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Updated: May 27, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Published on: August 25, 2014

Cluster subtypes appropriate for preventing postpartum smoking relapse.

Mary Colleen Simonelli1, Wayne F Velicer

  • 1William F Connell School of Nursing, 140 Commonwealth Ave, Boston College, Chestnut Hill, MA 02467, United States. colleen.simonelli@bc.edu

Addictive Behaviors
|December 6, 2011
PubMed
Summary

Postpartum women who quit smoking during pregnancy can be categorized into four risk groups for relapse. Identifying these subgroups and considering exclusive breastfeeding can help tailor interventions to prevent postpartum smoking relapse.

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Area of Science:

  • Public Health
  • Psychology
  • Obstetrics

Background:

  • High rates of postpartum smoking relapse (60-80%) occur despite successful cessation during pregnancy.
  • Identifying predictive factors for relapse is crucial for developing effective interventions.

Purpose of the Study:

  • To examine postpartum women who quit smoking during pregnancy.
  • To identify subgroups predicting risk of postpartum smoking relapse.

Main Methods:

  • 144 postpartum women abstinent at delivery were assessed.
  • Data included Acquisition Stage of Change, Decisional Balance, and Temptations to Smoke.
  • 121 women in the acquisition-Precontemplation group were analyzed at 2 months postpartum.

Main Results:

  • Cluster analysis identified four subgroups: Most Protected, Ambivalent, Risk Denial, and High Risk.
  • Logistic regression confirmed the validity of these clusters.
  • Exclusive breastfeeding and identified clusters were significant predictors of relapse.

Conclusions:

  • Identified subgroups align with previous research on adolescents and postpartum women.
  • Cluster profiles can inform the development of tailored intervention programs for relapse prevention.