Meta-Analysis of the Effect of Exposure to Indoor Cigarette Smoke in Pregnant Women on the Risk of Infants Low Birth Weight
DOI:
https://doi.org/10.26911/jepublichealth.2023.08.04.05Abstract
Background: Problems related to low birth weight are often found in developing countries. Expo-sure to cigarette smoke is one of the factors causing low birth weight, in this case caused by the chemicals in cigarettes which affect the health of pregnant women and babies. This study aims to determine the effect of exposure to secondhand smoke in the home on pregnant women on the risk of giving birth to babies with low birth weight.
Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flow chart and the PICO model. Population: pregnant women. Intervention: exposure to household ciga-rette smoke is high. Comparison: household exposure to secondhand smoke is low. Outcome: low birth weight. The databases used are PubMed, Google Scholar, and Science Direct with keywords (“Pregnancy Women” OR “Passive Smoking” OR “Low Birth Weight”) AND “Case Control Study”. A total of 9 articles met the inclusion criteria, namely primary full text paper, case-control design, adjus-ted Odds Ratio (aOR), research subjects of pregnant women, interventions in the form of high cigarette smoke exposure, and outcomes in the form of low birth weight for analysis carried out with RevMan 5.3.
Results: A meta-analysis has been carried out on 9 articles with a case-control study design from the Asian Continent and the African Continent in pregnant women with a sample size of 4,244. The results of the meta-analysis showed that pregnant women who were exposed to secondhand smoke from the environment had a risk of giving birth to babies with low birth weight 1.82 times compared to those not exposed to secondhand smoke and the effect of exposure was statistically significant (aOR= 1.82; 95% CI= 1.54 to 2.16; p <0.001).
Conclusion: The effects of exposure to cigarette smoke in pregnant women can increase the risk of low birth weight babies.
Keywords: passive smokers, low birth weight, pregnant women, babies,
Correspondence:
Dinda Nur Asri Mutiara Ramadhani. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: mutiaradinda42@gmail.com Mobile: +6282323346406
References
Anil KC, Basel PL, Singh S (2020) Low birth weight and its associated risk factors: Health facility-based case-control study. PLoS ONE, 15(6): e0234907. doi: 10.1371/journal.pone.0234907.
BPS (2020). Maternal and Child Health Profile 2020. Badan Pusat Statistik.
Benkaddour YA, Fatih B, Majdi F, Soummani A (2016). Passive smoking and other principal risk factors associated with low birth weight. J Obstet Gynae-col, 6(1). doi: 10.4236/ojog.2016.67051.
Dorey A, Scheerlinck P, Nguyen H, Albert-son T (2020). Acute and chronic carbon monoxide toxicity from tobacco smoking. Mil Med. 185(1-2): e61-e67. doi: 10.1093/milmed/usz280.
Gebregzabiherher Y, Haftu A, Weldemariam S, Gebrehiwet H (2017). The prevalence and risk factors for low birth weight among term newborns in Adwa General Hospital, Northern Ethiopia. Obstet Gynecol Int. 7(1). doi: 10.1155/2017/2149156.
Hamadneh S, Hamadneh J (2021). Active and passive maternal smoking during pregnancy and birth outcomes: a study from developing country. Ann Glob Health. 87(1): 1-8. doi: 10.5334/aogh.3384.
Kargbo DK, Kofi N, Samuel S, Adolphina L, Ernest K, Francis A (2021). Determinants of low birth weight deliveries: an unmatched case-control study in five referral hospitals in Western Area Urban District, Sierra Leone. Ital J Pediatr. 47(1). doi: 10.21203/rs.3.rs139964/v1.
Kataoka MC, Carvalheira APP, Ferrari AP, Malta MB, de Barros Leite Carvalhaes MA, de Lima Parada CMG (2018). Smoking during pregnancy and harm reduction in birth weight: A cross-sectional study. BMC Pregnancy and Childbirth. 18(1): 1-10. doi: 10.1186/s-12884-018-1694-4.
Khattar D, Awasthi S, Das V (2013). Residental environmental tobacco smoke exposure during pregnancy and low birth weight of neonates: case-control study in a public hospital in Lucknow, India. Indian Pediatr. 50(1): 134-138. doi: 10.1007/S13312-013-0035-Y.
Khot VS, Upadhye SS, Kothali K, Apte AK, Kulkami AA, Patil AA, Danole AB (2018). Free radicals, oxidative stress and diseases an overview. J. Pharm Tech res. 8(4): 59-67. doi: 10.46624/ajptr.2018.v8.i4.007.
Mingude, Alemu B, Woiynshet G (2020). Determinants of low birth weight among live birth newborns delivered at public hospitals in Gamo Gofa Zone, South Ethiopia: unmatched case control study. SAGE Open Medicine. 8(1): 1-8. doi: 10.1177/2050312120940544.
Owa K (2019). Chronic energy deficiency, anemia as a risk factor for low birth weight babies in East Nusa Tenggara. J Kesehatan Primer. 4(1): 13-22. doi: 10.5281/jkp.v4i1.264.
Paudel GA, Shresta S, Bastola R, Sigdel Y, Ghimire S, Baral R, Bhattarai P, et al. (2022). Prevalence, risk factors and short-term outcomes of low birth weight infants born during covid pandemic prospective case-control study, Med J Pokhara Academy Health Sci. 5(2).
Pei I, Kang Y, Zhao Y, Cheng Y, Yan H (2016). Changes in socioeconomic inequality of low birth weight and macrosomia in Shaanxi province of northwest China, 2010-2013 a cross-sectional study. J Med. 95(5): 1-8. doi: 10.1097/MD.0000000000002471.
Perpres Indonesia (2012). Government Regulation of the Republic of Indonesia Number 109 of 2012 concerning the safeguarding of substances containing addictive substances in the form of tobacco products for health 2012. Peraturan Pemerintah Republik Indonesia.
Rang NN, Hien TQ, Chanh TQ, Thuyen TK (2020). Preterm birth and secondhand smoking during pregnancy: A case–control study from Vietnam. PLoS ONE. 15(10). doi: 10.1371/journal.pone.0240289.
Supriyanto Y, Paramashanti BA, Astiti D (2018). Low birth weight is associated with the incidence of stunting in children aged 6-23 months. J Gizi Dietik Indones. 5(1):23. doi: 10.21927/ijnd.2017.5(1).2330.
WHO (2013). WHO recommendations for the prevention and management of tobacco use and second-hand smoke exposure in pregnancy. World Health Organization.
Xi C, Luo M, Wang T, Wang Y, Wang S, Guo I, Lu C (2020). Association between maternal lifestyle factors and low birth weight in preterm and term births: A case-control study. Reprod. Health. 17(i): 1-9. doi: 10.1186/s12978-020-00932-9.
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Published
2023-10-16
Issue
Vol. 8 No. 4 (2023)
Section
Articles
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