Document Detail

Mothers' reflections about infant irritability and postpartum tobacco use.
MedLine Citation:
PMID:  18307490     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Recent research has shown that most women who stop or substantially reduce cigarette smoking during pregnancy return to previous levels of tobacco use soon after delivery. The determinants of postpartum tobacco use have not been adequately identified. To address this gap, the present study examined one potential contributor to postpartum smoking, namely, unexplained infant crying and fussiness. The purpose of this study was to describe mothers' reflections about perceived infant irritability and postpartum tobacco use. METHODS: A qualitative descriptive approach was applied to the responses of low-income women who participated in a mixed methods study of smoking relapse among mothers of infants. The subset of mothers for the present study (n = 86) was composed of women who intended to be nonsmokers after delivery. Thematic content analysis was conducted of the texts from their interviews. RESULTS: Four major themes were identified with respect to perceptions of infant irritability and postpartum tobacco use: not knowing what to do, seeking renewal, seeking relief, and evaluating self. CONCLUSIONS: The reflections of the study participants suggest that the challenges of handling infant irritability often trigger thoughts of smoking or smoking behavior. Health practitioners may strengthen cessation interventions by using strategies to help mothers cope with this experience, which is unique to the first few months after delivery.
Kathleen F Gaffney; Asher E Beckwitt; Mary Ann Friesen
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Birth (Berkeley, Calif.)     Volume:  35     ISSN:  1523-536X     ISO Abbreviation:  Birth     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-29     Completed Date:  2008-03-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8302042     Medline TA:  Birth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  66-72     Citation Subset:  IM    
School of Nursing, George Mason University, Fairfax, Virginia 22030-4444, USA.
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MeSH Terms
Infant Behavior*
Infant, Newborn
Irritable Mood
Maternal Behavior*
Mother-Child Relations
Mothers / psychology*
Postpartum Period
Grant Support
1 R15 NR008208/NR/NINR NIH HHS

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