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. 1995 Jan 15;152(2):163–166.

Why do pregnant women smoke and can we help them quit?

G Brosky
PMCID: PMC1337570  PMID: 7820797

Abstract

As observed by Dr. Linda Dodds (see pages 185 to 190 of this issue), there has been little change in recent years in the smoking rate of about 30% among pregnant women in Nova Scotia. Women who smoke during pregnancy tend to be young, unmarried, undereducated and multiparous and tend not to go to prenatal classes. Many pregnant women find it extremely difficult to stop smoking even when they understand the risks to the fetus. Routine advice given by physicians on smoking cessation is clearly ineffective. However, informed physicians who recognize the difficulty of quitting and offer support and advice in a systematic way can help women to progress through the stages of the smoking cessation process.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Batty H. P., King H. F. The family physician and smoking in pregnancy. J Fam Pract. 1990 Mar;30(3):344–346. [PubMed] [Google Scholar]
  2. Ershoff D. H., Quinn V. P., Mullen P. D., Lairson D. R. Pregnancy and medical cost outcomes of a self-help prenatal smoking cessation program in a HMO. Public Health Rep. 1990 Jul-Aug;105(4):340–347. [PMC free article] [PubMed] [Google Scholar]
  3. Fingerhut L. A., Kleinman J. C., Kendrick J. S. Smoking before, during, and after pregnancy. Am J Public Health. 1990 May;80(5):541–544. doi: 10.2105/ajph.80.5.541. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Floyd R. L., Rimer B. K., Giovino G. A., Mullen P. D., Sullivan S. E. A review of smoking in pregnancy: effects on pregnancy outcomes and cessation efforts. Annu Rev Public Health. 1993;14:379–411. doi: 10.1146/annurev.pu.14.050193.002115. [DOI] [PubMed] [Google Scholar]
  5. Fox S. H., Brown C., Koontz A. M., Kessel S. S. Perceptions of risks of smoking and heavy drinking during pregnancy: 1985 NHIS findings. Public Health Rep. 1987 Jan-Feb;102(1):73–79. [PMC free article] [PubMed] [Google Scholar]
  6. Hebel J. R., Fox N. L., Sexton M. Dose-response of birth weight to various measures of maternal smoking during pregnancy. J Clin Epidemiol. 1988;41(5):483–489. doi: 10.1016/0895-4356(88)90050-9. [DOI] [PubMed] [Google Scholar]
  7. Hjalmarson A. I., Hahn L., Svanberg B. Stopping smoking in pregnancy: effect of a self-help manual in controlled trial. Br J Obstet Gynaecol. 1991 Mar;98(3):260–264. doi: 10.1111/j.1471-0528.1991.tb13390.x. [DOI] [PubMed] [Google Scholar]
  8. Hunter R. Physician-assisted smoking cessation: are Canada's MDs missing the boat? CMAJ. 1994 Jan 15;150(2):239–245. [PMC free article] [PubMed] [Google Scholar]
  9. Li C. Q., Windsor R. A., Perkins L., Goldenberg R. L., Lowe J. B. The impact on infant birth weight and gestational age of cotinine-validated smoking reduction during pregnancy. JAMA. 1993 Mar 24;269(12):1519–1524. [PubMed] [Google Scholar]
  10. Lumley J. Stopping smoking. Br J Obstet Gynaecol. 1987 Apr;94(4):289–292. doi: 10.1111/j.1471-0528.1987.tb03092.x. [DOI] [PubMed] [Google Scholar]
  11. Mainous A. G., 3rd, Hueston W. J. The effect of smoking cessation during pregnancy on preterm delivery and low birthweight. J Fam Pract. 1994 Mar;38(3):262–266. [PubMed] [Google Scholar]
  12. O'Campo P., Faden R. R., Brown H., Gielen A. C. The impact of pregnancy on women's prenatal and postpartum smoking behavior. Am J Prev Med. 1992 Jan-Feb;8(1):8–13. [PubMed] [Google Scholar]
  13. Pederson L. L., Lefcoe N. M. Cross-sectional analysis of variables related to cigarette smoking in late adolescence. J Drug Educ. 1985;15(3):225–240. doi: 10.2190/6UKE-PMF4-7XJM-8FHU. [DOI] [PubMed] [Google Scholar]
  14. Prochaska J. O., Goldstein M. G. Process of smoking cessation. Implications for clinicians. Clin Chest Med. 1991 Dec;12(4):727–735. [PubMed] [Google Scholar]
  15. Shipp M., Croughan-Minihane M. S., Petitti D. B., Washington A. E. Estimation of the break-even point for smoking cessation programs in pregnancy. Am J Public Health. 1992 Mar;82(3):383–390. doi: 10.2105/ajph.82.3.383. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Stewart P. J., Dunkley G. C. Smoking and health care patterns among pregnant women. CMAJ. 1985 Nov 15;133(10):989–994. [PMC free article] [PubMed] [Google Scholar]

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