A randomized evaluation of smoking cessation interventions for pregnant women at a WIC clinic.

Mayer, Joseph L.; Hawkins, Barbara A.; Todd, R. Mitchell

doi:10.2105/ajph.80.1.76

Cited by 52 publications

(20 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Reported relative risks for other complications among women who smoke at least one pack of cigarettes a day include 2.0 for placenta previa, 1.8 for abruptio placenta, and 1.6 for bleeding during pregnancy. Although lower risks are reported for women who smoke less than one pack per day, these risks are still higher than those of the same complications among nonsmokers (59).…”

Section: Major Health Effects Of Prenatal and Postnatal Smokingmentioning

confidence: 82%

“…The more successful programs reinforced the advice and counseling through printed materials, home visits, and/or telephone contacts (24,25,83,102). Risk information alone may increase cessation activity above that resulting from usual care , but the addition of components to teach cessation skills produces higher reported quit rates (59), as do materials specifically targeting the pregnant smoker (102) .…”

Section: Discussionmentioning

confidence: 99%

“…Ershoff et al reported quit rates of 28% in their earlier study of HMO clients (24) and 22.2% in their later, more rigorous trial (25). Among public prenatal and WIC clients , studies reported quit rates of 3-14% percent (48,59,102). Studies from England conducted among client populations with representation from all socioeconomic levels reported quit rates ranging from 9% to 14% (6,57).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A Review of Smoking in Pregnancy: Effects on Pregnancy Outcomes and Cessation Efforts

Floyd¹,

Rimer²,

Giovino³

et al. 1993

Annu. Rev. Public Health

243

View full text Add to dashboard Cite

Section: Major Health Effects Of Prenatal and Postnatal Smokingmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Review of Smoking in Pregnancy: Effects on Pregnancy Outcomes and Cessation Efforts

Floyd¹,

Rimer²,

Giovino³

et al. 1993

Annu. Rev. Public Health

243

View full text Add to dashboard Cite

“…Between 29% and 85% of women who get a planned intervention relapse after delivery. [5][6][7][8][9][10][11][12][13][14][15][16] Although there is much information on why and how pregnant women should quit, fewer data exist on how to prevent relapse. This article is a literature review on relapse and relapse prevention in pregnancy; we looked at existing research, current strategies, and directions for future research.…”

mentioning

confidence: 99%

Smoking Cessation in Pregnancy: A Review of Postpartum Relapse Prevention Strategies

Fang¹,

Goldstein

Butzen³

et al. 2004

The Journal of the American Board of Family Medicine

114

View full text Add to dashboard Cite

Objective: Review and examine existing research, current strategies, and directions for future research on smoking cessation relapse and relapse prevention in pregnancy and postpartum.Methods: A MEDLINE/PubMed search in 2002 and 2003 for articles containing the key words "smoking," "pregnancy," "cessation," and "cessation relapse prevention" and references of retrieved papers yielded a review of more than 500 articles. Only 14 of these addressed program-based strategies to increase cessation among pregnant women through relapse prevention programs.Conclusion: Although there is much information on the rationale and strategies for smoking cessation for pregnant women, fewer studies exist on how to prevent relapse. Throughout the past decade, tobacco use has remained the single most important modifiable cause of poor pregnancy outcome in the United States. Smoking accounts for 20% of deliveries of infants with low birth weights, 8% of preterm births, and 5% of all perinatal deaths. Smoking during pregnancy and in postpartum contributes to sudden infant death syndrome and changes in brain and nervous system development. The direct medical costs of a complicated birth for a smoker are 66% higher than for nonsmokers. 1 Relapse rates range from 70% to 85% among women who smoke but quit at some time during their pregnancy. A recent 10-year study (1987 to 1996) of 8808 pregnant women and 178,499 nonpregnant women of childbearing age indicated that the prevalence of current smoking has decreased significantly among both pregnant (16.3% to 11.8%) and nonpregnant women (26.7% to 23.6%).2 This drop in smoking over time among pregnant women was primarily caused by the overall decline in smoking initiation rates among women of childbearing age, not by an increased rate of smoking cessation related to pregnancy.Although one fifth of pregnant smokers spontaneously quit by the time of their first antenatal visit, 3 and pregnant women are half as likely as nonpregnant women to be smokers, 2 an estimated 20.4% of women smokers continue smoking throughout their pregnancies. 4 For women who do quit during pregnancy and who received a planned intervention, between 6.2% and 37.2% remained smoke-free. The range of relapse rates is broad because of the varying success of the cessation intervention strategy. Between 29% and 85% of women who get a planned intervention relapse after delivery. 5-16Although there is much information on why and how pregnant women should quit, fewer data exist on how to prevent relapse. This article is a literature review on relapse and relapse prevention in pregnancy; we looked at existing research, current strategies, and directions for future research.

show abstract

“…Several controlled studies have established the effectiveness of minimal smoking cessation interventions in prenatal clinics [2][3][4][5][6][7][8][9][10][11][12][13] and other health care delivery settings. [14][15][16][17][18] Efforts are now being advocated to promote the use and assess the effectiveness of such interventions in public health practice.…”

mentioning

confidence: 99%

The effect of a structured smoking cessation program, independent of exposure to existing interventions

et al. 2000

View full text Add to dashboard Cite

OBJECTIVES: This study assessed the effectiveness of a smoking cessation program for women in public health clinics, controlling for reported exposures to 4 common intervention components (provider advice, booklet, video segment, posters) among smokers in the control group. METHODS: After a baseline control period, 10 pair-matched clinics were randomly assigned to study groups. A total of 1042 smokers in the combined baseline and control groups and 454 smokers in the intervention group completed a preintervention questionnaire and a postintervention telephone interview 5 to 8 weeks later. Eight smoking outcomes, including quitting, were analyzed for the effect of reported exposure to intervention components, experimental program, and clinic service. RESULTS: Greater exposure to intervention components, being in the experimental program, and being seen in prenatal clinics independently improved smoking outcomes. CONCLUSIONS: The number of interventions reported by smokers in the control group ranged from none to 4 and varied across clinic services. The experimental program we tested produced better outcomes than the minimal smoking cessation interventions already existing in the control clinics, after we controlled for whether smokers were or were not exposed to these interventions.

show abstract

A randomized evaluation of smoking cessation interventions for pregnant women at a WIC clinic.

Cited by 52 publications

References 7 publications

A Review of Smoking in Pregnancy: Effects on Pregnancy Outcomes and Cessation Efforts

A Review of Smoking in Pregnancy: Effects on Pregnancy Outcomes and Cessation Efforts

Smoking Cessation in Pregnancy: A Review of Postpartum Relapse Prevention Strategies

The effect of a structured smoking cessation program, independent of exposure to existing interventions

Contact Info

Product

Resources

About