Clinical interventions to reduce secondhand smoke exposure among pregnant women: a systematic review

Details

• Alternative Title:
  Tob Control
• Personal Author:
  Tong, Van T ; Dietz, Patricia M ; Rolle, Italia V ; Kennedy, Sara M ; Thomas, William ; England, Lucinda J
• Description:
  Objective
  
  To conduct a systematic review of clinical interventions to reduce secondhand smoke (SHS) exposure among non-smoking pregnant women.
  
  Data sources
  
  We searched 16 databases for publications from 1990 to January 2013, with no language restrictions.
  
  Study selection
  
  Papers were included if they met the following criteria: (1) the study population included non-smoking pregnant women exposed to SHS, (2) the clinical interventions were intended to reduce SHS exposure at home, (3) the study included a control group and (4) outcomes included either reduced SHS exposure of non-smoking pregnant women at home or quit rates among smoking partners during the pregnancy of the woman.
  
  Data extraction
  
  Two coders independently reviewed each abstract or full text to identify eligible papers. Two abstractors independently coded papers based on US Preventive Services Task Force criteria for study quality (good, fair, poor), and studies without biochemically-verified outcome measures were considered poor quality.
  
  Data synthesis
  
  From 4670 papers, we identified five studies that met our inclusion criteria: four focused on reducing SHS exposure among non-smoking pregnant women, and one focused on providing cessation support for smoking partners of pregnant women. All were randomised controlled trials, and all reported positive findings. Three studies were judged poor quality because outcome measures were not biochemically-verified, and two were considered fair quality.
  
  Conclusions
  
  Clinical interventions delivered in prenatal care settings appear to reduce SHS exposure, but study weaknesses limit our ability to draw firm conclusions. More rigorous studies, using biochemical validation, are needed to identify strategies for reducing SHS exposure in pregnant women.
  
  
• Keywords:
  Biomarkers Carbon Monoxide Female Humans Maternal Exposure Nicotine Pregnancy Prenatal Care Tobacco Smoke Pollution
• Source:
  Tob Control. 24(3):217-223
• Pubmed ID:
  24789602
• Pubmed Central ID:
  PMC4924528
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  24
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:87b53d15b0626fd1d0b2c7de7891c87803c3a92d3e92fe0bbeffc13c4c8399f1
• Download URL:
  https://stacks.cdc.gov/view/cdc/40312/cdc_40312_DS1.pdf
• File Type:
  [PDF - 173.75 KB ]