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[Smoking cessation and pregnancy].

A M Møller1, H Tønnesen

  • 1H:S Bispebjerg Hospital, anaestesiologisk afdeling R. AM02@bbh.hosp.dk

Ugeskrift for Laeger
|September 18, 1999
PubMed
Summary

Smoking cessation programs during pregnancy significantly reduce smoking rates. These interventions also lead to improved fetal health outcomes, including increased birthweight and reduced low birthweight and preterm birth rates.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Addiction Medicine

Context:

  • Maternal smoking during pregnancy poses significant risks to fetal development and infant health.
  • Effective interventions are crucial to support pregnant individuals in quitting smoking.

Purpose:

  • To evaluate the efficacy of smoking cessation programs implemented during pregnancy.
  • To determine the impact of these programs on maternal, fetal, and infant health outcomes.

Summary:

  • Meta-analysis of 40 trials (over 9,000 women) showed smoking cessation programs significantly reduced smoking in late pregnancy (OR = 0.51).
  • Interventions included information, counseling, and behavioral strategies.
  • Subgroup analyses confirmed effectiveness across various intervention intensities and quality scores.
  • Fetal outcomes improved with a reduction in low birthweight (OR = 0.80) and a significant increase in mean birthweight (+41g).

Impact:

  • Smoking cessation programs are effective in helping pregnant individuals quit smoking.
  • These programs contribute to better fetal growth and a reduction in adverse birth outcomes.
  • Findings support the integration of smoking cessation support into routine antenatal care.

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