Resumen de Tobacco use and secondhand smoke exposure during pregnancy: an investigative survey of women in 9 developing nations.

Michele Bloch, Fernando Althabe, Marie Onyamboko, Christine Kaseba-Sata, Eduardo E Castilla, Salvio Freire, Ana L Garces, Sailajanandan Parida, Shivaprasad S Goudar, Muhammad Masood Kadir, Norman Goco, Jutta Thornberry, Magdalena Daniels, Janet Bartz, Tyler Hartwell, Nancy Moss, Robert L. Goldenberg

• Objectives: We examined pregnant women's use of cigarettes and other tobacco products and the exposure of pregnant women and their young children to secondhand smoke (SHS) in 9 nations in Latin America, Asia, and Africa.; Methods: Face-to-face surveys were administered to 7961 pregnant women (more than 700 per site) between October 2004 and September 2005.; Results: At all Latin American sites, pregnant women commonly reported that they had ever tried cigarette smoking (range: 78.3% [Uruguay] to 35.0% [Guatemala]). The highest levels of current smoking were found in Uruguay (18.3%), Argentina (10.3%), and Brazil (6.1%). Experimentation with smokeless tobacco occurred in the Democratic Republic of the Congo and India; one third of all respondents in Orissa, India, were current smokeless tobacco users. SHS exposure was common: between 91.6% (Pakistan) and 17.1% (Democratic Republic of the Congo) of pregnant women reported that smoking was permitted in their home.; Conclusions: Pregnant women's tobacco use and SHS exposure are current or emerging problems in several low- and middle-income nations, jeopardizing ongoing efforts to improve maternal and child health.;