Individualized smoking cessation counseling during prenatal and early postnatal care.
| Autor: | Secker-Walker RH; Office of Health Promotion Research, University of Vermont, Burlington., Solomon LJ, Flynn BS, Skelly JM, Lepage SS, Goodwin GD, Mead PB |
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| Jazyk: | angličtina |
| Zdroj: | American journal of obstetrics and gynecology [Am J Obstet Gynecol] 1994 Nov; Vol. 171 (5), pp. 1347-55. |
| DOI: | 10.1016/0002-9378(94)90159-7 |
| Abstrakt: | 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. |
| Databáze: | MEDLINE |
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