A smoking cessation program at a public antenatal clinic.

Walsh, Raoul A.; Redman, Selina; Brinsmead, Maxwell; Byrne, Jennifer; Melmeth, A

doi:10.2105/ajph.87.7.1201

Cited by 91 publications

(102 citation statements)

References 23 publications

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“…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

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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.

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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

show abstract

“…Several studies have established the effectiveness of smoking cessation interventions in primary health care services in general [8][9][10] and in public health clinics. [11][12][13][14][15][16] Current recommendations are that minimal smoking cessation interventions be incorporated in routine primary health care and that these interventions include, as a minimum, provider advice to quit smoking and written material or other help for quitting. [17][18][19] Most health professionals are aware and approve of these recommendations and report applying them to many of their patients.…”

mentioning

confidence: 99%

Minimal smoking cessation interventions in prenatal, family planning, and well-child public health clinics

et al. 2000

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Objectives. This study assessed the prevalence and effectiveness of smoking cessation interventions for women of childbearing age in public health clinics.Methods. Smokers in prenatal, family planning, and well-child services in 10 public health clinics (n = 1021) were interviewed 5 to 8 weeks after a medical visit to assess their exposure to smoking cessation interventions and smoking cessation outcomes.Results. Depending on clinic service and intervention component (poster, video segment, provider advice, booklet), 16% to 63% of women reported exposure to an intervention component during their visit. Women in prenatal services received more interventions and had better outcomes than those in the other services.Conclusions. Exposure to more interventions increased readiness and motivation to quit and the number of actions taken toward quitting. (Am J

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“…The highest smoking rates are found among women with the lowest income and those with less than a high school education. 6,8 While researchers have demonstrated some success in prenatal smoking cessation, [9][10][11] relapse remains a problem. More than one quarter of women who quit spontaneously relapse by 6 weeks postpartum, and more than two thirds have relapsed by 6 months postpartum.…”

Section: Smoking Cessation Counseling With Pregnant and Postpartum Womentioning

confidence: 99%

Smoking cessation counseling with pregnant and postpartum women: a survey of community health center providers

Zapka

Pbert²,

Stoddard³

et al. 2000

Am J Public Health

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Objectives. This study assessed providers' performance of smoking cessation counseling steps with low-income pregnant and postpartum women receiving care at community health centers.Methods. WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) program staff, obstetric clinicians, and pediatric clinicians at 6 community health centers were asked to complete surveys. Smoking intervention practices (performance), knowledge and attitudes, and organizational facilitators were measured. Factors associated with performance were explored with analysis of variance and regression analysis.Results. Performance scores differed significantly by clinic and provider type. Providers in obstetric clinics had the highest scores and those in pediatric clinics had the lowest scores. Nurse practitioners and nutritionists had higher scores than other providers. Clinic type, greater smoking-related knowledge, older age, and perception of smoking cessation as a priority were independently related to better counseling performance.Conclusions. Mean performance scores demonstrated room for improvement in all groups. Low scores for performance of steps beyond assessment and advice indicate a need for emphasis on the assistance and follow-up steps of national guidelines. Providers' own commitment to helping mothers stop smoking was important. (Am J

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A smoking cessation program at a public antenatal clinic.

Cited by 91 publications

References 23 publications

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

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

Minimal smoking cessation interventions in prenatal, family planning, and well-child public health clinics

Smoking cessation counseling with pregnant and postpartum women: a survey of community health center providers

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