Prevalence of tobacco at the beginning of pregnancy in 1500 pregnant couples of high risk
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Paediatric Environmental Health Speciality Unit Murcia. HCU Virgen de la Arrixaca, Murcia
Publication date: 2018-06-13
Tob. Prev. Cessation 2018;4(Supplement):A182
Environmental consulting Nursing (Reproductive) is a clinical consultation detection, intervention and prevention of exposures to environmental hazards at critical periods of pregnancy (gametogenesis and pregnancy) with special attention to tobacco. The working tool is the “hoja verde” Objective: The objective of this work is to identify the prevalence of tobacco at the beginning of pregnancy and in the 12th week of gestation in pregnant couples at risk in the HCU Virgen de la Arrixaca.

Descriptive study using the Green Page among 1500 pregnant couples of high risk between November, 2009 to January, 2013 conducted during the first trimester of pregnancy screenings.

Average age (years) 34.1 (females) and 36.1 (males). 87% of the woman are native of Spanish origin. At the beginning of pregnancy 34.9% of women and 45% of their partners are smokers. Intrauterine exposure to tobacco is as high as 56%. In the 12th week of gestation the percentage decreased to 17.3%. In the couples there was little change (41.5%).

Exposure to tobacco and other environmental health risk factors are elevated at the beginning of pregnancy. The approach of using ¨pregnant couple¨ in the Green Page is important for improving the overall quality of pregnancy by integrating the couple as an important part of the process. Nurses and midwives, have a privileged and strategic role in the development of tasks related to environmental health during pregnancy,. It is necessary to improve the environmental health training and preparation of nurses and midwives from the undergraduate to postgraduate levels.

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