Related Experiment Videos
A nurse-managed smoking cessation intervention during pregnancy
C Gebauer1, C Y Kwo, E F Haynes
1Ohio State University Hospital Clinics, Columbus, USA.
Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|February 25, 1998
Summary
A nurse-led smoking cessation program significantly improved quit rates in pregnant smokers. This intervention, including telephone support, was particularly effective for African American participants.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Nursing
Background:
- Smoking during pregnancy poses significant health risks to both mother and fetus.
- Effective smoking cessation interventions are crucial for improving maternal and infant outcomes.
- Identifying effective strategies for pregnant smokers is a public health priority.
Purpose of the Study:
- To assess the efficacy of a nurse-managed smoking cessation intervention for pregnant women.
- To compare cessation rates between an intervention group and a control group.
- To explore demographic factors influencing intervention success.
Main Methods:
- A prospective study involving 178 daily smokers attending a teaching hospital prenatal clinic.
- An individualized 15-minute nurse-delivered intervention with follow-up telephone contact.
- Smoking cessation assessed via self-report and validated by saliva cotinine levels.
Main Results:
- The intervention group achieved a 19% self-reported abstinence rate versus 0% in the control group.
- Cotinine-validated abstinence was 15.5% for the intervention group, compared to 0% for controls.
- African American participants showed higher cessation rates than white participants within the intervention group.
Conclusions:
- A nurse-managed smoking cessation intervention, augmented by telephone support, is effective for pregnant smokers.
- The intervention demonstrates particular promise for African American pregnant women.
- This strategy offers a viable approach to reduce smoking in pregnancy.