"怀孕期间吸烟 - 围产期结果,财务影响和烟草治疗服务"
I Meaton1, F Karouni2, J Gillies3
1Foundation Year Doctor, Frimley Health NHS Foundation Trust, United Kingdom.
Preventive medicine reports
|October 12, 2023
概括
怀孕期间吸烟会对分娩结果产生重大影响. 尽管有转诊,但只有34.9%的孕妇吸烟者获得戒烟服务,导致母亲和婴儿的健康状况较差. 改善产妇吸烟治疗服务至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 怀孕期间吸烟是妊娠不良结果的主要可修改风险因素.
- 联合林肯郡医院NHS信托 (ULHT) 地区在英国的分娩时吸烟 (SATOD) 患病率最高.
- 了解孕妇吸烟者的旅程和服务可访问性对于改善护理至关重要.
研究的目的:
- 为了分析因吸烟而复杂的怀孕的结果.
- 将吸烟孕妇的特征和结果与非吸烟队列进行比较.
- 探索目前为孕妇吸烟者提供烟草治疗服务的潜在改进.
主要方法:
- 一项比较研究分析了ULHT的孕妇吸烟者和非吸烟者队列的数据.
- 统计分析包括千平方,曼·惠特尼和学生T测试.
- 一个p值<0.05被认为是统计学上显著的.
主要成果:
- 只有34.9%的孕妇吸烟者获得了戒烟服务.
- 吸烟的母亲更年轻,产科病史更复杂,需要增加胎儿监测.
- 吸烟者产生的婴儿出生时体重较低,孕期较早;母乳养率也较低.
结论:
- 该研究强调了孕妇吸烟者的结果存在显著差异.
- 调查结果支持了加强烟草治疗服务的商业案例.
- 在ULHT开发了一个针对孕妇吸烟者的内部产妇模型.
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