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Related Experiment Videos

Effectiveness of a pregnancy smoking cessation program.

A M O'Connor1, B L Davies, C S Dulberg

  • 1School of Nursing, Faculty of Health Sciences, University of Ottawa, Ontario, Canada.

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|September 1, 1992
PubMed
Summary

Immediate nursing interventions for smoking cessation during the first prenatal visit significantly increased cessation rates. This approach is more effective than referral-based programs for pregnant smokers.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Nursing

Background:

  • Smoking during pregnancy poses significant health risks to both mother and fetus.
  • Effective smoking cessation interventions during antenatal care are crucial for improving pregnancy outcomes.
  • Previous approaches have shown variable success rates in helping pregnant individuals quit smoking.

Purpose of the Study:

  • To compare the effectiveness of two nursing-led smoking cessation interventions during initial antenatal visits.
  • To determine the optimal timing and delivery method for smoking cessation support in pregnant smokers.

Main Methods:

  • A randomized experimental design was employed with 224 daily smokers attending a teaching hospital antenatal clinic.
  • Participants were assigned to either an immediate, individualized intervention or a group-based referral program.

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  • Smoking cessation was biochemically verified using urinary cotinine levels at multiple follow-up points.

    • Main Results:

    • The immediate intervention group achieved significantly higher smoking cessation rates compared to the referral group at all follow-up periods.
    • 93% of participants in the immediate intervention group received the counseling, while none attended the referral classes.
    • Cessation rates were notably higher at the 1-month follow-up in the immediate intervention group.

    Conclusions:

    • Smoking cessation interventions delivered immediately during the first prenatal visit are highly effective.
    • Individualized, immediate nursing support is superior to group-based referral for promoting smoking cessation in pregnant women.
    • Integrating cessation support early in antenatal care is essential for successful outcomes.