Associations between vaping during pregnancy and perinatal outcomes: A systematic review and meta-analysis

IF 12.2 1区 环境科学与生态学 Q1 ENGINEERING, ENVIRONMENTAL Journal of Hazardous Materials Pub Date : 2024-12-26 DOI:10.1016/j.jhazmat.2024.137028
Andy Deprato , Arundhati Garud , Danila Azzolina , Nicola Murgia , Margie H. Davenport , Padma Kaul , Paige Lacy , Subhabrata Moitra
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Abstract

Despite numerous studies linking prenatal vaping to adverse perinatal outcomes, a systematic assessment for critical comparison remains absent. To investigate these associations, we conducted a systematic search of studies assessing perinatal outcomes in mothers and/or neonates exposed to vaping during pregnancy compared to those in women without prenatal vaping exposure through MEDLINE, EMBASE, Scopus, Web of Science, Cochrane Library, PROSPERO, and Google Scholar until July 5, 2024. We performed inverse-variance random-effects meta-analyses for maternal and neonatal outcomes of 23 studies with a total of 924,376 participants with 7552 reporting vaping-only use during pregnancy. Prenatal vaping was associated with 53 % higher odds of an adverse maternal outcome (OR: 1.53; 95 % CI: 1.27–1.85; I2 = 80 %), particularly with decreased breastfeeding (OR: 0.53; 95 % CI: 0.38–0.72; I2 = 45 %) and reduced prevalence of adequate prenatal care (OR: 0.69; 95 % CI: 0.56–0.86; I2 = 82 %). Prenatal vaping was also associated with a similarly 53 % higher odds of an adverse neonatal outcome (OR: 1.53; 95 % CI: 1.34–1.76; I2 = 45 %), such as low birth weight (OR: 1.56; 95 % CI: 1.28–1.93; I2: 15 %), preterm birth (OR: 1.49; 955 CI: 1.27–1.76; I2: 0 %), and small for gestational age (OR: 1.48; 955 CI: 1.16–1.89; I2: 70 %). This is the first comprehensive systematic review and meta-analysis demonstrating vaping during pregnancy as a risk factor for increased odds of both maternal and neonatal outcomes and underscores the urgency to address awareness and regulations of vaping and its potential harms to both humans and the environment.

Registration

PROSPERO CRD42023446266.

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孕期吸电子烟与围产期结局的关系:一项系统综述和荟萃分析
尽管许多研究将产前电子烟与不良的围产期结果联系起来,但仍然缺乏对关键比较的系统评估。为了调查这些关联,我们通过MEDLINE、EMBASE、Scopus、Web of Science、Cochrane Library、PROSPERO和谷歌Scholar,系统检索了评估怀孕期间暴露于电子烟的母亲和/或新生儿与未暴露于电子烟的妇女的围产期结局的研究,直到2024年7月5日。我们对23项研究的孕产妇和新生儿结局进行了反方差随机效应荟萃分析,共有924376名参与者,其中7552名报告在怀孕期间只使用电子烟。产前吸电子烟与产妇不良结局的几率增加53%相关(OR: 1.53;95% CI: 1.27 ~ 1.85;I2 = 80%),特别是母乳喂养减少(OR: 0.53;95% CI: 0.38 ~ 0.72;I2 = 45%)并降低了充分产前护理的患病率(OR: 0.69;95% CI: 0.56 ~ 0.86;I2 = 82%)。产前吸电子烟也与新生儿不良结局的几率增加53%相关(OR: 1.53;95% CI: 1.34 ~ 1.76;I2 = 45%),如低出生体重(OR: 1.56;95% CI: 1.28 ~ 1.93;I2: 15%),早产(OR: 1.49;955 CI: 1.27 - 1.76;I2: 0%),胎龄较小(OR: 1.48;955 CI: 1.16 - 1.89;I2: 70%)。这是第一次全面的系统回顾和荟萃分析,证明怀孕期间吸电子烟是增加孕产妇和新生儿结局几率的风险因素,并强调了提高对电子烟的认识和监管及其对人类和环境的潜在危害的紧迫性。RegistrationPROSPERO CRD42023446266。
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来源期刊
Journal of Hazardous Materials
Journal of Hazardous Materials 工程技术-工程:环境
CiteScore
25.40
自引率
5.90%
发文量
3059
审稿时长
58 days
期刊介绍: The Journal of Hazardous Materials serves as a global platform for promoting cutting-edge research in the field of Environmental Science and Engineering. Our publication features a wide range of articles, including full-length research papers, review articles, and perspectives, with the aim of enhancing our understanding of the dangers and risks associated with various materials concerning public health and the environment. It is important to note that the term "environmental contaminants" refers specifically to substances that pose hazardous effects through contamination, while excluding those that do not have such impacts on the environment or human health. Moreover, we emphasize the distinction between wastes and hazardous materials in order to provide further clarity on the scope of the journal. We have a keen interest in exploring specific compounds and microbial agents that have adverse effects on the environment.
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