Prenatal Smoking Cessation Counseling by Texas Obstetricians

Mullen, Patricia Dolan; Pollak, Kathryn I.; Titus, Jyothi P.; Sockrider, Marianna; Moy, Julie Graves

doi:10.1046/j.1523-536x.1998.00025.x

Cited by 35 publications

(23 citation statements)

References 24 publications

(23 reference statements)

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“…However, only 65% reported counseling most of their smokers, 51% brought the subject of smoking up at follow-up visits, 30% provided educational materials (e.g., pamphlets), and 17% referred their patients to smoking cessation programs. 19 Similar findings were noted in a study of Alabama obstetricians/gynecologists (n ϭ 130). Nearly all (93%) obstetrician/gynecologists took smoking histories from their pregnant patients, and 90% advised their pregnant smokers to quit.…”

Section: Introductionsupporting

confidence: 81%

“…Although 50% is not ideal, it is slightly higher than in other studies (44%, 43%, 29%) cited in the literature. 12,19,20 Second, as the study was limited to Ohio obstetrician/gynecologists, the results may not be generalizable to obstetrician/gynecologists in other parts of the United States. Third, the monothematic nature of the survey instrument may have sensitized some respondents to the research issue, resulting in socially desirable responses.…”

Section: Limitationsmentioning

confidence: 99%

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Best Practices for Smoking Cessation in Pregnancy: Do Obstetrician/Gynecologists Use Them in Practice?

Jordan

Dake

Price

2006

Journal of Women's Health

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Section: Introductionsupporting

confidence: 81%

Section: Limitationsmentioning

confidence: 99%

Best Practices for Smoking Cessation in Pregnancy: Do Obstetrician/Gynecologists Use Them in Practice?

Jordan

Dake

Price

2006

Journal of Women's Health

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“…Forty-four per cent of obstetrical providers would prescribe NRT to a pregnant smoker who smokes at least 20 cigarettes/day [60]. Other studies have found that between 10 and 30% of providers are providing NRT for smoking cessation during pregnancy [61,62]. If the health-care provider and patient decide to use pharmacotherapy to aid in smoking cessation, we recommend that the following factors be considered.…”

Section: Clonidinementioning

confidence: 99%

Pharmacotherapies to enhance smoking cessation during pregnancy

Oncken¹,

Kranzler

2003

Drug and Alcohol Review

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Smoking during pregnancy is a significant public health concern. Maternal smoking increases the risk of spontaneous abortion, low birth weight, premature delivery, sudden infant death syndrome and learning and behavioral problems in the offspring. Unfortunately, the majority of pregnant women do not quit smoking during pregnancy. Although pharmacotherapy may improve smoking cessation rates in pregnancy, very few studies exist that have studied the safety and efficacy of medications to treat pregnant smokers. This article reviews the available safety and efficacy data for the use in pregnancy of the five first-line therapies and two second-line therapies that are recommended for smoking cessation in non-pregnant smokers. Other promising nicotine replacement therapies are also reviewed. Ultimately, the choice whether to use pharmacotherapy for smoking cessation should be made jointly by the pregnant smoker and her health care provider. This article reviews factors that may be considered when prescribing pharmacotherapy to pregnant smokers (i.e. the role of behavioral counseling, identification of appropriate patients, potential advantages and disadvantages of each of the pharmacotherapies, proposed monitoring strategies, dose and duration and goals of treatment). More research regarding the safety and efficacy of pharmacotherapy during pregnancy is needed to define the risk/benefit profile of each medication for use in smoking cessation in pregnant women.

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“…Many have tried to quit prior to, and during, pregnancy (USDHHS, 2001). However, although most women are asked about their smoking status at the first prenatal visit, relatively few receive adequate counseling or assistance to aid them in quitting (Floyd et al, 2001;Grimley, Bellis, Raczynski, & Henning, 2001;Helwig, Swain, & Gottlieb, 1998;Mayer, Melvin, Chapin, & Root, 2002;Mullen et al, 1998;Thorndike, Rigotti, Stafford, & Singer, 1998;Zapka et al, 2000). These clinical practices persist despite the availability of evidencebased treatment and the considerable return on investment: For every $1 spent on the treatment of a pregnant smoker, $3 can be saved in neonatal costs, and up to $6 in long-term costs (Marks, Koplan, Hogue, and Dalmat, 1990;Windsor et al, 1993).…”

Section: Introductionmentioning

confidence: 99%

So near, yet so far: Tobacco dependence treatment for pregnant women

Barker¹,

Orleans²,

Halpin³

et al. 2004

CNTR

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Almost one-half million babies in the United States are born yearly to women who report smoking while pregnant. Almost all of these pregnant women have access to prenatal care, through federally financed health clinics, state and county health programs, or private providers. However, many pregnant smokers are unlikely to receive any type of counseling or assistance to help them stop smoking--despite the availability of evidence-based treatment and the considerable return on investment. This article recommends four next steps to ensure that tobacco dependence treatment is available for all pregnant women. These steps are (a). expanding Medicaid coverage for, and promotion of, effective counseling services for pregnant smokers, (b). improving health care systems by building the capacity of prenatal providers and health care systems to deliver effective treatments, (c). encouraging purchasers of private and public health benefit packages to demand coverage for, and promotion of, effective counseling services for pregnant smokers, and (d). redirecting state resources to ensure a statewide system of care for pregnant smokers. Implementation of these steps requires leadership, diligence, and action by the public health community--as well as ongoing monitoring to assess progress in improving coverage, capacity, and coordination.

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Prenatal Smoking Cessation Counseling by Texas Obstetricians

Cited by 35 publications

References 24 publications

Best Practices for Smoking Cessation in Pregnancy: Do Obstetrician/Gynecologists Use Them in Practice?

Best Practices for Smoking Cessation in Pregnancy: Do Obstetrician/Gynecologists Use Them in Practice?

Pharmacotherapies to enhance smoking cessation during pregnancy

So near, yet so far: Tobacco dependence treatment for pregnant women

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