Pulley 2002.
Methods | Country: USA Setting: recruited from postpartum units, intervention involved home visits Quasi‐experimental RCT |
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Participants | Postpartum mothers who smoke and breastfeed infants | |
Interventions |
Intervention: educational intervention regarding "smoking hygiene" to reduce ETS exposure of infant. Education was delivered by a nurse, and participants were given an educational pamphlet. Air purifiers were provided. Control: data collection only |
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Outcomes | Mothers completed a smoking habits questionnaire at baseline and at completion of the follow‐up period, 3 weeks later. Frequency of respiratory symptoms in the infant and hospitalisation were recorded at baseline and 3 weeks later. |
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Type of intervention | Well‐child (peripartum) | |
Notes | 8/29 dropped out after enrolment. Follow‐up period was 3 weeks. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | No information provided |
Allocation concealment (selection bias) | Unclear risk | No information provided |
Incomplete outcome data (attrition bias) All outcomes | High risk | Eight dropped out (25%), 4 from each arm ‐ very high attrition ‐ left 12 in intervention group and 9 in control group. No ITT performed |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Data collector aware to which group participants were assigned |
Other bias | High risk | Significant difference in numbers of cigarettes smoked during pregnancy between intervention (significantly higher) and control groups ‐ P = 0.26. No ITT analysis. Very small study |