Document Detail

Smoking cessation counseling for pregnant women who smoke: scientific basis for practice for AWHONN's SUCCESS project.
MedLine Citation:
PMID:  15180192     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To review the literature addressing smoking cessation in pregnant women. To develop the project protocol for the Association of Women's Health, Obstetric and Neonatal Nurse's (AWHONN) 6th research-based practice project titled "Setting Universal Cessation Counseling, Education and Screening Standards (SUCCESS): Nursing Care of Pregnant Women Who Smoke." To evaluate the potential of systematic integration of this protocol in primary care settings in which women seek care at the preconception, pregnant, or postpartum stages.
LITERATURE SOURCES: Computerized searches in MEDLINE and CINAHL, as well as references cited in articles reviewed. Key concepts in the searches included low-birth-weight infants and effects of prenatal smoking on the infant and the effects of preconception and prenatal smoking cessation intervention on premature labor and birth weight.
LITERATURE SELECTION: Comprehensive articles, reports, and guidelines relevant to key concepts and published after 1964 with an emphasis on new findings from 1996 through 2002. Ninety-eight citations were identified as useful to this review.
LITERATURE SYNTHESIS: Tobacco use among pregnant women and children's exposure to tobacco use (secondhand smoke) are associated with pregnancy complications such as placental dysfunction (including previa or abruption), preterm labor, premature rupture of membranes, spontaneous abortions, and decreased birth weight and infant stature. Neonates and children who are exposed to secondhand smoke are at increased risk for developing otitis media, asthma, other respiratory disorders later in childhood; dying from sudden infant death syndrome; and learning disorders. The "5 A's" intervention and use of descriptive statements for smoking status assessment were synthesized into the SUCCESS project protocol for AWHONN's 6th research-based practice project.
CONCLUSIONS: The literature review generated evidence that brief, office-based assessment, client-specific tobacco counseling, skill development, and support programs serve as an effective practice guideline for clinicians. Implementation and evaluation of the guideline is under way at a total of 13 sites in the United States and Canada.
Susan A Albrecht; Judith A Maloni; Karen Kelly Thomas; Renee Jones; JoAnn Halleran; Jason Osborne
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  33     ISSN:  0884-2175     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2004 May-Jun
Date Detail:
Created Date:  2004-06-07     Completed Date:  2004-07-02     Revised Date:  2013-07-15    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  298-305     Citation Subset:  IM; N    
School of Nursing, University of Pittsburgh, PA 15261, USA.
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MeSH Terms
Evidence-Based Medicine
Infant, Newborn
Mothers* / education,  psychology
Nursing Methodology Research
Obstetrical Nursing* / standards
Pregnancy Complications / nursing*,  prevention & control
Pregnancy Outcome
Prenatal Care / methods
Primary Prevention / methods
Risk Factors
Smoking / prevention & control*
Smoking Cessation* / methods
United States

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

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