ENDS Pregnancy: Difference between revisions

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Added new study: Helping pregnant smokers quit: a multicentre randomised controlled trial of electronic cigarettes versus nicotine replacement therapy
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=== 2023: [https://www.journalslibrary.nihr.ac.uk/hta/AGTH6901/#/full-report Helping pregnant smokers quit: a multicentre randomised controlled trial of electronic cigarettes versus nicotine replacement therapy] ===
* Przulj D, Pesola F, Myers Smith K, McRobbie H, Coleman T, Lewis S, ''et al.'' Helping pregnant smokers quit: a multicentre randomised controlled trial of electronic cigarettes versus nicotine replacement therapy. ''Health Technol Assess'' 2023;27(13)
* Rates of adverse events and adverse birth outcomes were similar in the two study arms, apart from participants in the e-cigarette arm having fewer infants with low birthweight (<2500 g) (9.6% vs. 14.8%, risk ratio = 0.65, 95% confidence interval 0.47 to 0.90; Bayes factor = 10.3)
* At end of pregnancy, 33.8% versus 5.6% of participants were using their allocated product in the e-cigarettes versus nicotine patches arm (risk ratio = 6.01, 95% confidence interval 4.21 to 8.58). Regular use of e-cigarettes in the nicotine patches arm was more common than use of nicotine replacement products in the e-cigarette arm (17.8% vs. 2.8%).
* Only 55% of self-reported abstainers mailed back useable saliva samples. Due to this, validated sustained abstinence rates were low (6.8% vs. 4.4% in the e-cigarettes and nicotine patches arms, respectively, risk ratio = 1.55, 95% confidence interval 0.95 to 2.53; Bayes factor = 2.7). In a pre-specified sensitivity analysis that excluded abstainers using non-allocated products, the difference became significant (6.8% vs. 3.6%, risk ratio = 1.93, 95% confidence interval 1.14 to 3.26; Bayes factor = 10). Almost a third of the sample did not set a target quit date and the uptake of support calls was low, as was the initial product use.


=== 2022: [https://www.nature.com/articles/s41591-022-01808-0 Electronic cigarettes versus nicotine patches for smoking cessation in pregnancy: a randomized controlled trial] ===
=== 2022: [https://www.nature.com/articles/s41591-022-01808-0 Electronic cigarettes versus nicotine patches for smoking cessation in pregnancy: a randomized controlled trial] ===