Volume 8 Issue 2 (February, 2020)

Original Articles

A cohort study on adverse pregnancy and birth outcomes in women associated with occupational tobacco exposure
Md. Nasim Akhter, Nipendra Anand

Background- India is the world’s second largest consumer and third-largest tobacco producer in world. It also ranks second in the cause of death universally which cannot be ignored. It is one of the social problem and a major public health Issue worldwide. It has been encountered as one of the major reason for around 6 million deaths each year due to its usage globally. Materials and methods-The study was a hospital-based cohort study, which consisted of women between the ages of 20 and 40 years with singleton pregnancies with no chronic illnesses and were enrolled between 19 and 23 weeks of gestation and followed at 27–29 weeks, 35–37 weeks, and at delivery. Total 300 cases were included in the study which is further classified into two groups as exposed group and unexposed group. Exposed group consists of 100 and unexposed group contains 200 cases. Results-Majority of the cases belonged to lower socioeconomic strata in which Women in the exposed group were older than the unexposed group. Approximately 40% of the women in the exposed and 30% of the women in the unexposed were underweight. Although mean hemoglobin was ≥10.0 g/dL in both groups, which was significantly lower in the exposed group. Conclusion- Adverse effects on pregnancy and birth outcomes in the women involved in occupational tobacco exposure and the magnitudes of the findings were comparable to moderate maternal smoking. Key words: pregnancy, tobacco exposure, maternal health.

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