幼保健,2012,27(4):560-565.
33.	李慧玲,廖琪,呂麗.城郊結合部孕婦被動吸煙對妊娠結局的影響.中國優生與遺傳雜志,2013,21(4):72-131.
34.	劉海銀,李金華.產婦孕期被動吸煙對低出生體重兒發生情況的影響.中國婦幼保健,2013,28(18):2955-2956.
35.	楊玉俠,王學良,季淑英,等.不良妊娠結局的重要影響因素分析.世界臨床藥物,2013,34(9):539-541.
36.	涂新枝,王晨虹,李勝利.等.妊娠早期被動吸煙與胎兒畸形關系的隊列研究.中國優生與遺傳雜志,2013,21(4):127-129.
37.	鐘燕珍,王筱紅,林鳳瓊,等.孕期婦女被動吸煙對妊娠結局影響的研究.現代醫藥衛生,2013,29(9):1377-1378.
38.	Qiu J,He X,Cui H,et al.Passive smoking and preterm birth in urban China.Am J Epidemiol,180(1):94-102.
39.	宋燁,張璟,楊海霞.不良妊娠結局與環境危險因素關系的研究進展.現代婦產科進展,2009,18(12):944-948.
40.	National Research Council,Committee on Passive Smoking.Environmental Tobacco Smoke:Measuring Exposure and Assessing Health Effects.Washington:national academy press,1986.
41.	顏虹,主編.醫學統計學.北京:人民衛生出版社,2005:444.
42.	劉瑤,王炎,嚴玉仙.妊娠期吸煙對胎兒生長的影響.國外醫學(醫學地理分冊),2007,28(3):142-144.

1. Spontag LW,Wallace RF.The effects of cigarette smoking during pregnancy upon the fetal heart rate.Am J Obstet Gynecol,1935,29:77-83.
2. Cnattingius S.The epidemiology of smoking during pregnancy:smoking prevalence.maternal characteristics,and pregnancy outcomes.Nicotine Tob Res,2004,Suppl 2:S125-140.
3. DiFranza JR,Lew RA.Effect of maternal cigarette smoking on pregnancy complications and sudden infant death syndrome.J Fam Pract,1995,40(4):385-394.
4. Shah NR,Bracken MB.A systematic review and meta-analysis of prospective studies on the association between maternal cigarette smoking and preterm delivery.Am J Obstet Gynecol,2000,182(2):465-472.
5. Khoury MJ,Gomez-Farias M,Mulinare J.Does maternal cigarette smoking during pregnancy cause cleft lip and palate in offspring? Am J Dis Child,1989,143(3):333-337.
6. Fantuzzi G,Aggazzotti G,Righi E,et al.Preterm delivery and exposure to active and passive smoking during pregnancy:a case-control study from Italy.Paediatr Perinat Epidemiol,2007,21(3):194-200.
7. Pichini S,Basagana XB,Pacifici R,et al.Cord serum cotinine as a biomarker of fetal exposure to cigarette smoke at the end of pregnancy.Environ Health Perspect,2000,108(11):1079-1083.
8. Rashid M,Rashid H.Passive maternal smoking and pregnancy outcome in a Saudi population.Saudi Med J,2003,24(3):248-253.
9. Yao T,Lee AH,Mao Z.Potential Unintended Consequences of Smoke-Free Policies in Public Places on Pregnant Women in China.Am J Prev Med,2009,37(2):159-164.
10. Loke AY,Lam TH,Pan SC,et al.Exposure to and actions against passive smoking in non-smoking pregnant women in Guangzhou,China.Acta Obstet Gynecol Scand,2000,79(11):947-952.
11. Yang L,Tong EK,Mao Z.Exposure to secondhand smoke and associated factors among non-smoking pregnant women with smoking husbands in Sichuan province,China.Acta Obstet Gynecol Scand,2010,89(4):549-557.
12. World Health Organization.WHO framework convention on tobacco control.Geneva:WHO,2005.
13. Wells GA,Shea B,O'Connell D,et al.The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomized studies in meta-analyses.Available at:http://www.ohri.ca/programs/clinical-epidemiology/oxford.htm.
14. Yuhara H,Steinmaus C,Cohen SE,et al.Is diabetes mellitus an independent risk factor for colon cancer and rectal cancer? Am J Gastroenterol,2011,106(11):1911-1921.
15. 李振元,張菁.孕婦被動吸煙對妊娠和胎兒影響的調查研究.環境與健康雜志,1989,6(5):9-11.
16. 潘明明,孟忠紅,張振鈞,等.孕婦被動吸煙對胎兒的影響.中華婦產科雜志,1992,27(6):348-350.
17. Zhang J,Ratcliffe JM.Paternal Smoking and Birthweight in Shanghai.Am J Public Health,1993,83(2):207-210.
18. 袁曉蓉,喬宗凱.母親孕期被動吸煙及父親飲酒與低出生體重兒關系研究.現代預防醫學,1997,24(1):76-78.
19. 林邦和,朱舜麗,邵炳英,等.被動吸煙孕婦血中兒茶酚胺的含量及其與低體重新生兒發生率的關系.基礎醫學與臨床,1997,17(2):147-150.
20. 任芬若,楊如鏡,李洪玲,等.被動吸煙對母體及胎兒的影響.河南醫學研究,1998,7(2):104-106.
21. 馮建莊,郭寶成,李紹江.被動吸煙與婦女異常妊娠關系的研究.河南預防醫學雜志,2000,11(4):197-199.
22. 徐韶杰,王琴.孕婦被動吸煙與優生.中國優生與遺傳雜志,2000,8(3):60-67.
23. 李朝平,武權生,華紅,等.被動吸煙對孕期生殖結局影響的研究.中國婦幼保健,2004,19(10):28-30.
24. Venners SA,Wang X,Chen C,et al.Paternal smoking and pregnancy loss:a prospective study using a biomarker of pregnancy.Am J Epidemiol,2004,159(10):993-1001.
25. 徐娟,徐育松,聶紹發,等.妊娠早期被動吸煙與不良妊娠結局的隊列研究.中國公共衛生,2005,21(8):910-912.
26. Wu T,Hu Y,Chen C,et al.Passive smoking,metabolic gene polymorphisms,and infant birth weight in a prospective cohort study of Chinese women.Am J Epidemiol,2007,166(3):313-322.
27. Wu FY,Wu HDI,Yang HL,et al.Associations among genetic susceptibility,DNA damage,and pregnancy outcomes of expectant mothers exposed to environmental tobacco smoke.Sci Total Environ,2007,386(1-3):124-133.
28. 黃舒娥,劉萍.被動吸煙對母嬰健康影響的研究.海南醫學,2008,19(4):147-148.
29. 王溢.溫州地區孕產婦異常妊娠結局與影響因素的相關性調查研究.溫州:溫州醫學院,2008.
30. 張愛英.孕婦被動吸煙對胎兒的影響研究.河南職工醫學院學報,2009,21(4):373-374.
31. 孫菊香,劉金華.被動吸煙和肥胖對圍產期妊娠結局的影響.山東醫學高等專科學校學報,2010,32(1):31-34.
32. 徐蓉,郝加虎,陶芳標,等.10407名單胎活產兒SGA發生率及其影響因素的隊列研究.中國婦幼保健,2012,27(4):560-565.
33. 李慧玲,廖琪,呂麗.城郊結合部孕婦被動吸煙對妊娠結局的影響.中國優生與遺傳雜志,2013,21(4):72-131.
34. 劉海銀,李金華.產婦孕期被動吸煙對低出生體重兒發生情況的影響.中國婦幼保健,2013,28(18):2955-2956.
35. 楊玉俠,王學良,季淑英,等.不良妊娠結局的重要影響因素分析.世界臨床藥物,2013,34(9):539-541.
36. 涂新枝,王晨虹,李勝利.等.妊娠早期被動吸煙與胎兒畸形關系的隊列研究.中國優生與遺傳雜志,2013,21(4):127-129.
37. 鐘燕珍,王筱紅,林鳳瓊,等.孕期婦女被動吸煙對妊娠結局影響的研究.現代醫藥衛生,2013,29(9):1377-1378.
38. Qiu J,He X,Cui H,et al.Passive smoking and preterm birth in urban China.Am J Epidemiol,180(1):94-102.
39. 宋燁,張璟,楊海霞.不良妊娠結局與環境危險因素關系的研究進展.現代婦產科進展,2009,18(12):944-948.
40. National Research Council,Committee on Passive Smoking.Environmental Tobacco Smoke:Measuring Exposure and Assessing Health Effects.Washington:national academy press,1986.
41. 顏虹,主編.醫學統計學.北京:人民衛生出版社,2005:444.
42. 劉瑤,王炎,嚴玉仙.妊娠期吸煙對胎兒生長的影響.國外醫學(醫學地理分冊),2007,28(3):142-144.

Chinese Journal of Evidence-Based Medicine

The Association between Passive Smoking during Pregnancy and Adverse Birth Outcomes in Chinese:A Meta-analysis

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