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Electroencephalographic, Heart Rate, and Galvanic Skin Response Assessment for an Advertising Perception Study: Application to Antismoking Public Service Announcements
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Interventions for promoting smoking cessation during pregnancy.

Judith Lumley1, Catherine Chamberlain, Therese Dowswell

  • 1Mother and Child Health Research, La Trobe University, 324-328 Little Lonsdale Street, Melbourne, Victoria, Australia, 3000.

The Cochrane Database of Systematic Reviews
|July 10, 2009
PubMed
Summary

Smoking cessation interventions during pregnancy effectively reduce smoking rates and improve perinatal health, leading to lower instances of low birthweight and preterm birth. Implementing these programs in maternity care is crucial for maternal and infant well-being.

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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

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Published on: August 25, 2014

Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Addiction Medicine

Background:

  • Smoking in pregnancy is a significant preventable risk factor for adverse maternal and infant outcomes, including low birthweight and preterm birth.
  • Prevalence varies globally, often linked to socioeconomic factors and mental health challenges.
  • Interventions aim to mitigate these risks and improve pregnancy health.

Purpose of the Study:

  • To evaluate the impact of smoking cessation interventions during pregnancy on smoking behaviors.
  • To assess the effects of these interventions on key perinatal health outcomes.

Main Methods:

  • Systematic review of randomized controlled trials and cluster-randomized trials identified through extensive database searches and author contact.
  • Data extraction and analysis performed by two independent reviewers.
  • Subgroup analyses explored effects based on trial bias, intervention intensity, and strategy.

Main Results:

  • Interventions significantly reduced smoking in late pregnancy (RR 0.94, 95% CI 0.93 to 0.96), with an absolute reduction of 6% in women who quit.
  • Reduced rates of low birthweight (RR 0.83, 95% CI 0.73 to 0.95) and preterm birth (RR 0.86, 95% CI 0.74 to 0.98) were observed.
  • Mean birthweight increased by 53.91g (95% CI 10.44 g to 95.38 g); no significant effects on mortality or NICU admissions were found due to limited power.

Conclusions:

  • Smoking cessation interventions effectively decrease smoking in late pregnancy and improve birth outcomes like birthweight and gestational age.
  • Universal implementation of these interventions in maternity care is recommended.
  • Population-level strategies addressing smoking and social inequalities are vital for supporting pregnant women who smoke.