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Published on: March 23, 2022
Staying smoke free: an intervention to prevent postpartum relapse
Gina M French1, Judith A Groner, Mary Ellen Wewers
1Community Pediatrics, Department of Pediatrics, University of Hawaii John Burns College of Medicine, Honolulu, HI 96820, USA. gina.french@kapiolani.org
Summary
A nurse-delivered postpartum home-visiting program significantly improved smoking abstinence rates for women who quit smoking during pregnancy. This intervention helped maintain smoke-free status at 3 and 6 months post-birth.
Area of Science:
- Public Health
- Nursing Research
- Addiction Medicine
Background:
- Postpartum smoking relapse is a significant public health concern.
- Maintaining smoking abstinence during the postpartum period is crucial for maternal and infant health.
- Targeted interventions are needed to support women who quit smoking during pregnancy.
Purpose of the Study:
- To evaluate the effectiveness of a nurse-delivered home-visiting program with a smoking relapse-prevention intervention.
- To assess the impact of the intervention on postpartum smoking abstinence rates.
- To determine the feasibility and potential replicability of the intervention.
Main Methods:
- Pilot study utilizing a prospective two-group design.
- Participants: pregnant women who quit smoking, recruited during postpartum hospitalization.
- Intervention group received a brief intervention, home visit, and phone calls; comparison group received routine care.
Main Results:
- At 3 months, 26.4% of the intervention group were abstinent versus 12.4% in the comparison group (OR=2.4).
- At 6 months, 21.5% of the intervention group were abstinent versus 10.2% in the comparison group (OR=2.5).
- Sustained abstinence at both time points was higher in the intervention group (18.2%) compared to the comparison group (5.2%).
Conclusions:
- The nurse-delivered home-visiting program with smoking relapse prevention is effective in maintaining postpartum smoke-free status.
- The intervention is brief, low-cost, and potentially replicable.
- A randomized trial is warranted to further validate these findings.
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