THE EFFECT OF SMOKING ON COMPLICATIONS IN PREGNANT WOMEN

  • A.P Babkin Voronezh State Medical University named after N.N. Burdenko
  • K.A Potapova Voronezh State Medical University named after N.N. Burdenko
  • A.D Kasholkina Voronezh State Medical University named after N.N. Burdenko
Keywords: pregnancy, complications of pregnancy, smoking, arterial hypertension

Abstract

According to the WHO, Russia leads by the number of smoking women of reproductive age. Smokes about
30% of working women. Among pregnant women, smoking reaches 52 %, which is one of the reasons for
increasing the frequency of occurrence of pregnancy and fetus, increased spontaneous abortion. The study of the
influence of nicotine and other substances contained in tobacco smoke, allowed that smoking leads to hypoxia of
the fetus due to impaired uterine-placental blood circulation and increased formation of carboxyhemoglobin in a
crown of a pregnant woman. The article presents the results of a study of the effect of tobacco on the development
of complications in pregnant women suffering from arterial gi-percentes. The study was attended by 200 pregnant
women, of which 96 (48%) women were smoked. The following questionnaires and questionnaires were used: a
questionnaire of smoking rejection (Poskakh questionnaire), the questionnaire assessment of the degree of nicotine
dependence (Fasterstrem test), the scale of shortnesses of MMRS ”among smoking women 29 (30.2%) had high
and very high dependence, 31 (32.3%) average dependence, the rest of the birch women had a moderate and low
nicotine dependence, while most 67 (69.7%) pregnant women had high motivation for complete rejection of
courage. Pregnancy complications were much more often diagnosed in smokers than non-smokers: preeclampsia
in 78.3% smokes against 6.3% in non-smokers, fetoplazen-ear insufficiency in 71.6% and 9.5%, respectively,
intrauterine deposits of the fetus in 78.3% and 9.5%, respectively. Correlation analysis showed that in smoking
pregnant women revealed a reliable dependence of the complications of pregnancy on the fact of smoking, smoking
experience and the presence of arterial hypertension

References

1. Arterial hypertension in pregnant women. Clinical recommendations. 2019. P.1-88.
2. Hypertensive disorders during pregnancy, in childbirth and postpartum period. Preeclampsia. Eclampsia. Clinical recommendations. 2016.P.1-72.
3. Olina A.A., Meteleva T.A., Sadykova G.K. Smoking as a risk factor for an underdeveloped pregnancy / A.A. Olina, T.A. Meteleva, G.K. Sadykova
// Questions of gynecolation, obstetrics and perinatology. 2018. V17. N 5. P.35-39.
4. Zaporozhets E.E. [et al.] The main indicators of the activity of the health protection service of the mother and child in the Russian Federation. /E.E.
Zaporozhets, M.P. Shuvalova, L.M. Tsymlyakova, O.G. Frolova, E.V. Ogryzko, L.P. Sukhanova. // Russian Society of Obstyusha-Rh Gynecologists. FSBI
"Ntsagip named after V.I. Kulakova" Moscow. 2013. P. 48 - 61.
5. Senkevich N.Yu., Belevsky A.S. Quality of life // Ter. Archiv.- 2000. N. 3. P. 36–41.
6. Golovatov Yu.A. /Pregnancy of high risk // SPb. 2015.P.1-930
7. Olina, A. A. The frequency of smoking among pregnant women and communication with obstetric complications /PA. A. Olina, T. A. Meteleva // Perm
Medical Journal. 2015. T. XXXII. N3.-P. 93-97.
8. Who Recommentations for the Prevention and Management of Tobacco Use and Sec-Hegs-Hand Smoke Exposure in Pregnance. World Health
Organization.2014.P.1-122
9. Young B, Hacker Mr, Rana S. Pre-Eclampsia and Risk of Cardiovascular Disease and Canser in Later Life: Systematic Review and Meta-Analysis.
Hypertens. Pregnancy. 2012; 31 (1): 50-58.
10. Simpson D. Doctors and Tobacco - Medicines Big Challenge // London. UK.Tobacco Control Resourge Centre at the British Association. 2000. P. 261.
11. Bainbridge, S.A. Direct Placental Effects of Cigarette Smoke Protect Women from Prein-Eclampsia The Specific Roles of Carbon Monoxide and
Antioxidant Systems in the Plaacenta / S.A. Bainbridge, E.H. Sidle, G.N. Smith // Med. Hypotheses.- 2005. V. 64, 1.P.17-27.
12. Butler, N.R. Perinatal Problems: The Second Report of the British Perinatal Mortaly Survey / N.R. Butler, E. alberman // Churchill. - 1969.
13. Test Fegerstrem (assessment of the degree of nicotine dependence). https://chocmp.ru/wpcontent/uploads/2017/06/test-fagerstrema.pdf
14. Evaluation of motivation to quit smoking. Prokhaska questionnaire.
https://sudact.ru/law/klinicheskie-rekomendatsiisindrom-zavisimosti-ot-tabaka-sindrom/prilozhenieg/2_1/
15. The scope of shortness of breath mMRC (Modified Medical research Council )
https://sudact.ru/law/vremennye-metodicheskierekomendatsii-meditsinskaia-reabilitatsiia-prinovoi/pravila-opredeleniia-etapov-meditsinskoireabilitatsii/shkala-odyshki-mmrc-modified-medical/
Published
2023-01-06
How to Cite
Babkin, A.P, K.A Potapova, and A.D Kasholkina. 2023. “THE EFFECT OF SMOKING ON COMPLICATIONS IN PREGNANT WOMEN”. EurasianUnionScientists, January, 09-14. https://bio-med.euroasia-science.ru/index.php/Euroasia/article/view/845.