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Related Experiment Video

Updated: Dec 24, 2025

Generation of Electronic Cigarette Aerosol by a Third-Generation Machine-Vaping Device: Application to Toxicological Studies
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[CNGOF-SFT Expert Report and Guidelines for Smoking Management during Pregnancy-Short Text].

G Grangé1, I Berlin2, F Bretelle3

  • 1Maternité Port-Royal, université de Paris, AP-HP, 75014 Paris, France.

Gynecologie, Obstetrique, Fertilite & Senologie
|April 15, 2020
PubMed
Summary
This summary is machine-generated.

This review provides evidence-based guidelines for smoking cessation in pregnancy. Counseling, self-help, and health education are recommended, with nicotine replacement therapy (NRT) an option for those who fail non-medication methods.

Keywords:
Allaitement maternelBehaviorsBreastfeedingClinical trialsComportementsDeterminantsDéterminantsEpidemiologyEssais cliniquesFacteurs de risqueGrossesseInterventionsMeta-analysisMéta-analyseNicotineNicotine replacement therapyObservational studiesPost-partumPredictorsPregnancyPrédicteursReviewRevue de la littératureRevue systématiqueRisk factorsSecondhand smokeSevrage tabagiqueSmokingSmoking cessationSystematic reviewTabagismeTabagisme passiftraitement substitutif nicotiniqueÉpidémiologieÉtudes observationnelles

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Addiction Medicine

Background:

  • Smoking during pregnancy is a significant public health issue affecting numerous women and children annually in France.
  • Evidence-based guidelines are crucial for effective management and reduction of smoking cessation in pregnant populations.

Framework:

  • Systematic review of international literature from January 2003 to April 2019.
  • Inclusion of studies in French and English, classified by level of evidence (1-4) and strength of recommendation (A-C).

Implementation:

  • Non-pharmacological interventions like counseling show modest benefits for smoking cessation and birth outcomes.
  • Nicotine replacement therapy (NRT) can be prescribed by healthcare professionals for pregnant women who have not succeeded in quitting without medication.
  • Electronic cigarettes are not recommended for smoking cessation in pregnant smokers; waterpipe use is associated with decreased fetal growth and should be avoided.

Implications:

  • Healthcare professionals must be actively involved in reducing and eradicating smoking during pregnancy.
  • Postpartum relapse rates are high (up to 82% at 1 year), with breastfeeding and a smoke-free home environment being key factors for sustained abstinence.
  • Continued support and interventions are necessary to address the public health burden of smoking in pregnancy and its long-term consequences.