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[Smoking cessation and pregnancy].

M Underner1, O Pourrat2, J Perriot3

  • 1Consultation de tabacologie, unité de recherche clinique, centre hospitalier Henri-Laborit, 86000 Poitiers, France.

Gynecologie, Obstetrique, Fertilite & Senologie
|October 17, 2017
PubMed
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Smoking during pregnancy harms mother and baby. Quitting smoking is crucial, with interventions combining behavioral support and nicotine replacement therapy, while avoiding certain medications and e-cigarettes.

Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Addiction Medicine

Background:

  • Maternal smoking during pregnancy poses significant risks to fetal development and maternal/newborn health.
  • Smoking cessation prior to or early in pregnancy is strongly recommended for optimal outcomes.
  • Caregiver support is vital for pregnant smokers attempting to quit.

Purpose of the Study:

  • To outline effective strategies for smoking cessation in pregnant women.
  • To detail recommended and contraindicated cessation aids during pregnancy and breastfeeding.
  • To address the critical issue of postpartum smoking relapse prevention.

Main Methods:

  • Comprehensive smoking cessation interventions integrating psychological support (e.g., cognitive behavioral therapy).
Keywords:
GrossesseNicotine replacement therapyPregnancySevrage tabagiqueSmokingSmoking cessationSubstituts nicotiniquesTabagisme

Related Experiment Videos

  • Utilization of nicotine replacement therapy (NRT) during pregnancy and breastfeeding, with dosage adjustment guidance.
  • Exclusion of varenicline and bupropion due to contraindications; electronic cigarettes are not advised.

    • Main Results:

    • Combined psychological support and NRT are effective for smoking cessation in pregnant individuals.
    • NRT dosage requires careful monitoring and adjustment based on individual response.
    • High rates of postpartum smoking relapse (up to 50%) necessitate targeted prevention strategies.

    Conclusions:

    • Integrated smoking cessation programs are essential for pregnant women.
    • Nicotine replacement therapy is a viable option during pregnancy and breastfeeding when managed appropriately.
    • Postpartum relapse prevention is a critical component of comprehensive smoking cessation care for mothers.