Dual use of alternative forms of cigarettes and traditional smoked tobacco in Pregnant Smokers
to assess the prevalence of concomitant use of alternative forms of tobacco and analyze tobacco smoking characteristics in pregnant women. Methods: 127 pregnant women who smoked conventional cigarettes were evaluated during prenatal care. Those signing the informed consent form responded to a specific questionnaire containing questions related to general characteristics, comorbidities, gestational history, smoking history, secondhand smoke, degree of nicotine dependence, motivation stage and
... vation stage and the prevalence of concomitant use of alternative forms of tobacco. They were separated into those who smoked conventional cigarettes only and those who smoked conventional cigarettes associated with straw cigarettes, waterpipe and/or e-cigarettes. Results: Mean age was 26.9 ± 6.6 years, most had only elementary education and belonged to economic classes C and D. Diagnosis of pulmonary disease was reported by 23.6% and cardiovascular diseases by 53.5%. Twenty-five (19.6%) smoked conventional cigarettes only and 102 also smoked alternative forms of tobacco. Those who smoked only conventional cigarettes had significantly lower smoke-load than those using alternative forms of tobacco. Those who smoked conventional cigarettes and waterpipe had higher nicotine dependence than other groups. Secondhand smoking was common (82.6%) and 59.1% were contemplative in relation to cessation. Conclusions: The prevalence of alternative tobacco forms is high and factors such as smoking during previous pregnancy, alcohol consumption during current pregnancy and high smoke-load may have contributed to the maintenance of smoking in the gestational period.