How does counselling compare with usual care or less intensive interventions for helping women stop smoking during pregnancy?

2017 ◽  
Keyword(s):  
Usual Care ◽  
Smoking During Pregnancy ◽  
Stop Smoking

scholarly journals Knowledge and Education as Barriers and Facilitators to Nicotine Replacement Therapy Use for Smoking Cessation in Pregnancy: A Qualitative Study with Health Care Professionals

2019 ◽  
Vol 16 (10) ◽  
pp. 1814 ◽  
Author(s):  
Ross Thomson ◽  
Lisa McDaid ◽  
Joanne Emery ◽  
Felix Naughton ◽  
Sue Cooper ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Replacement Therapy ◽  
Nicotine Replacement Therapy ◽  
Health Care Professionals ◽  
Educational Interventions ◽  
Barriers And Facilitators ◽  
Nicotine Replacement ◽  
Smoking During Pregnancy ◽  
Stop Smoking ◽  
In Pregnancy

Smoking during pregnancy is a leading cause of negative pregnancy and perinatal outcomes. While UK guidelines recommend nicotine replacement therapy (NRT) for smoking cessation during pregnancy, adherence to NRT is generally low and may partially explain why NRT appears less effective in pregnancy compared to non-pregnant smokers. This study aimed to identify and describe factors associated with NRT adherence from a health professional’s perspective. Two focus groups and one expert group were conducted with 26 professionals involved in antenatal stop smoking services and the data were analysed thematically using a template methodology. From our analyses, we extracted two main themes: (i) ‘Barriers to NRT use in pregnancy’ explores the issues of how misinformation and unrealistic expectations could discourage NRT use, while (ii) ‘Facilitators to NRT use in pregnancy’ describes the different information, and modes of delivery, that stop smoking professionals believe will encourage correct and sustained NRT use. Understanding the barriers and facilitators to improve NRT adherence may aid the development of educational interventions to encourage NRT use and improve outcomes for pregnant women wanting to stop smoking.

Empowered to stop smoking: The impact of a SDT smoking cessation intervention on economically disadvantaged whites and blacks

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 1012-1012
Author(s):  
C. D. Figueroa-Moseley ◽  
G. C. Williams ◽  
G. R. Morrow ◽  
P. Jean-Pierre ◽  
J. Carroll ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Usual Care ◽  
Self Regulation ◽  
Health Behavior Change ◽  
Quit Smoking ◽  
Stop Smoking ◽  
Treatment Conditions ◽  
Quitting Smoking ◽  
Smoking Behaviors ◽  
The Impact

1012 Background: Few studies have examined the potential influence of an empowering Self Determination Theory (SDT) intervention on reducing smoking behaviors and outcomes for Whites and Blacks. Objectives: To determine if empowerment to stop smoking is associated with smoking outcomes in Whites and Blacks, and to examine if empowerment to stop smoking improved under the SDT Intervention vs. Usual Care conditions. Methods: A longitudinal randomized trial study was conducted to examine the effect of a SDT and health behavior change intervention for tobacco cessation among adult smokers. Participants were randomized into the SDT Intervention or the Usual Care condition. The present study includes data from a sample of 821 Whites and 177 Blacks who completed anonymous surveys at 1, 6, and 18-months intervals on empowerment to stop smoking (Perceived Competence Scale, Treatment Self-Regulation Questionnaire), demographics, and smoking behaviors. Results: Stepwise logistic regressions showed that empowerment to stop smoking was associated with quitting smoking at 1, 6, and 18 month follow-up for both treatment conditions. At one month, participants in the SDT Intervention with the highest levels of empowerment were 6.3 times more likely to quit smoking as compared with those in the usual care condition who were only 3.15 times as likely to quit smoking. Similar findings were found at 6 months and at 18 months (6- month SDT Intervention Empowerment High: (OR = 8.66, 95% C.I. 4.6, 16.3); 6 month Usual Care Empowerment High: (OR = 3.10, 95% C.I. 1.4, 7.0); 18- month SDT Intervention Empowerment High: (OR = 4.10, 95% C.I. 2.2, 7.5); 18 month Usual Care Empowerment High: (OR = 3.11, 95% C.I. 1.3, 7.7). In the SDT Intervention at 6 months being Black increased successful quitting by 2.4 times. Conclusions: Findings indicate that at each time-point the SDT Intervention empowered more participants to stop smoking than usual care alone. Findings also suggest that Blacks may increase their ability to stop smoking in the SDT Intervention condition. These preliminary findings highlight the need to further investigate the possible roles of empowerment interventions in smoking cessation among Whites and Blacks, especially cancer patients. No significant financial relationships to disclose.

Effect of stop smoking during the first trimester on Low birth weight: A MCBR Study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
O Kharkova ◽  
J Odland
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Public Health Problem ◽  
First Trimester ◽  
World Health ◽  
Antenatal Visit ◽  
Smoking During Pregnancy ◽  
Stop Smoking ◽  
Quitting Smoking ◽  
Term Baby

Abstract Background Tobacco smoking is a public health problem. Even though this habit is less common among women than men in Russia, it appears to be on the increase among women aged ≥15 years. Smoking during pregnancy leads to adverse pregnancy and birth outcomes. Compared to the number of studies on maternal smoking and birth weight, the influence of stop smoking on low birth weight is not well documented. The aim of the study was to assess an effect of quitting smoking during the first trimester on low birth weight. Methods The study is based on the Murmansk County Birth registry. Women who delivered a singleton pregnancy after 37 weeks of gestation were comprised to the study (N = 44,486). Smoking information was assessed at the first antenatal visit during pregnancy and self-reported and. Low birth weight was defined in according to the World Health Organization as Mean value minus 2 standard deviations for girls and boys separately. Using logistic regressions, we adjusted for maternal age, residence, ethnicity, education, marital status, alcohol abuse, year of delivery, body mass index, pregnancy diabetes, gestational age, and excessive weight gain. Results The prevalence of low birth weight was 1.1%. This adverse birth outcome was more prevalent in women who smoked during pregnancy (2.5%) in compared to those who stopped do it during pregnancy (0.8%) or did not smoke before and during pregnancy (0.9%) (p < 0.001). Compared to non-smokers, quitting smoking during the first trimester had no significant impact on the low birth weight, even after adjustment for confounders (ORcrude = 0.97 with 95%CI 0.64-1.47 and ORadj = 0.89 with 95%CI 0.58-1.36). Conclusions We observed that women who stop smoking during the first trimester are at no greater risk of having a term baby with low birth weight. Our findings underline a continued need for actions against smoking during pregnancy. Key messages Women who stop smoking during the first trimester are at no greater risk of having a term baby with low birth weight. Our findings underline a continued need for actions against smoking during pregnancy.

scholarly journals Acceptability of a cessation intervention for pregnant smokers: a qualitative study guided by Normalization Process Theory

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Susan E. Jones ◽  
Sharon Hamilton ◽  
Ruth Bell ◽  
Vera Araújo-Soares ◽  
Martin White
Keyword(s):  
Pregnant Women ◽  
Theoretical Domains Framework ◽  
Normalization Process Theory ◽  
Process Theory ◽  
Initial Contact ◽  
Intervention Package ◽  
Smoking During Pregnancy ◽  
Stop Smoking ◽  
Pregnant Smokers ◽  
Normalization Process

Abstract Background Smoking during pregnancy has serious consequences for maternal and child health. An intervention package to embed National Institute for Health and Care Excellence guidance (babyClear©) was delivered across maternity and stop smoking services (SSS) within an English region, to support pregnant women to stop smoking. We aimed to ascertain acceptability among pregnant smokers receiving the intervention. Methods Pregnant smokers who received the intervention and participated in the study were interviewed, first at around 16 weeks of pregnancy (n = 17) and again several weeks later (n = 8) or postpartum (n = 3). Interview schedules were informed by Normalization Process Theory (NPT) and Theoretical Domains Framework; interviews were audio-recorded, transcribed and analysed thematically, using the Framework method and NPT. Findings are grouped according to the four NPT concepts. Results Coherence: Carbon monoxide monitoring appeared to make sense; women were motivated to quit by being monitored. Cognitive participation: When linked to a professional discourse of caring and concern, some women were prompted to engage with the SS message. Women were more guarded in their reaction to initial contact from the SSS; reporting attending appointments successfully, or in some cases, experiencing problems that decreased engagement and made quitting harder. Collective action: Where women continued to smoke or failed to attend SSS appointments, an extra intervention was delivered, the Risk Perception Tool (RPT), which often prompted pregnant women to act. Reflexive monitoring: Most women accepted the need for a hard-hitting approach (RPT) and, while it distressed them at the time, they claimed they were subsequently grateful for it. SSS intervention post-RPT was seen as supportive, partly because it often involved home visits. Aspects of family inclusion in babyClear© were reported as beneficial. In Trusts where women experienced services as less focused on prioritising the stop smoking message, less well integrated or reported maternity staff as less adept at delivering the RPT, women found babyClear© less acceptable overall. Conclusions The babyClear© package was acceptable to pregnant smokers interviewed during and shortly after pregnancy and, in some cases, to promote quitting. However, some contexts were more optimal than others, leading to variation in acceptability overall.

scholarly journals A orientação de enfermagem a gestantes que fazem uso de álcool e tabaco

2014 ◽  
Vol 4 (10) ◽  
pp. 5 ◽  
Author(s):  
Jander Neves dos Santos ◽  
Emili De Fátima Martins de Souza ◽  
Ana Paula de Aquino ◽  
Josiane Neves dos Santos ◽  
Daniela Maria Bissaco ◽  
...  
Keyword(s):  
Heart Failure ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Spontaneous Abortion ◽  
Smoking During Pregnancy ◽  
Stop Smoking ◽  
Body Tissues ◽  
Insuficiencia Cardiaca ◽  
Las Mujeres ◽  
Cns Anomalies

Este trabalho objetiva, através de pesquisa bibliográfica, analisar o uso e as consequências do álcool e tabaco durante a gestação. Foram utilizados artigos científicos publicados entre 2005 e 2011. O álcool é absorvido pela corrente sanguínea, afetando todos os tecidos do corpo. Estudos apontam que 30 ml/dia pode causar o abortamento espontâneo, alterações funcionais, anomalias do SNC, déficit de crescimento, prematuridade, deficiências cardíacas, SAF (síndrome alcoólica fetal), entre outras. O tabaco possui mais de 4.000 substâncias em sua composição, muitas ainda não conhecidas, mas prejudiciais ao feto. Estudos apontam que apenas 20% das mulheres gestantes param de fumar durante a gestação, as primigestas são as que abandonam o vício. Embora muitas orientações sejam feitas durante as consultas médicas no pré-natal, é de competência do enfermeiro, através de palestras, grupos de gestantes e até mesmo nas consultas de pré-natal, orientar sobre os malefícios do uso dessas substâncias.Descritores: Álcool, Tabaco, Riscos Gestacionais. The guidance of nursing the pregnant women that make use of alcohol and tobaccoAbstract: The goal of this paper is, through bibliographic research; analyze the use and consequences of alcohol and tobacco during pregnancy. For this study, we used scientific articles published between 2005 and 2011. The alcohol absorbed into the bloodstream, affects all body tissues. Studies show that 30 ml/day can cause spontaneous abortion, functional alterations, facial abnormalities, CNS anomalies, impaired growth, prematurity, heart failure, AFS, among others. The tobacco has more than 4,000 substances in their composition, many not yet known, but harmful to the fetus. Studies show that only 20% of pregnant women stop smoking during pregnancy, prim gravidae are the ones who abandon the habit. Although many guidelines are made during the visits of prenatal care, it is the competence of nurses, through lectures, pregnancy groups and even in prenatal consultations, guidance about the dangers of these substances.Descriptors: Alcohol, Tobacco, Pregnancy Risks. La orientación de enfermería las mujeres embarazadas que hacen uso del alcohol y tabacoResumen: Este artículo pretende, a través de la literatura, analizar el uso y consecuencias del alcohol y el tabaco durante el embarazo. Se utilizó artículos científicos publicados entre 2005 y 2011. El alcohol se absorbe en el torrente sanguíneo, afectando todos los tejidos del cuerpo. Los estudios muestran que 30 ml / día puede causar aborto espontáneo, los cambios funcionales, alteraciones del SNC, retraso del crecimiento, prematuridad, insuficiencia cardíaca, SAF, entre otros. El tabaco tiene más de 4.000 sustancias en su composición, muchos aún no se conoce, pero perjudicial para el feto. Los estudios muestran que sólo el 20% de las mujeres embarazadas a dejar de fumar durante el embarazo, primigravidas están abandonando el hábito. Aunque las directrices muchos se hacen durante las visitas de atención prenatal es la competencia de las enfermeras, a través de conferencias, grupos de orientación de las mujeres embarazadas e incluso en las consultas previas al parto, sobre los peligros de estas sustancias.Descriptores: Alcohol, Tabaco, Riesgos del Embarazo.

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