Document Detail

Pregnancy and medical cost outcomes of a self-help prenatal smoking cessation program in a HMO.
MedLine Citation:
PMID:  2116634     Owner:  NLM     Status:  MEDLINE    
The results of a randomized clinical trial of a prenatal self-help smoking cessation program are reported in terms of the pregnancy and cost outcomes. The study population were the socioeconomically and ethnically diverse members of a large health maintenance organization (HMO) who reported that they were smoking at the time of their first prenatal visit. The intervention consisted predominantly of printed materials received through the mail. Compared with the usual care control group, women assigned to the self-help program were more likely to achieve cessation for the majority of their pregnancy (22.2 percent versus 8.6 percent), gave birth to infants weighing on average 57 grams more, and were 45 percent less likely to deliver a low birth weight infant. An economic evaluation of the self-help program was conducted from the perspective of the sponsoring HMO. Based upon the expenditures associated with the neonates' initial hospital episode, the intervention had a benefit-cost ratio of 2.8:1. These findings provide strong evidence to support widespread incorporation of smoking cessation interventions as a standard component of prenatal care.
D H Ershoff; V P Quinn; P D Mullen; D R Lairson
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Public health reports (Washington, D.C. : 1974)     Volume:  105     ISSN:  0033-3549     ISO Abbreviation:  Public Health Rep     Publication Date:    1990 Jul-Aug
Date Detail:
Created Date:  1990-09-13     Completed Date:  1990-09-13     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9716844     Medline TA:  Public Health Rep     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  340-7     Citation Subset:  AIM; IM    
Maxicare Research and Educational Foundation, Los Angeles, CA 90025.
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MeSH Terms
Cost-Benefit Analysis
Health Maintenance Organizations
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Intervention Studies
Pregnancy Outcome*
Prenatal Care / economics*
Program Evaluation
Self-Help Groups*
Smoking / therapy*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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