Quitting smoking in pregnancy

R A Walsh; John B Lowe; P J Hopkins

doi:10.5694/j.1326-5377.2001.tb143592.x

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Journal article

Open access

Peer reviewed

Quitting smoking in pregnancy

R A Walsh, John B Lowe and P J Hopkins

Medical Journal of Australia, Vol.175(6), pp.320-323

2001

DOI: https://doi.org/10.5694/j.1326-5377.2001.tb143592.x

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Abstract

Medical and Health Sciences

smoking

smoking cessation

pregnancy

Smoking doubles the risk of having a low-birthweight baby and significantly increases the rate of perinatal mortality and several other adverse pregnancy outcomes. The mean reduction in birthweight for babies of smoking mothers is 200 g. High quality interventions to help pregnant women quit smoking produce an absolute difference of 8.1% in validated late-pregnancy quit rates. If abstinence is not achievable, it is likely that a 50% reduction in smoking would be the minimum necessary to benefit the health of mother and baby. Healthcare providers perform poorly in antenatal interventions to stop women smoking. Midwives deliver interventions at a higher rate than doctors. The efficacy of nicotine replacement therapy has not been established in pregnancy. Currently, its use should only be considered in women smoking more than 10 cigarettes per day who have made a recent, unsuccessful attempt to quit and who are motivated to quit. Relapse prevention programs have shown little success in the postpartum period.

Details

Title: Quitting smoking in pregnancy
Authors: R A Walsh (Author) - New South Wales Cancer Council
John B Lowe (Author) - University of Queensland
P J Hopkins (Author) - King Street Medical Practice
Publication details: Medical Journal of Australia, Vol.175(6), pp.320-323
Publisher: Australasian Medical Publishing Company Pty. Ltd.
Date published: 2001
DOI: 10.5694/j.1326-5377.2001.tb143592.x
ISSN: 0025-729X; 0025-729X
Copyright note: Copyright © 2001. The Medical Journal of Australia - reproduced with permission. Walsh RA, Lowe JB, Hopkins PJ. Quitting smoking in pregnancy. Med J Aust 2001; 175 (6): 320-323.
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy
Language: English
Record Identifier: 99450377102621
Output Type: Journal article
Research Statement: false

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