What do midwives need to understand/know about smoking in pregnancy?

Ebert, Lyn; Riet, Pamela van der; Fahy, Kathleen

doi:10.1016/j.wombi.2008.11.001

Cited by 21 publications

(26 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Midwifery approaches recommend a sensitive womancentred dialogue building on trust and a long-term relationship (Ebert, Van Der Riet & Fahy, 2009). A full smoking and cessation history should be taken.…”

Section: Screening the Patientmentioning

confidence: 99%

A Pragmatic Guide for Smoking Cessation Counselling and the Initiation of Nicotine Replacement Therapy for Pregnant Aboriginal and Torres Strait Islander Smokers

2014

View full text Add to dashboard Cite

S moking prevalence of pregnant Aboriginal and Torres Strait Islander women is quadruple that of pregnant women in the Australian population, and is associated with significant adverse outcomes in pregnancy. While cessation is a priority, there is as yet little evidence for effective interventions. This paper provides a pragmatic approach to addressing the complexities of smoking in pregnant Aboriginal and Torres Strait Islander peoples and informs clinicians about the initiation of nicotine replacement therapy (NRT) in pregnancy. Experts agree that nicotine replacement is safer than continuing to smoke in pregnancy. Although a pharmacotherapy-free attempt is initially recommended, if abstinence is not able to be achieved in the first few days, the women should be offered an accelerated option of NRT starting with oral forms and then, if required, progressing to nicotine patch or combined oral and transdermal therapy. Support should be offered for at least 12 weeks and post-partum. Offering counselling and cessation support to partners and family is also important, as is linking the woman in with appropriate social and community support and Aboriginal specific services. As long as oral forms of NRT are not included in the Pharmaceutical Benefit Scheme for Aboriginal and Torres Strait Islander women a significant and inequitable barrier will remain.

show abstract

Section: Screening the Patientmentioning

confidence: 99%

A Pragmatic Guide for Smoking Cessation Counselling and the Initiation of Nicotine Replacement Therapy for Pregnant Aboriginal and Torres Strait Islander Smokers

2014

View full text Add to dashboard Cite

show abstract

“…Barriers to smoking cessation in pregnancy are more common amongst disadvantaged smokers, including perceptions that prenatal smoking provides a source of stress relief (Flemming, McCaughan, Angus, & Graham, 2015). Further barriers to cessation include increased nicotine metabolism during pregnancy, leading to more frequent sensations of nicotine withdrawal (Ebert, van der Riet, & Fahy, 2009), and women often experience low self-efficacy in achieving total abstinence (Tod, 2003). Services providing stop smoking support are not utilised by the majority of pregnant smokers.…”

mentioning

confidence: 99%

Are digital interventions for smoking cessation in pregnancy effective? A systematic review and meta-analysis

Griffiths

Parsons

Naughton

et al. 2018

Health Psychology Review

View full text Add to dashboard Cite

Smoking in pregnancy remains a global public health issue due to foetal health risks and potential maternal complications. The aims of this systematic review and meta-analysis were to explore: (1) whether digital interventions for pregnancy smoking cessation are effective, (2) the impact of intervention platform on smoking cessation, (3) the associations between specific Behaviour Change Techniques (BCTs) delivered within interventions and smoking cessation and (4) the association between the total number of BCTs delivered and smoking cessation. Systematic searches of 9 databases resulted in the inclusion of 12 published articles (n = 2970). The primary meta-analysis produced a sample-weighted odds ratio (OR) of 1.44 (95% CI 1.04-2.00, p = .03) in favour of digital interventions compared with comparison groups. Computer-based (OR = 3.06, 95% CI 1.28-7.33) and text-message interventions (OR = 1.59, 95% CI 1.07-2.38) were the most effective digital platform. Moderator analyses revealed seven BCTs associated with smoking cessation: information about antecedents; action planning; problem solving; goal setting (behaviour); review behaviour goals; social support (unspecified); and pros and cons. A meta-regression suggested that interventions using larger numbers of BCTs produced the greatest effects. This paper highlights the potential for digital interventions to improve rates of smoking cessation in pregnancy.

show abstract

“…Smoking and breaking the habit should be consulted at the first prenatal meeting at the latest, and the support should continue in the period after the birth as well. Healthcare interventions should not be focused only on information dealing with negatives for children; holistic health and womens' well-being and a child being part of it should also be considered (Ashford et al, 2010;Ebert et al, 2009;Hrubá, 2011).…”

Section: Kontakt / Journal Of Nursing and Social Sciences Related To mentioning

confidence: 99%

Selected indicators related to smoking incidence in pregnant women in the Czech Republic

Wilhelmová¹,

Greiffeneggová²

2019

Kontakt

View full text Add to dashboard Cite

Introduction: Both pre-conception and especially a mother's (parents') prenatal risk habits play a very significant role in the etiology of baby ontogeny abnormalities and health disorders. These abnormalities and disorders can manifest themselves immediately or in longterm latency. The behavior of future mothers is affected with their knowledge, which forms the basis of women's everyday habits. This is an expression of their health literacy and psychosocial factors. This can be positively influenced by care providers (midwives) within prenatal counseling or courses, preferably before the conception. Aim: The aim of the survey was to find out the current level of health literacy in the field of women's smoking in connection with their pregnancy, and the factors which affect it the most. Materials and methods: The questionnaire survey and evaluation of selected anthropometric parameters in women after birth in selected bed-care facilities in Bohemia and Moravia were used for the study (research). Statistical analyses was carried out by Pearson's test χ 2 (chi-square) and Anova test on significance level 0.05. Results: It was found that in spite of relatively good awareness, smoking is a widespread habit among the population of potential mothers and is connected to education level and smoking in a woman's family history. Some women (30%) quit smoking when they decide to get pregnant or during pregnancy. Some women (10%) do not give up the habit despite being aware of the risk to both mothers' and babies' health. Conclusions: It is clear that the prevention and elimination of the risk behavior of pregnant women, in our case smoking, still shows considerable insufficiencies. An important part of the effective prevention of fetal harm and future development of the child, not only in the context of prenatal care, is health literacy, which can be improved through prenatal courses and counseling led by a midwife.

show abstract

What do midwives need to understand/know about smoking in pregnancy?

Cited by 21 publications

References 51 publications

A Pragmatic Guide for Smoking Cessation Counselling and the Initiation of Nicotine Replacement Therapy for Pregnant Aboriginal and Torres Strait Islander Smokers

A Pragmatic Guide for Smoking Cessation Counselling and the Initiation of Nicotine Replacement Therapy for Pregnant Aboriginal and Torres Strait Islander Smokers

Are digital interventions for smoking cessation in pregnancy effective? A systematic review and meta-analysis

Selected indicators related to smoking incidence in pregnant women in the Czech Republic

Contact Info

Product

Resources

About