{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:01Z","timestamp":1740126841621,"version":"3.37.3"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"10","funder":[{"DOI":"10.13039\/100000038","name":"U.S. Food and Drug Administration","doi-asserted-by":"crossref","award":["5R01 DA042484"],"award-info":[{"award-number":["5R01 DA042484"]}],"id":[{"id":"10.13039\/100000038","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>Objective\u2003Waterpipe tobacco (WPT) use is common among reproductive age patients and is often perceived as safer than cigarette use. Prior studies have shown a decrease in nausea and vomiting symptoms among pregnant women who use cigarettes, but no studies to date have examined these symptoms in pregnant women who use WPT. This study was aimed to investigate the extent of symptoms of nausea\/vomiting of pregnancy among participants who self-reported WPT use during pregnancy.<\/jats:p><jats:p>Study Design\u2003Secondary analysis of a prospective cohort study examining WPT use during pregnancy. Participants completed the Pregnancy-Unique Quantification of Emesis (PUQE) during first and third trimesters. Medical conditions were determined by medical record review. Participants were evaluated by sole WPT use versus dual\/polysubstance WPT use and frequency of WPT use.<\/jats:p><jats:p>Results\u2003Ninety-nine (100%) participants completed the PUQE questionnaire during first trimester and 82 (82.8%) completed the PUQE during third trimester. Almost all (91.9%) participants reported moderate nausea\/vomiting symptoms at both assessments. There was no difference in frequency of WPT use in pregnancy or rates of dual\/polysubstance WPT use in participants with all levels of the PUQE questionnaire. There was also no difference in rates of WPT use or PUQE scores between sole WPT users and dual\/polysubstance users. When comparing low and high WPT use, those who were in the higher frequency use group had higher waterpipe dependence scale scores (7.2 vs. 5.3, p\u2009&lt;\u20090.02). With regard to maternal medical comorbidities, the only difference between groups was that sole WPT users were more likely to have a diagnosis of asthma than dual\/polysubstance users (36.8 vs. 14.9%, p\u2009&lt;\u20090.02).<\/jats:p><jats:p>Conclusion\u2003There were no differences in symptoms of nausea and vomiting of pregnancy or medical conditions in pregnant women who use WPT with any frequency during pregnancy. However, sole WPT users had higher rates of asthma than dual\/polysubstance WPT users.<\/jats:p><jats:p>Key Points<\/jats:p>","DOI":"10.1055\/a-2024-0987","type":"journal-article","created":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T00:13:05Z","timestamp":1675296785000},"page":"1033-1039","source":"Crossref","is-referenced-by-count":0,"title":["Waterpipe Tobacco (Hookah) Use in Pregnancy: Associations with Nausea and Vomiting of Pregnancy"],"prefix":"10.1055","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9420-7456","authenticated-orcid":false,"given":"Anna R.","family":"Whelan","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Women & Infants Hospital of Rhode Island, The Warren Alpert Medical School, Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis C.","family":"Gimovsky","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Women & Infants Hospital of Rhode Island, The Warren Alpert Medical School, Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6773-1295","authenticated-orcid":false,"given":"Nancy C.","family":"Jao","sequence":"additional","affiliation":[{"name":"Department of Psychology, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika F.","family":"Werner","sequence":"additional","affiliation":[{"name":"Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Tufts Medical Center, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chrystal","family":"Vergara-Lopez","sequence":"additional","affiliation":[{"name":"Center for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island"},{"name":"Department of Psychiatry and Human Behavior, The Warren Alpert Medical School, Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura R.","family":"Stroud","sequence":"additional","affiliation":[{"name":"Center for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, Rhode Island"},{"name":"Department of Psychiatry and Human Behavior, The Warren Alpert Medical School, Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,3,7]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"e221","DOI":"10.1097\/AOG.0000000000003822","article-title":"Tobacco and nicotine cessation during pregnancy: ACOG Committee Opinion, Number 807","volume":"135","author":"Tobacco and Nicotine Cessation During Pregnancy","year":"2020","journal-title":"Obstet Gynecol"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1023\/A:1025136421230","article-title":"Demographic and psychosocial profile of smoking among pregnant women in Lebanon: public health implications","volume":"7","author":"M Chaaya","year":"2003","journal-title":"Matern Child Health J"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"e2018008","DOI":"10.4178\/epih.e2018008","article-title":"The effects of water-pipe smoking on birth weight: a population-based prospective cohort study in southern Iran","volume":"40","author":"S Nematollahi","year":"2018","journal-title":"Epidemiol Health"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1159\/000151563","article-title":"Prevalence of waterpipe smoking among rural pregnant women in Southern Iran","volume":"17","author":"A Mirahmadizadeh","year":"2008","journal-title":"Med Princ Pract"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.ypmed.2017.07.030","article-title":"Tobacco and nicotine delivery product use in a national sample of pregnant women","volume":"104","author":"A N Kurti","year":"2017","journal-title":"Prev Med"},{"issue":"07","key":"ref7","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1093\/jat\/bky029","article-title":"Analytical determination of nicotine and tar levels in various dokha and shisha tobacco products","volume":"42","author":"B Mahboub","year":"2018","journal-title":"J Anal Toxicol"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1136\/tc.10.2.181","article-title":"Comparison of the nicotine content of tobacco used in bidis and conventional cigarettes","volume":"10","author":"J L Malson","year":"2001","journal-title":"Tob Control"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"e15","DOI":"10.1097\/AOG.0000000000002456","article-title":"ACOG Practice Bulletin No. 189: nausea and vomiting of pregnancy","volume":"131","author":"Committee on Practice Bulletins-Obstetrics","year":"2018","journal-title":"Obstet Gynecol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"75","DOI":"10.4103\/ijpvm.IJPVM_430_16","article-title":"Effects of complementary medicine on nausea and vomiting in pregnancy: a systematic review","volume":"9","author":"G Ozgoli","year":"2018","journal-title":"Int J Prev Med"},{"issue":"10","key":"ref11","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1034\/j.1600-0412.2003.00307.x","article-title":"Relationship between vitamin use, smoking, and nausea and vomiting of pregnancy","volume":"82","author":"B K\u00e4ll\u00e9n","year":"2003","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"i31","DOI":"10.1136\/tobaccocontrol-2014-051908","article-title":"Health effects associated with waterpipe smoking","volume":"24","author":"Z M El-Zaatari","year":"2015","journal-title":"Tob Control"},{"issue":"S 02","key":"ref13","doi-asserted-by":"crossref","first-page":"s62","DOI":"10.1136\/tobaccocontrol-2019-054984","article-title":"Waterpipe (hookah) tobacco use in pregnancy: use, preferences and perceptions of flavours","volume":"29","author":"L Stroud","year":"2020","journal-title":"Tob Control"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"107194","DOI":"10.1016\/j.addbeh.2021.107194","article-title":"Flavored waterpipe tobacco preferences, perceptions, and use in pregnant women: a latent factor mapping approach","volume":"126","author":"L R Stroud","year":"2022","journal-title":"Addict Behav"},{"volume-title":"Timeline Followback: a technique for assessing self-reported alcohol consumption","year":"1992","author":"L C Sobell","key":"ref15"},{"volume-title":"Alcohol Timeline Followback Users' Manual","year":"1995","author":"L C Sobell","key":"ref16"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1037\/a0030992","article-title":"Reliability of the Timeline Followback for cocaine, cannabis, and cigarette use","volume":"28","author":"S M Robinson","year":"2014","journal-title":"Psychol Addict Behav"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"71.e1","DOI":"10.1016\/j.ajog.2007.05.051","article-title":"Validity of a modified Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) scoring index to assess severity of nausea and vomiting of pregnancy","volume":"198","author":"A Lacasse","year":"2008","journal-title":"Am J Obstet Gynecol"},{"issue":"01","key":"ref19","doi-asserted-by":"crossref","first-page":"1627","DOI":"10.1186\/s12889-021-11662-3","article-title":"Lebanese Waterpipe Dependence Scale (LWDS-11) validation in a sample of Lebanese adolescents","volume":"21","author":"S Hallit","year":"2021","journal-title":"BMC Public Health"},{"issue":"01","key":"ref20","doi-asserted-by":"crossref","first-page":"15","DOI":"10.3109\/00016347909154905","article-title":"Maternal alcohol and tobacco consumption and their association with nausea and vomiting during pregnancy","volume":"58","author":"R E Little","year":"1979","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1186\/s12889-015-2586-4","article-title":"A qualitative assessment of the perceived risks of electronic cigarette and hookah use in pregnancy","volume":"15","author":"M K Kahr","year":"2015","journal-title":"BMC Public Health"},{"issue":"01","key":"ref22","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1093\/ntr\/nts119","article-title":"Exposure of pregnant women to waterpipe and cigarette smoke","volume":"15","author":"M Azab","year":"2013","journal-title":"Nicotine Tob Res"},{"issue":"13","key":"ref23","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1080\/08958378.2016.1244227","article-title":"Anthropometric measurements of newborns of women who smoke waterpipe during pregnancy: a comparative retrospective design","volume":"28","author":"N A Al-Sheyab","year":"2016","journal-title":"Inhal Toxicol"},{"issue":"04","key":"ref24","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1093\/oxfordjournals.aje.a009656","article-title":"Narghile (hubble-bubble) smoking, low birth weight, and other pregnancy outcomes","volume":"148","author":"I A Nuwayhid","year":"1998","journal-title":"Am J Epidemiol"},{"issue":"03","key":"ref25","doi-asserted-by":"crossref","first-page":"37","DOI":"10.5993\/AJHB.42.3.4","article-title":"Preferences and perceptions of flavored hookah tobacco among US Women","volume":"42","author":"L AJ Scott-Sheldon","year":"2018","journal-title":"Am J Health Behav"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2024-0987.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T01:32:28Z","timestamp":1701826348000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2024-0987"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,1]]},"references-count":24,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2023,7,10]]},"published-print":{"date-parts":[[2023,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2024-0987","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"type":"print","value":"0735-1631"},{"type":"electronic","value":"1098-8785"}],"subject":[],"published-other":{"date-parts":[[2023,2,1]]},"published":{"date-parts":[[2023,2,1]]}}}