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Is smoking an indication for prenatal ultrasonography? RADIUS Study Group

M L LeFevre1, J K Evans, B Ewigman

  • 1Department of Family and Community Medicine, University of Missouri-Columbia.

Archives of Family Medicine
|February 1, 1995
PubMed
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Routine antenatal ultrasound screening did not decrease smoking rates in pregnant women with a history of smoking. The study found no difference in smoking cessation between groups, with slightly higher consumption in the screened group.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Public Health

Background:

  • Smoking during pregnancy is a significant risk factor for adverse neonatal outcomes.
  • Identifying effective interventions to reduce smoking rates in pregnant populations is crucial.

Purpose of the Study:

  • To determine if routine ultrasound screening during pregnancy impacts smoking cessation among women with a history of smoking.

Main Methods:

  • A multicenter, randomized clinical trial involving pregnant women receiving prenatal care.
  • Participants were randomized to routine ultrasound screening or screening only for medical indications.
  • Smoking habits were assessed via birth certificate records, measuring cigarettes smoked per day.

Main Results:

Related Experiment Videos

  • No significant difference in smoking cessation rates was observed between the routine ultrasound screening group and the control group.
  • Among women who continued smoking, the mean daily cigarette consumption was slightly higher in the screened group at delivery.

Conclusions:

  • Routine ultrasound screening during pregnancy is not an effective strategy for reducing smoking frequency in women with a history of smoking.
  • Further research may be needed to explore alternative or adjunct interventions for smoking cessation in this population.