SMOKE . . . . . . .Are You a gree ?

By :Dr. dr. H.M.A. Ashari SpOG(K)

SMOKE INFLUENCE . . . . .

LUNG CARSINOMA

HEART ATTACK ( cardial)

IMPOTENT ( of a male)

GROWTH OF FOETUS DISTURBE (IUGR)

Module :TOBACCO & REPRODUCTIVE

SYSTEM

Mini-LectureSECOND HAND SMOKE (SHS) & PREGNANCY

Learning Objectives To understand the relationship between

SHS and reproductive outcomes To understand the effect of SHS on fetal

growth To understand the effect of SHS on

pregnancy outcomes To understand why SHS should be avoided

in pregnancy To understand for whom smoking cessation

becomes important during pregnancy

Core Slides:1. SHS Effect on Pregnancy: Evidence

2. SHS & Fetal Growth

3. SHS & Pregnancy Outcomes

4. Why Avoid SHS?

5. Cessation in Pregnancy: For Whom?

Contents

TOBACCO & REPRODUCTIVE SYSTEM

Core Slides

SHS & Pregnancy

Second hand smoking increases the risk of all adverse reproductive outcomes including, infertility 1

Core Slide

1. Ogawa H, et al. Journal of Epidemiology and Community Health 1991;45:164-168

Downloaded from: http://www.ac-nancy-metz.fr/enseign/anglais/Henry/smokingpassive.jpg and modified

Infertility

Spontaneous Abortion

Pre-term BirthIUGRSIDS

SHS & Fetal Growth

Significantly related to low birth weight 1,2,3

Adversely affects fetal growth 3

Impairs female and male fertility 3

1. Ogawa H, et al. Journal of Epidemiology and Community Health 1991;45:164-168 2. Chen C, et al. Environ Health Perspect 2005;113:412–417 3. Dejmek J, et al. Environ Health Perspect 2002:110:601–606

Core Slide

http://legacy.co.mohave.az.us/WIC/images/guySmoking.gif

SHS & Pregnancy Outcomes

1. Chen C, et al. Environ Health Perspect 2005;113:412–417 2. Dejmek J, et al. Environ Health Perspect 2002:110:601–606

Core Slide

Dose–response relation between SHS exposure & early pregnancy loss 1

↑ risk of preterm birth 1

↑ risk of spontaneous abortion 2

http://www.cancer.ie/images/quit/children.jpg

Why Avoid SHS?

Reproductive consequences of SHS as great as those observed in active smokers 1

Clinical pregnancy rate in women exposed to SHS: Similar to smokers Significantly ↓ than non-smokers 1

1. Neal MS, et al. Hum Reprod 2005;20:2531–535

http://www.nmcphc.med.navy.mil/_images/photos/HealthyLiving_TobaccoCessation/2ndhandsmoke.jpg

Core Slide

Cessation in Pregnancy: For Whom?

Best way to avoid SHS in pregnancy: Smoke-free household

Husbands should at least NOT SMOKE around their pregnant wives

Encourage other family members to smoke elsewhere / quit

http://achd.mcallenweb.net/Portals/53/Health%20Education/SHS.gif

Core Slide

Thank you……….