OBJECTIVE: We examined the efficacy of individualized smoking cessation counseling added to obstetricians' and nurse-midwives' advice. STUDY DESIGN: In a mixed private and publicly supported prenatal clinic 600 pregnant women who smoked were randomly assigned to receive the usual advice from their obstetrician or nurse-midwife or the usual advice plus individualized smoking cessation counseling. Smoking status was measured by self-report and urinary cotinine/creatinine ratios at 36 weeks and by self-report during long-term postpartum follow-up. RESULTS:Quitting rates during pregnancy were not increased by adding individualized smoking cessation counseling to usual care. At the long-term follow-up, reported quitting rates were significantly greater among intervention group women cared for in the publicly supported clinic than among those receiving the usual care, 14.5% versus 2.5%, p < 0.01. CONCLUSION: Although adding individual smoking cessation counseling did not increase quitting rates during pregnancy, it should be considered for women in public maternity clinics because of its potential long-term effectiveness.
RCT Entities:
OBJECTIVE: We examined the efficacy of individualized smoking cessation counseling added to obstetricians' and nurse-midwives' advice. STUDY DESIGN: In a mixed private and publicly supported prenatal clinic 600 pregnant women who smoked were randomly assigned to receive the usual advice from their obstetrician or nurse-midwife or the usual advice plus individualized smoking cessation counseling. Smoking status was measured by self-report and urinary cotinine/creatinine ratios at 36 weeks and by self-report during long-term postpartum follow-up. RESULTS: Quitting rates during pregnancy were not increased by adding individualized smoking cessation counseling to usual care. At the long-term follow-up, reported quitting rates were significantly greater among intervention group women cared for in the publicly supported clinic than among those receiving the usual care, 14.5% versus 2.5%, p < 0.01. CONCLUSION: Although adding individual smoking cessation counseling did not increase quitting rates during pregnancy, it should be considered for women in public maternity clinics because of its potential long-term effectiveness.
Authors: Sarah M Wilson; Amie R Newins; Alyssa M Medenblik; Nathan A Kimbrel; Eric A Dedert; Terrell A Hicks; Lydia C Neal; Jean C Beckham; Patrick S Calhoun Journal: Womens Health Issues Date: 2018-07-27
Authors: Kathryn I Pollak; Laura J Fish; Pauline Lyna; Bercedis L Peterson; Evan R Myers; Xiaomei Gao; Geeta K Swamy; Angela Brown-Johnson; Paul Whitecar; Alicia K Bilheimer; Pamela K Pletsch Journal: Nicotine Tob Res Date: 2016-04-18 Impact factor: 4.244