Evidence map›Paper›PMID 40249738›Full record

SynthesisActa obstetricia et gynecologica Scandinavica2025

Association between prenatal environmental tobacco smoke exposure and preterm birth: A systematic review and meta-analysis.

Tong-Tong Fu, Han-Xiao Luo, Zhi-Jing Na, Chun-Ling Xia, Ling Fan

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Acta obstetricia et gynecologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tong-Tong FuDepartment of Nursing, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.
Han-Xiao LuoDepartment of Nursing, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.
Zhi-Jing NaCenter of Reproductive Medicine, Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.
Chun-Ling XiaDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.
Ling FanDepartment of Nursing, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China.ORCID https://orcid.org/0009-0006-2658-6646

Funding

Liaoning Province Science and Technology Department 2024JH2/102500013
6 · The paper itself

Abstract

introductionThe purpose of this systematic review and meta-analysis is to evaluate the global risk of preterm birth associated with passive smoking. Specifically, the study aims to examine whether passive smoking continues to impact preterm birth rates, with particular attention to the potential effects following the implementation of stricter smoking bans in recent years. MATERIAL AND

methodsThis systematic review and meta-analysis followed PRISMA guidelines and was preregistered in PROSPERO. A comprehensive literature search was conducted in PubMed, Embase, CINAHL, and Web of Science up to February 17, 2024, using keywords related to passive smoking and preterm birth. Eligible observational studies were selected, and data were independently extracted and assessed for quality by two authors. Statistical analysis used odds ratios (ORs) and the I

resultsMeta-analysis showed a 21% increase in the odds of preterm birth in women exposed to environmental tobacco smoke (ETS) (OR, 1.21; 95% CI, 1.10-1.32) with significant heterogeneity (I

conclusionsPrenatal environmental tobacco smoke exposure significantly increases preterm birth risk. Effective public health interventions, including stringent smoke-free policies, public education, and awareness campaigns, are needed to reduce environmental tobacco smoke exposure and improve maternal and infant health outcomes.

Indexed as

Maternal ExposurePremature BirthTobacco Smoke PollutionFemaleHumansInfant, NewbornPregnancyTobacco Smoke Pollutionanti‐smoking policymeta‐analysisprenatal environmental tobacco smoke exposurepreterm birth

Identifiers

PMID40249738
PMCPMC12144600

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.