Effects of Tobacco Consumption and Anxiety or Depression During Pregnancy on Maternal and Neonatal Health

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2020 Nov 7

PMID 33158085

Citations 5

Authors

Beatriz Pereira

Barbara Figueiredo

Tiago Miguel Pinto

M Carmen Miguez

Affiliations

Soon will be listed here.

Abstract

This study analyzed the possible interaction effects between tobacco consumption and anxiety or depression during pregnancy on maternal and neonatal health. We recruited a sample of 807 pregnant Spanish women from public healthcare services. Women completed a questionnaire on sociodemographic variables, health status and tobacco consumption (continuous, quitting or no consumption) in the first and third trimester of pregnancy and at 2 months postpartum, and self-reported measures of anxiety and depression in the first trimester. Abstinence of tobacco consumption was verified through biochemical measurements. Interaction effects between tobacco consumption and anxiety were found for delivery ( < 0.001), neonatal health complications ( = 0.026) and gestational age at birth ( = 0.029). Interaction effects between tobacco consumption and depression were found for pregnancy ( = 0.032), delivery complications ( < 0.001) and weeks of gestation at birth ( = 0.031). This study suggests that there are different kinds of interaction effects between tobacco consumption and anxiety or depression. Smokers with high anxiety presented more delivery complications compared to quitters and non-smokers with high anxiety. There is a cumulative effect of anxiety on the effects of tobacco consumption on maternal health. The results highlighted the beneficial impact of quitting smoking during pregnancy to reduce the risk of suffering anxiety, depression and health complications.

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References

Kelly R, Russo J, Holt V, Danielsen B, Zatzick D, Walker E . Psychiatric and substance use disorders as risk factors for low birth weight and preterm delivery. Obstet Gynecol. 2002; 100(2):297-304. DOI: 10.1016/s0029-7844(02)02014-8. View

Miguez M, Pereira B . Prevalence of smoking in pregnancy: Optimization of the diagnosis. Med Clin (Barc). 2017; 151(3):124-125. DOI: 10.1016/j.medcli.2017.11.001. View

Balwicki L, Zarzeczna-Baran M, Wierucki L, Jedrzejczyk T, Strahl M, Wrotkowska M . Smoking among pregnant women in small towns in Poland. Int J Public Health. 2015; 61(1):111-118. PMC: 4701812. DOI: 10.1007/s00038-015-0735-2. View

Schechter J, Do E, Zhang J, Hoyo C, Murphy S, Kollins S . Effect of Prenatal Smoke Exposure on Birth Weight: The Moderating Role of Maternal Depressive Symptoms. Nicotine Tob Res. 2018; 22(1):40-47. PMC: 7297019. DOI: 10.1093/ntr/nty267. View

Ion R, Lopez Bernal A . Smoking and Preterm Birth. Reprod Sci. 2014; 22(8):918-26. DOI: 10.1177/1933719114556486. View

Shapiro G, Seguin J, Muckle G, Monnier P, Fraser W . Previous pregnancy outcomes and subsequent pregnancy anxiety in a Quebec prospective cohort. J Psychosom Obstet Gynaecol. 2017; 38(2):121-132. PMC: 5383417. DOI: 10.1080/0167482X.2016.1271979. View

Grote N, Bridge J, Gavin A, Melville J, Iyengar S, Katon W . A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Arch Gen Psychiatry. 2010; 67(10):1012-24. PMC: 3025772. DOI: 10.1001/archgenpsychiatry.2010.111. View

Bayrampour H, McDonald S, Tough S . Risk factors of transient and persistent anxiety during pregnancy. Midwifery. 2015; 31(6):582-9. DOI: 10.1016/j.midw.2015.02.009. View

Pavlov M, Steiner N, Kessous R, Weintraub A, Sheiner E . Obstetric and neonatal outcome in patients with anxiety disorders. J Matern Fetal Neonatal Med. 2013; 27(13):1339-42. DOI: 10.3109/14767058.2013.858242. View

10.

Bruin J, Gerstein H, Holloway A . Long-term consequences of fetal and neonatal nicotine exposure: a critical review. Toxicol Sci. 2010; 116(2):364-74. PMC: 2905398. DOI: 10.1093/toxsci/kfq103. View

11.

Homer L, Bernard C, Collet M . [Management and outcomes of pregnancies complicated by preterm premature rupture of membranes before 26 weeks of gestation]. Gynecol Obstet Fertil. 2012; 42(2):71-77. DOI: 10.1016/j.gyobfe.2012.02.012. View

12.

Hyland A, Piazza K, Hovey K, Ockene J, Andrews C, Rivard C . Associations of lifetime active and passive smoking with spontaneous abortion, stillbirth and tubal ectopic pregnancy: a cross-sectional analysis of historical data from the Women's Health Initiative. Tob Control. 2014; 24(4):328-35. DOI: 10.1136/tobaccocontrol-2013-051458. View

13.

Riaz M, Lewis S, Naughton F, Ussher M . Predictors of smoking cessation during pregnancy: a systematic review and meta-analysis. Addiction. 2017; 113(4):610-622. DOI: 10.1111/add.14135. View

14.

Orr S, Blazer D, Orr C . Maternal prenatal depressive symptoms, nicotine addiction, and smoking-related knowledge, attitudes, beliefs, and behaviors. Matern Child Health J. 2011; 16(5):973-8. DOI: 10.1007/s10995-011-0822-9. View

15.

Escobar-Padilla B, Perez-Lopez C, Martinez-Puon H . [Risk factors and clinical features of ectopic pregnancy]. Rev Med Inst Mex Seguro Soc. 2017; 55(3):278-285. View

16.

Alder J, Fink N, Bitzer J, Hosli I, Holzgreve W . Depression and anxiety during pregnancy: a risk factor for obstetric, fetal and neonatal outcome? A critical review of the literature. J Matern Fetal Neonatal Med. 2007; 20(3):189-209. DOI: 10.1080/14767050701209560. View

17.

Liu Y, Murphy S, Murtha A, Fuemmeler B, Schildkraut J, Huang Z . Depression in pregnancy, infant birth weight and DNA methylation of imprint regulatory elements. Epigenetics. 2012; 7(7):735-46. PMC: 3414394. DOI: 10.4161/epi.20734. View

18.

Phelan S . Smoking cessation in pregnancy. Obstet Gynecol Clin North Am. 2014; 41(2):255-66. DOI: 10.1016/j.ogc.2014.02.007. View

19.

Irfan M, Haque A, Shahzad H, Samani Z, Awan S, Khan J . Reasons for failure to quit: a cross-sectional survey of tobacco use in major cities in Pakistan. Int J Tuberc Lung Dis. 2016; 20(5):673-8. DOI: 10.5588/ijtld.15.0271. View

20.

Vazquez M, Miguez M . Validation of the Edinburgh postnatal depression scale as a screening tool for depression in Spanish pregnant women. J Affect Disord. 2019; 246:515-521. DOI: 10.1016/j.jad.2018.12.075. View