PRISMA_2020_checklist FILLED.pdf

Tobacco use in both forms – smokeless and smoked - is a major cause of preventable morbidity and mortality. It kills half of all its lifetime users (WHO, 2011) and more than 8 million people each year, out of which, 1.2 million die due to second hand smoke.Both smoked and smokeless tobacco use have deleterious effects on most major organ systems including the reproductive system. We sought to systematically conduct a review on smokeless tobacco (SLT) use and reproductive outcomes among women.