The impact of a minimal smoking cessation intervention for pregnant women and their partners on perinatal smoking behaviour in primary health care: a real-life controlled study

Xingming Li; Jianshi Huang; Hui Zhang
January 2008
BMC Public Health;2008, Vol. 8 Issue 1, p325
Academic Journal
Background: There is a demand for strategies to promote smoking cessation in high-risk populations like smoking pregnant women and their partners. The objectives of this study were to investigate parental smoking behaviour during pregnancy after introduction of a prenatal, structured, multi-disciplinary smoking cessation programme in primary care, and to compare smoking behaviour among pregnant women in the city of Trondheim with Bergen and Norway. Methods: Sequential birth cohorts were established to evaluate the intervention programme from September 2000 to December 2004 in primary care as a part of the Prevention of Allergy among Children in Trondheim study (PACT). The primary outcome variables were self reported smoking behaviour at inclusion and six weeks postnatal. Data from the Medical Birth Registry of Norway (MBR) were used to describe smoking cessation during pregnancy in Trondheim, Bergen and Norway 1999-2004. Results: Maternal smoking prevalence at inclusion during pregnancy were 5% (CI 95% 4-6) in the intervention cohort compared to 7% (CI 95% 6-9), p = 0.03, in the control cohort. Of the prepregnancy maternal smokers 25% (CI 95% 20-31) and 32% (CI 95% 26-38), p = 0.17, were still smoking at inclusion in the intervention and control cohorts, respectively. Six weeks postnatal 72% (CI 95% 59-83) and 68% (CI 95% 57-77), p = 0.34 of the maternal smokers at inclusion still smoked. No significant difference in paternal smoking between the cohorts was found after the intervention period. Data from the MBR showed a significantly higher proportion of women who stopped smoking during pregnancy in Trondheim than in Bergen in 2003 and 2004, p = 0.03 and < 0.001, respectively. Conclusion: No impact on parental smoking behaviour between the cohorts was observed after the smoking intervention programme. Of the women who stopped smoking during pregnancy most of them stopped smoking before the intervention. However, we observed a significantly higher quitting rate in Trondheim than in Bergen in 2003 and 2004 which may have been facilitated by the supplemental attention on smoking behaviour the PACT study initiated.


Related Articles

  • Costs of a Smoking Cessation Counseling Intervention for Pregnant Women: Comparison of Three Settings. Ayadi, M. Femi; Adams, E. Kathleen; Melvin, Cathy L.; Rivera, Carole C.; Gaffney, Cecelia A.; Pike, Joanne; Rabius, Vance; Ferguson, Janice N. // Public Health Reports;Mar/Apr2006, Vol. 121 Issue 2, p120 

    Objective. Although the rate of smoking among women giving birth in the United States has declined steadily from 19.5% in 1989 to 11.4% in 2002, it still far exceeds the Healthy People 2010 goal of 1%. The objective of this study was to estimate the costs of a recommended five-step smoking...

  • AN ANALYSIS OF A HEALTHY START SMOKING CESSATION PROGRAM. Mayhew, Dionne; Perrin, Karen M.; Struchen, Wendy // American Journal of Health Studies;2002, Vol. 17 Issue 4, p186 

    Despite reports of the adverse effects, many women continue to smoke while pregnant. Consequently, smoking cessation programs are being implemented to deter maternal cigarette use. Repeated studies have been conducted to determine the most effective way to intervene with this population group....

  • Quitting early reverses smoking's effects. K. S. A. // Fit Pregnancy;Dec2011/Jan2012, Vol. 18 Issue 5, p28 

    The article informs that a study has found that women who quit smoking as soon as confirmation of pregnancy, their babies' birth weight and risk of prematurity become similar to those whose mothers never smoked.

  • A cluster randomised controlled trial of smoking cessation in pregnant women comparing interventions based on the transtheoretical (stages of change) model to standard care. Lawrence, T.; Aveyard, P.; Evans, O.; Cheng, K.K. // Tobacco Control;Jun2003, Vol. 12 Issue 2, p168 

    Objectives: To evaluate the effectiveness in helping pregnant women stop smoking of two interventions (Pro-Change for a healthy pregnancy) based on the transtheoretical model of behavior change (TTM) compared to current standard care. Design: Cluster randomised trial. Setting: Antenatal clinics...

  • Pregnancy and medical cost outcomes of a self-help prenatal smoking cessation program. Ershoff, Daniel H.; Quinn, Virginia P. // Public Health Reports;Jul/Aug90, Vol. 105 Issue 4, p340 

    Discusses the pregnancy and cost outcomes of a randomized clinical trial of a prenatal self-help smoking cessation program. Members of a health maintenance organizations as the study population; Use of printed materials distributed through mail to promote the program; Benefit-cost ratio of the...

  • Smoking behaviours among pregnant women in the Baffin Region of Nunavut. Nelson, Chantal R. M. // International Journal of Circumpolar Health;2013, Vol. 72, p1 

    The article presents a research paper on smoking among pregnant women in Nunavut, and their readiness to quit smoking.

  • What's new in Nicotine & Tobacco Research? H├ębert, Richard // Nicotine & Tobacco Research;Jan2008, Vol. 10 Issue 1, p1 

    The article discusses various reports published within the issue, including a randomized controlled trial of X-Pack kit, which is a moderately intensive smoking cessation program for young adults, and another one about pregnant women who quit smoking.

  • Clinical trials and tribulations: Lessons learned from recruiting pregnant ex-smokers for relapse prevention. Lopez, Elena N.; Simmons, Vani Nath; Quinn, Gwendolyn P.; Meade, Cathy D.; Chirikos, Thomas N.; Brandon, Thomas H. // Nicotine & Tobacco Research;Jan2008, Vol. 10 Issue 1, p87 

    The development of smoking cessation and relapse prevention interventions for pregnant and postpartum women is a public health priority. However, researchers have consistently reported substantial difficulty in recruiting this population into clinical trials. The problem is particularly acute...

  • Completeness of Maternal Smoking Status Recording during Pregnancy in United Kingdom Primary Care Data. Dhalwani, Nafeesa N.; Tata, Laila J.; Coleman, Tim; Fleming, Kate M.; Szatkowski, Lisa // PLoS ONE;Sep2013, Vol. 8 Issue 9, p1 

    Background: Given the health impacts of smoking during pregnancy and the opportunity for primary healthcare teams to encourage pregnant smokers to quit, our primary aim was to assess the completeness of gestational smoking status recording in primary care data and investigate whether...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics