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26-07-2023 | Public Health | Review Article

Use of e-cigarettes in pregnancy: A systematic review of evidence published from 2020-2022

Authors: Lauren Bell, Maxine Whelan, Lucie Thomas, Emily Edwards, Deborah Lycett, Kelly Hayward, Katie Wilson, Rachel Harrison, Riya Patel

Published in: Journal of Public Health

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Abstract

Aim

This study synthesised evidence related to e-cigarette use in pregnancy published from 2020 to 2022.

Subject and methods

Smoking cessation during pregnancy is a key public health focus given associations with adverse health and birth outcomes. E-cigarettes may facilitate quitting combustible cigarette use during pregnancy. A systematic search of online databases (MEDLINE, CINAHL, and PsycINFO) was conducted on 25 February 2022.

Results

Thirty-seven studies investigating e-cigarette use in pregnancy were included in the review the majority of which were of ‘good’ quality (n=33). Included studies reported on one or more of; prevalence of e-cigarette use during pregnancy (n=27), birth and health-related outcomes of e-cigarette use during pregnancy (n=13), the impact of e-cigarette use on smoking cessation behaviours (n=11) and attitudes and perceptions around e-cigarette use during pregnancy (n=9). Prevalence was found to range from 1.2% to 4.8%, whilst perceptions of e-cigarette use during pregnancy were found to be more positive than those towards combustible cigarette use. Findings regarding health and birth outcomes were notably mixed, and the efficacy of e-cigarettes as a smoking cessation tool remains unclear.

Conclusion

The majority of studies published in the last two years were on prevalence of e-cigarette use in pregnancy. More high-quality evidence focusing on the effectiveness of e-cigarettes for smoking cessation, and the health implications of e-cigarette use compared with combustible cigarette use during pregnancy is needed to support the implementation of e-cigarettes as a harm-reduction approach in practice.
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Metadata
Title
Use of e-cigarettes in pregnancy: A systematic review of evidence published from 2020-2022
Authors
Lauren Bell
Maxine Whelan
Lucie Thomas
Emily Edwards
Deborah Lycett
Kelly Hayward
Katie Wilson
Rachel Harrison
Riya Patel
Publication date
26-07-2023
Publisher
Springer Berlin Heidelberg
Keyword
Public Health
Published in
Journal of Public Health
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-023-02026-9