PDF(Pubmed)
Abstract：
Tobacco use during and around pregnancy can significantly increase the risk of stillbirth, congenital disabilities, premature birth, and low-weight birth. To establish maternal tobacco prevention and cessation frameworks for primary care and dental providers and to facilitate cross-national learning, this scoping review aims: 1) to analyze the body of literature on maternal tobacco prevention and cessation frameworks, guidelines, recommendations, and strategies at the international and national level; 2) to identify common core elements; and 3) to identify gaps in the literature, and propose future initiatives and policy development directions. A systematic database search based on the JBI methodology and corresponding PRISMA-ScR guidelines will be conducted from January 2015 to August 2023. Searches in different databases will be combined with an expert survey among the members of the World Federation of Public Health Associations (WFPHA) - Oral Health, Tobacco Control, and the Women, Adolescent, and Children\'s Working Groups to evaluate the search outcomes and add maternal tobacco prevention and cessation frameworks, guidelines, recommendations, or strategies. Using a systematic review tool to support the screening, two independent reviewers will screen the titles and abstracts of all articles, in order to include the relevant ones for full-text screening, and an independent third author will resolve conflicts, if there is any discrepancy between the two independent reviewers\' search. After a full-text review, data extraction will be conducted for analysis. Descriptive analyses include the publication year, country, legal quality, and target group addressed. A narrative synthesis will describe the scope and content of the frameworks, guidelines, recommendations, and strategies. The scoping review will serve as a stepping-stone to creating a WFPHA policy resolution on tobacco prevention and cessation framework for women of childbearing age led by the WFPHA Oral Health, Tobacco Control and the Women, Adolescent, and Children\'s Working Group members. This WFPHA policy resolution \'Maternal Tobacco Cessation and Prevention Recommendations for Primary Care Providers and Dental Providers\' will be forwarded to the WFPHA General Council and the General Assembly for approval and will be disseminated to the WFPHA public health association members. Ultimately, this recommendation will be used by each national public health association to consider integrating it into their maternal health strategy.
摘要：
怀孕期间和怀孕前后的烟草使用会显著增加死产的风险，先天性残疾,早产,低体重出生。为初级保健和牙科服务提供者建立产妇预防和戒烟框架，并促进跨国学习，这篇范围界定综述的目的是：1)分析关于产妇烟草预防和戒烟框架的大量文献，指导方针,recommendations,和国际和国家层面的战略；2）确定共同的核心要素；3）确定文献中的差距，并提出未来的倡议和政策发展方向。基于JBI方法和相应的PRISMA-ScR指南的系统数据库搜索将于2015年1月至2023年8月进行。在不同数据库中进行的搜索将与世界公共卫生协会联合会（WFPHA）成员之间的专家调查相结合-口腔健康，烟草控制,和女人，青少年,和儿童工作组评估搜索结果，并增加产妇烟草预防和戒烟框架，指导方针,recommendations,或策略。使用系统的审查工具来支持筛查，两名独立审稿人将筛选所有文章的标题和摘要，为了包括全文筛选的相关内容，独立的第三作者将解决冲突，如果两个独立审阅者之间有任何差异，则进行搜索。在全文回顾之后,数据提取进行分析。描述性分析包括出版年份，国家,法律质量,并解决了目标群体。叙述性综合将描述框架的范围和内容，指导方针,recommendations,和战略。范围审查将成为WFPHA口腔健康组织领导的关于育龄妇女烟草预防和戒烟框架的政策决议的垫脚石，烟草控制和妇女，青少年,和儿童工作组成员。该WFPHA政策决议“针对初级保健提供者和牙科提供者的产妇戒烟和预防建议”将提交WFPHA总理事会和大会批准，并分发给WFPHA公共卫生协会成员。最终,每个国家公共卫生协会都将使用这一建议,考虑将其纳入其孕产妇健康战略.
