Smoking and drinking habits of women in subsequent pregnancies after specific advice about the dangers of these exposures during pregnancy
| Autor: | Coen Groenewald, Lucy Brink, M Potter, Daan Nel, C Du Plessis, E Carstens, M De Jager, Hein J. Odendaal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
education.field_of_study
medicine.medical_specialty Pregnancy Obstetrics business.industry Mental Disorders Confounding Population Politics Gestational age General Medicine medicine.disease Article South Africa Drinking habits medicine Humans Prospective cohort study education business Adverse effect Socioeconomic status |
| Zdroj: | South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde |
| ISSN: | 2078-5135 0256-9574 |
| Popis: | Background. Although women are informed about the dangers of drinking and smoking during pregnancy when they book for antenatal care, it is uncertain whether this advice is accepted, or whether attempts are made to apply it in subsequent pregnancies. Objectives. To assess how pregnant women respond to the advice to refrain from smoking and drinking during pregnancy in subsequent pregnancies. Methods. Research staff were trained to obtain accurate prospective information on smoking and drinking during pregnancy in a prospective study, using well-standardised methods. Care was taken to inform participants about the dangers of smoking and drinking during pregnancy. They were also given pamphlets on these dangers in their own language and a list of telephone numbers where they could find help to quit should they need it. This information was repeated at subsequent study visits (ranging from 1 to 3, depending on the gestational age at which they enrolled). Gestational age was determined by early ultrasound. Z -scores of birthweight for gestational age were determined according to the INTERGROWTH-21st study. Pregnancy outcomes of women who enrolled twice ( n =888) or three times ( n =77) in the Safe Passage Study were compared with those of women in the first enrolment ( n =889). Results. The proportion of drinkers did not change significantly ( p =0.058) from the first to the second and third enrolments (63.8%, 59.0% and 54.6%, respectively). A similar trend was found for smokers (73.3%, 72.2% and 68.4%, respectively). Cannabis use was reported by 15.1%, 9.7% and 12.0% ( p |
| Databáze: | OpenAIRE |
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