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Related Experiment Video

Updated: Jun 8, 2026

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

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Published on: August 25, 2014

Weight concerns, mood, and postpartum smoking relapse.

Michele D Levine1, Marsha D Marcus, Melissa A Kalarchian

  • 1Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. Levinem@upmc.edu

American Journal of Preventive Medicine
|September 15, 2010
PubMed
Summary

Postpartum smoking relapse is common, with 65% of women resuming smoking within 24 weeks. Addressing weight concerns and mood is crucial for sustained smoking cessation after childbirth.

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Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
06:39

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Published on: June 13, 2021

Area of Science:

  • Reproductive Health
  • Addiction Medicine
  • Psychology

Background:

  • Most women who quit smoking for pregnancy resume postpartum.
  • Depressive symptoms, stress, and weight concerns are linked to postpartum smoking relapse.

Purpose of the Study:

  • To prospectively examine the connection between mood, weight concerns, and postpartum smoking relapse.
  • To identify factors influencing smoking cessation maintenance after pregnancy.

Main Methods:

  • 183 pregnant women who quit smoking were assessed for mood and weight concerns during pregnancy and up to 24 weeks postpartum.
  • Smoking status was verified using biochemical measures (carbon monoxide, cotinine).
  • Cox regression analyses with time-dependent covariates were used.

Main Results:

  • 65% of women relapsed to smoking by 24 weeks postpartum.
  • Increased weight concerns significantly raised relapse risk.
  • Higher positive affect and self-efficacy for weight management without smoking reduced relapse risk.

Conclusions:

  • Weight concerns and positive affect are key predictors of postpartum smoking relapse.
  • Weight concerns remain significant even when accounting for other relapse factors.
  • Interventions should target women's weight concerns and mood to support sustained smoking abstinence post-childbirth.