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Correlation between Abortion and Infertility among Nonsmoking Women with a History of Passive Smoking in Childhood and Adolescence

DOI: 10.1155/2014/678530

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Abstract:

The aim of this study is to evaluate the correlation of exposing to the cigarette smoke in childhood and adolescence with infertility and abortion in women. This case-control study evaluated 178 women who had been attended to at the Amir-al-Momenin Hospital in Tehran in 2012-2013. Seventy-eight women with chief complaint of abortion, infertility, and missed abortion and 100 healthy women were considered as case and control groups, respectively. The tool was a questionnaire with two parts. In the first part demographic information was gathered and in the second part the information regarding the history of passive smoking in childhood and adolescence period, abortion, and infertility was gathered. The mean age in case and control groups was 26.24 ± 3.1 and 27.3 ± 4.2 years, respectively. The mean body mass index (BMI) was 25.74 ± 1.38?Kg/m2. Abortion rates among passive smoker and nonpassive smoker patients were statistically significant ( ). Based on findings of this study, the experience of being a passive smoker in childhood and adolescence in women will increase the risk of abortion and infertility in the future, which could be the reason to encourage the society to step back from smoking cigarettes. 1. Introduction Currently, smoking is one of the most important causative factors in human death. World annual death among smokers is more than 4 million, which is predicted to reach 10 million in 2020 without interfering [1–3]. There are more than 10 million smokers in Iran, of those, 2.5% are women. Even though the cigarette consumption is higher among males, it is predicted to be equal in the near future, regarding the habitual change in society [4]. Cigarette has more than 4000 antigenic and carcinogenic factors such as cyclic aromatic benzene, cadmium, ethylbenzene, cotinine, and nicotine [5]. In some studies, it was shown that the risk of exposure to cancerous substances in passive smokers is 2.5 times more than the risk in direct smokers [6, 7]. Pregnant women are more susceptible to the injuries and smokes. There are studies in benefit of preterm birth and low birth weight, related to passive smoking [8]. The immature and low-birth-weight neonates need special care and budget, and these babies are susceptible to have anatomical and mental damage in the future [8]. Cigarette is one of the agents that have potential risk to cause abortion and infertility. Abortion means the termination of pregnancy before the fetus reaches viability. Infertility is a condition in which a woman has not become pregnant after one year of regular sexual intercourse,

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