Association between secondhand smoke exposure and quality of life in pregnant women and postpartum women and the consequences on the newborns
Secondhand smoke (SHS) exposure is prevalent and could damage the health of non-smokers, especially that of pregnant women (PW) and postpartum women (PPW). Nevertheless, there is no study on the impact of SHS during pregnancy on the quality of life (QOL) of PW and PPW. The study’s purpose is to study the effects of exposure to SHS on the QOL of pregnant and postpartum women and health of the newborns.
Self-reports and urine tests for cotinine were used to obtain data on SSH exposure in 296 women in the second trimester of pregnancy and 106 women in the postpartum period at the Obstetrics & Gynecology Clinic located in a university hospital. The WHOQOL-BREF-THAI and the Edinburgh Postnatal Depression Scale were used to assess QOL and postpartum depression, respectively.
Of the participants, 88.2% of PW and 62.3% of PPW reported exposure to SHS during pregnancy. Of the PPW, 5.7% had postpartum depression. PW with good QOL were less likely to have family member who smoked (p = 0.007) or to be exposed to SHS in public parks (p = 0.037) or in the household or workplace (p = 0.011). Likewise, PPW with good QOL in the psychological domain were less likely to be exposed to SHS during pregnancy, as shown in both verbal report (p = 0.010) and objective measure of urine cotinine test (p = 0.034). In addition, maternal exposure to SHS during pregnancy is associated with low birth weight and other health problems in the newborns (p < 0.05).
Exposure to SHS during pregnancy is associated with a lower QOL and a poorer health condition in the newborns.
KeywordsQuality of life Secondhand smoke Cigarette Pregnant women Postpartum women Prenatal exposure
This study was funded by the Tobacco Control Research and Knowledge Management Center (TRC-59-001-05), Thailand. R.K. is supported by the Center for Alcohol Studies (CAS), Thailand and is a subaward recipient of the D43TW009087 funded by the Fogarty International Center (FIC), National Institute on Drug Abuse (NIDA), and National Human Genome Research Institute (NHGRI).
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest regarding the publication of this article.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the Institutional Review Board of the Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand (Med Chula IRB #646/2016), and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
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