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,张菁.孕妇被动吸烟对妊娠和胎儿影响的调查研究.环境与健康杂志,1989,6(5):9-11.
16.	潘明明,孟忠红,张振钧,等.孕妇被动吸烟对胎儿的影响.中华妇产科杂志,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.	袁晓蓉,乔宗凯.母亲孕期被动吸烟及父亲饮酒与低出生体重儿关系研究.现代预防医学,1997,24(1):76-78.
19.	林邦和,朱舜丽,邵炳英,等.被动吸烟孕妇血中儿茶酚胺的含量及其与低体重新生儿发生率的关系.基础医学与临床,1997,17(2):147-150.
20.	任芬若,杨如镜,李洪玲,等.被动吸烟对母体及胎儿的影响.河南医学研究,1998,7(2):104-106.
21.	冯建庄,郭宝成,李绍江.被动吸烟与妇女异常妊娠关系的研究.河南预防医学杂志,2000,11(4):197-199.
22.	徐韶杰,王琴.孕妇被动吸烟与优生.中国优生与遗传杂志,2000,8(3):60-67.
23.	李朝平,武权生,华红,等.被动吸烟对孕期生殖结局影响的研究.中国妇幼保健,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,聂绍发,等.妊娠早期被动吸烟与不良妊娠结局的队列研究.中国公共卫生,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.	黄舒娥,刘萍.被动吸烟对母婴健康影响的研究.海南医学,2008,19(4):147-148.
29.	王溢.温州地区孕产妇异常妊娠结局与影响因素的相关性调查研究.温州:温州医学院,2008.
30.	张爱英.孕妇被动吸烟对胎儿的影响研究.河南职工医学院学报,2009,21(4):373-374.
31.	孙菊香,刘金华.被动吸烟和肥胖对围产期妊娠结局的影响.山东医学高等专科学校学报,2010,32(1):31-34.
32.	徐蓉,郝加虎,陶芳标,等.10407名单胎活产儿SGA发生率及其影响因素的队列研究.中国妇幼保健,2012,27(4):560-565.
33.	李慧玲,廖琪,吕丽.城郊结合部孕妇被动吸烟对妊娠结局的影响.中国优生与遗传杂志,2013,21(4):72-131.
34.	刘海银,李金华.产妇孕期被动吸烟对低出生体重儿发生情况的影响.中国妇幼保健,2013,28(18):2955-2956.
35.	杨玉侠,王学良,季淑英,等.不良妊娠结局的重要影响因素分析.世界临床药物,2013,34(9):539-541.
36.	涂新枝,王晨虹,李胜利.等.妊娠早期被动吸烟与胎儿畸形关系的队列研究.中国优生与遗传杂志,2013,21(4):127-129.
37.	钟燕珍,王筱红,林凤琼,等.孕期妇女被动吸烟对妊娠结局影响的研究.现代医药卫生,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.	宋烨,张璟,杨海霞.不良妊娠结局与环境危险因素关系的研究进展.现代妇产科进展,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.	颜虹,主编.医学统计学.北京:人民卫生出版社,2005:444.
42.	刘瑶,王炎,严玉仙.妊娠期吸烟对胎儿生长的影响.国外医学(医学地理分册),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,张菁.孕妇被动吸烟对妊娠和胎儿影响的调查研究.环境与健康杂志,1989,6(5):9-11.
16. 潘明明,孟忠红,张振钧,等.孕妇被动吸烟对胎儿的影响.中华妇产科杂志,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. 袁晓蓉,乔宗凯.母亲孕期被动吸烟及父亲饮酒与低出生体重儿关系研究.现代预防医学,1997,24(1):76-78.
19. 林邦和,朱舜丽,邵炳英,等.被动吸烟孕妇血中儿茶酚胺的含量及其与低体重新生儿发生率的关系.基础医学与临床,1997,17(2):147-150.
20. 任芬若,杨如镜,李洪玲,等.被动吸烟对母体及胎儿的影响.河南医学研究,1998,7(2):104-106.
21. 冯建庄,郭宝成,李绍江.被动吸烟与妇女异常妊娠关系的研究.河南预防医学杂志,2000,11(4):197-199.
22. 徐韶杰,王琴.孕妇被动吸烟与优生.中国优生与遗传杂志,2000,8(3):60-67.
23. 李朝平,武权生,华红,等.被动吸烟对孕期生殖结局影响的研究.中国妇幼保健,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,聂绍发,等.妊娠早期被动吸烟与不良妊娠结局的队列研究.中国公共卫生,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. 黄舒娥,刘萍.被动吸烟对母婴健康影响的研究.海南医学,2008,19(4):147-148.
29. 王溢.温州地区孕产妇异常妊娠结局与影响因素的相关性调查研究.温州:温州医学院,2008.
30. 张爱英.孕妇被动吸烟对胎儿的影响研究.河南职工医学院学报,2009,21(4):373-374.
31. 孙菊香,刘金华.被动吸烟和肥胖对围产期妊娠结局的影响.山东医学高等专科学校学报,2010,32(1):31-34.
32. 徐蓉,郝加虎,陶芳标,等.10407名单胎活产儿SGA发生率及其影响因素的队列研究.中国妇幼保健,2012,27(4):560-565.
33. 李慧玲,廖琪,吕丽.城郊结合部孕妇被动吸烟对妊娠结局的影响.中国优生与遗传杂志,2013,21(4):72-131.
34. 刘海银,李金华.产妇孕期被动吸烟对低出生体重儿发生情况的影响.中国妇幼保健,2013,28(18):2955-2956.
35. 杨玉侠,王学良,季淑英,等.不良妊娠结局的重要影响因素分析.世界临床药物,2013,34(9):539-541.
36. 涂新枝,王晨虹,李胜利.等.妊娠早期被动吸烟与胎儿畸形关系的队列研究.中国优生与遗传杂志,2013,21(4):127-129.
37. 钟燕珍,王筱红,林凤琼,等.孕期妇女被动吸烟对妊娠结局影响的研究.现代医药卫生,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. 宋烨,张璟,杨海霞.不良妊娠结局与环境危险因素关系的研究进展.现代妇产科进展,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. 颜虹,主编.医学统计学.北京:人民卫生出版社,2005:444.
42. 刘瑶,王炎,严玉仙.妊娠期吸烟对胎儿生长的影响.国外医学(医学地理分册),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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