Smoking behavior and risk perception among the parents of infants in the neonatal intensive care unit

Bock, Beth C.; Becker, Bruce M.; Borrelli, Belinda

doi:10.1080/14622200701767795

Cited by 18 publications

(21 citation statements)

References 32 publications

(35 reference statements)

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“…Interventions by health care providers in the NICU are positively associated with increased parental understanding of the health risks of smoking to their infants and increased their motivation to quit. 31 Winickoff et al 32 have demonstrated the feasibility of implementing a strategy aimed at reducing smoking among parents during the postpartum hospitalization. Our study provides further evidence that the postpartum period is a time when mothers with a history of smoking may be responsive to encouragement and support to remain smoke free.…”

Section: Discussionmentioning

confidence: 99%

Prevention of postpartum smoking relapse in mothers of infants in the neonatal intensive care unit

et al. 2011

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Objective:Approximately 40% of women who smoke tobacco quit smoking during pregnancy, yet up to 85% relapse after delivery. Those who resume smoking often do so by 2 to 8 weeks postpartum. Smoking mothers are more than twice as likely to quit breastfeeding by 10 weeks postpartum. The hospitalization of a newborn, while stressful, is an opportunity to emphasize the importance of a smoke-free environment for babies. Supporting maternal-infant bonding may reduce maternal stress and motivate mothers to remain smoke free and continue breastfeeding. The objective of this study was to reduce postpartum smoking relapse and prolong breastfeeding duration during the first 8 weeks postpartum in mothers who quit smoking just before or during pregnancy and have newborns admitted to the Neonatal Intensive Care Unit (NICU).Study Design:This study was an Institutional Review Board-approved prospective randomized clinical trial. After informed consent, mothers of newborns admitted to the NICU were randomized to a control or intervention group. Both groups received weekly encouragement to remain smoke free and routine breastfeeding support. Mothers in the intervention group were also given enhanced support for maternal-infant bonding including information about newborn behaviors, and were encouraged to frequently hold their babies skin-to-skin.Result:More mothers were smoke free (81 vs 46%, P<0.001) and breastfeeding (86 vs 21%, P<0.001) in the intervention than in the control group at 8 weeks postpartum.Conclusion:Interventions to support mother–infant bonding during a newborn's hospitalization in the NICU are associated with reduced rates of smoking relapse and prolonged duration of breastfeeding during the first 8 weeks postpartum.

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Section: Discussionmentioning

confidence: 99%

Prevention of postpartum smoking relapse in mothers of infants in the neonatal intensive care unit

et al. 2011

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“…(14,19) A study that evaluated the knowledge that 318 parents of children treated in an ICU had regarding smoking revealed that 70% of the parents believed that smoking could affect the health of children. (20) The current level of knowledge regarding smoking can be improved by means of health promotion campaigns in schools, at health care facilities and in the mass media. (1,(21)(22)(23) The present study showed that the lack of knowledge regarding smoking is associated with a lower level of education, which shows that it is necessary to improve the access that the general population has to information.…”

Section: Discussionmentioning

confidence: 99%

Avaliação do conhecimento sobre tabagismo em pacientes internados

et al. 2010

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Objective: To identify characteristics related to smoking in hospitalized patients and to assess the knowledge that such patients have regarding the relationship between nicotine dependence and smoking-related diseases. Methods: The study included 186 patients (males, 59%; mean age, 51.3 ± 16.8 years) who were evaluated regarding demographic characteristics, diagnosis at admission, smoking history and passive smoke exposure. All of the patients completed a questionnaire regarding their knowledge of the relationship between smoking and disease. Results: Of the 186 patients, 42 (22.6%) were smokers, 64 (34.4%) were former smokers and 80 (43%) stated they were never smokers; 136 (73%) reported passive smoke exposure. In the sample as a whole, 21.5% of the patients were diagnosed with a smoking-related disease at admission, compared with 39% of those who were smokers or former smokers. The proportion of individuals who were unaware of the relationship between smoking and the cause of hospitalization was similar among current smokers and former smokers (56% and 65%, respectively). Only 19% of the current smokers believed that smoking might have affected their health, compared with 32% of the former smokers (p = 0.22). The proportion of individuals who believed that quitting smoking depends on willpower was significantly higher among former smokers and never smokers than among current smokers (64% and 53%, respectively, vs. 24%; p < 0.001 and p = 0.008). Although 96% of the patients believed that smoking causes dependence, only 60% identified smoking as a disease. Conclusions: This study shows the disconnect between the recognition of smoking as a cause of dependence and the recognition of smoking as a disease, as well as the general lack of awareness that former and current smoking constitute a risk factor for the development and progression of disease. Keywords:Smoking; Tobacco use disorder; Smoking cessation. ResumoObjetivo: Determinar características relacionadas ao tabagismo e avaliar o conhecimento sobre a relação entre dependência nicotínica e doenças relacionadas ao tabaco em pacientes internados. Métodos: Foram avaliados em 186 pacientes (59% de homens; média de idade = 51,3 ± 16,8 anos) internados em um hospital público quanto a características demográficas, diagnóstico de internação, história tabágica e tabagismo passivo. Todos os pacientes responderam um questionário sobre o conhecimento da relação tabagismo/doença. Resultados: Dos 186 pacientes, 42 (22,6%) eram fumantes, 64 (34,4%) eram ex-tabagistas e 80 (43%) referiam nunca ter fumado; 136 (73%) referiam exposição passiva ao fumo. O diagnóstico de admissão foi o de doença possivelmente relacionada ao tabaco em 21,5% dos pacientes e em 39% dos fumantes ativos e ex-fumantes. A proporção de fumantes e ex-fumantes que não conheciam a associação entre o tabagismo e a causa de internação foi similar (56% vs. 65%). Apenas 19% dos fumantes e 32% dos ex-fumantes acreditavam que o tabagismo tivesse afetado sua saúde (p = 0,22). A proporção de ex-fumantes ...

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“…46,47 A survey of parents whose infants were admitted to the neonatal intensive care unit (NICU) reported that more than 70% said smoking was only ''a little'' or ''somewhat'' harmful to their infant. 48 Clearly, there is a gap or lack of maternal knowledge on the effects of infant exposure to second-hand smoke, and there remains a chasm in efforts to educate and support these women effectively to prevent harm to their fetus and infant. This gap in infant protection often extends to the spouse or partner, who may have smoked throughout the pregnancy, yet the issue of their stopping tobacco use was never broached.…”

mentioning

confidence: 99%

“…49 While spouses and significant others are more likely to be the smoker in the household, mothers are more likely to receive nicotine-dependency treatment. 48,50,51 The American Congress of Obstetrics and Gynecologists (ACOG) recommends obstetric healthcare providers screen all patients for their smoking status and offer tobaccodependence treatment. [52][53][54] The importance of early identification of mothers in need of tobacco-dependence treatment services is underscored by the evidence that successful efforts to stop smoking initiated early in pregnancy significantly improve pregnancy-related outcomes.…”

mentioning

confidence: 99%

Protecting the Vulnerable: The Importance of Effective Parental Tobacco-Dependence Treatment During Prenatal and Newborn Care

Adams

Beem

Diener

et al. 2012

Pediatric Allergy, Immunology, and Pulmonology

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Tobacco use among pregnant women, as well as second-and third-hand smoke exposure of their infants, translates into the startling fact that more than one third of American children live with at least one parent who smokes cigarettes daily. Maternal smoking or second-hand smoke exposure during pregnancy is deleterious to the mother's health and contributes to prematurity, low birth-weight infants, and increased risk of sudden infant death syndrome (SIDS) and recurrent wheezing during the first year of life. Pregnant women who stop tobacco use during pregnancy are at high risk for postpartum relapse frequently associated with a partner who smokes tobacco, stress, poverty, and lack of social and medical support to remain tobacco free. Enhanced efforts to identify and support pregnant women who smoke, and to implement strategies to prevent exposure of their fetus and newborn to the hazards of tobacco-smoke exposure, are paramount in our public health efforts to eliminate health disparities in the United States. We discuss the critical elements of programs to assist mothers to stop smoking during pregnancy and toward family efforts to maintain a smoke-free environment for their infant.Postpartum interventions, whether in the neonatal intensive care unit (NICU), newborn nursery, or postnatal care setting, can provide assistance that women need to remain smoke free, to educate spouses or significant others and their families, and to aide in establishing goals of maintaining a tobacco smoke-free home and car. Physicians and other perinatal healthcare providers have a duty to identify pregnant women who smoke for ''meaningful use'' in the electronic medical record, and to provide advice and assistance in evidence-based smoking interventions in obstetrical care settings. Pediatricians, neonatologists, and others providing postpartum, ''normal'' nursery or NICU care have an opportunity to protect infants and young children from secondand third-hand smoke exposure by assisting their parents and family members in maintaining a tobacco-free environment to improve the health of infants, toddlers, and young children.

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Smoking behavior and risk perception among the parents of infants in the neonatal intensive care unit

Cited by 18 publications

References 32 publications

Prevention of postpartum smoking relapse in mothers of infants in the neonatal intensive care unit

Prevention of postpartum smoking relapse in mothers of infants in the neonatal intensive care unit

Avaliação do conhecimento sobre tabagismo em pacientes internados

Protecting the Vulnerable: The Importance of Effective Parental Tobacco-Dependence Treatment During Prenatal and Newborn Care

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