REPERCUSSÕES DO TABAGISMO NA SAÚDE MATERNO-FETAL E NO ALEITAMENTO

DOI: 10.53524/lit.edt.978-65-84528-51-2/05

PALAVRAS-CHAVE: Tabagismo. Gravidez. Aleitamento Materno. Recém-Nascido.

KEYWORDS: Tobacco Use Disorder. Pregnancy. Breast Feeding. Infant, Newborn.

ABSTRACT: OBJECTIVE: To analyze the repercussions of smoking on maternal-fetal health and breastfeeding. MATERIALS AND METHODS: This is an exploratory narrative review. The search utilized the PFO acronym (Population: Pregnant/postpartum women and newborns; Factor: Smoking; Outcome: Repercussions on maternal-fetal health and breastfeeding) and four informational sources. Health Sciences Descriptors (DeCS) and their English/Spanish equivalents were used, combined with Boolean operators, including full-text materials in Portuguese, English, or Spanish, with no time restriction. RESULTS AND DISCUSSION: Smoking causes significant consequences for the mother, fetus/newborn, and breastfeeding. Infants of smoking mothers had a lower mean birth weight (mean difference of 227 grams). The adjusted prevalence of breastfeeding maintained for more than six months is lower in women who smoke combustible cigarettes (34.78%) or combined products (38%), compared to exclusive electronic cigarette users (52.25%). Prolonged breastfeeding (≥ 5 months) in children with prenatal tobacco exposure was associated with more behavioral problems. In low-income communities, the use of smokeless tobacco by pregnant and lactating women is influenced by erroneous beliefs of health benefits. FINAL CONSIDERATIONS: Smoking establishes a causal relationship of damage at multiple levels for the mother-baby dyad, affecting gestational outcomes and breastfeeding. It is essential that smoking cessation interventions be prioritized in the pregnancy-puerperal cycle and extend to the family environment.

Autor

  • Josias Lucas Ferreira Bona

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Desenvolvido por Alexsander Arcelino