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Multimodal intervention raises smoking cessation rate during pregnancy
Hanne K Hegaard1, Hanne Kjaergaard, Lars F Møller
1Department of Obstetrics and Gynecology, Hvidovre Hospital, Copenhagen Hospital Corporation, Copenhagen University Hospital, Denmark. Hanne.Hegaard@hh.hosp.dk
Acta Obstetricia Et Gynecologica Scandinavica
|August 13, 2003
Summary
A multimodal smoking cessation intervention significantly increased quitting rates in pregnant smokers. This approach, including counseling and optional nicotine replacement therapy, proved effective in helping women stop smoking during pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Addiction Medicine
Background:
- Smoking during pregnancy poses significant health risks to both mother and fetus.
- Effective smoking cessation interventions are crucial for improving pregnancy outcomes.
- Previous interventions have shown varying degrees of success in pregnant populations.
Purpose of the Study:
- To evaluate the effectiveness of a comprehensive, multimodal smoking cessation intervention for pregnant smokers.
- To compare cessation rates in an intervention group versus a standard care group.
Main Methods:
- A prospective intervention study involving 647 pregnant smokers, randomized by birth date.
- Intervention group received counseling, program invitation, and optional nicotine replacement therapy (NRT).
- Control group received standard midwife counseling; cessation validated by cotinine levels.
Main Results:
- Self-reported cessation was 14% in the intervention group vs. 5.0% in the control group (p < 0.0001).
- Cotinine-validated cessation was 7% in the intervention group vs. 2% in the control group (p = 0.003).
- Factors associated with cessation included low caffeine intake, higher education, no passive smoking, and prior quit attempts.
Conclusions:
- A multimodal intervention significantly enhances smoking cessation rates during pregnancy.
- The intervention, integrating counseling and optional NRT, is a valuable tool for prenatal care.
- Findings support the implementation of such programs to improve maternal and infant health.