June 2011. Volume 7. Number 2

Second-hand smoke in non-smoking pregnant women; effects on fetal and newborn outcomes

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Leonardi-Bee J, Britton J, Venn A. Secondhand smoke and adverse fetal outcomes in nonsmoking pregnant women: a meta-analysis. Pediatrics. 2011 Mar 7. [Epub ahead of print].
Reviewers: Cuello García CA1, Pérez Gaxiola G2.
1ITESM. Monterrey. Nuevo León. México.
2Hospital Pediátrico de Sinaloa. Culiacán. Sinaloa. México.
Correspondence: Carlos Alberto Cuello García. Email: carlos.cuello@gmail.com
Reception date: 23/03/2011
Acceptance date: 25/03/2011
Publication date: 30/03/2011

Abstract

Authors' conclusion: non-smoking pregnant women exposed to second-hand smoke have 23% increase risk for stillbirth and 23% increase for any fetal malformations; spontaneous abortions risk was not increased.

Reviewers' commentary: this is a high quality systematic review with low possibility of bias that provides evidence of the harm provoked by second-hand smoke in pregnant women on the fetus and newborn. The review includes observational studies that even when they are considered low to moderate quality of evidence, the negligible costs and risks of implementing the advice versus the health benefits of avoiding second-hand smoke in pregnant women should imply a strong recommendation against the exposure.

How to cite this article

Cuello García CA, Pérez Gaxiola G. El tabaquismo pasivo en mujeres embarazadas aumenta el riesgo de malformaciones congénitas y mortinatos. Evid Pediatr. 2011;7:34.

AVC | Critically appraised articles

Leonardi-Bee J, Britton J, Venn A. Secondhand smoke and adverse fetal outcomes in nonsmoking pregnant women: a meta-analysis. Pediatrics. 2011 Mar 7. [Epub ahead of print].
Reviewers: Cuello García CA1, Pérez Gaxiola G2.
1ITESM. Monterrey. Nuevo León. México.
2Hospital Pediátrico de Sinaloa. Culiacán. Sinaloa. México.
Correspondence: Carlos Alberto Cuello García. Email: carlos.cuello@gmail.com
Reception date: 23/03/2011
Acceptance date: 25/03/2011
Publication date: 30/03/2011

How to cite this article

Cuello García CA, Pérez Gaxiola G. El tabaquismo pasivo en mujeres embarazadas aumenta el riesgo de malformaciones congénitas y mortinatos. Evid Pediatr. 2011;7:34.

References

  1. DiFranza JR, Lew RA. Effect of maternal cigarette smoking on pregnancy complications and sudden infant death syndrome. J Fam Pract. 1995;40:385-94.
  2. 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;182:465-72.
  3. Royal College of Physicians. Passive Smoking in Children: A Report by the Tobacco Advisory Group. London, United Kingdom: Royal College of Physicians; 2010.
  4. Leonardi-Bee J, Smyth A, Britton J, Coleman T. Environmental tobacco smoke and fetal health: systematic review and meta-analysis. Arch Dis Child Fetal Neonatal Ed. 2008;93:F351-61.
30/03/2011

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