| The 'quit' smoker and stillbirth risk: A review of contemporary literature in the light of findings from a case-control study. | |
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MedLine Citation:
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PMID: 20833459 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: to identify existing literature which addresses the topic of detecting, assessing and intervening when a pregnant woman who has quit smoking relapses. This literature review was conducted in the light of findings of a case-control study which suggest that a quit smoking status is associated with increased risk of late stillbirth (odds ratio 3.03, 95% confidence interval 1.27-7.24, p=0.01). METHOD: a structured review was conducted to identify literature related to quitting smoking in early pregnancy, prevalence and likelihood of relapse, possible methods for detecting smoking resumption, potential intervention strategies for the relapsed smoker and the societal burden of continuing to smoke in pregnancy. FINDINGS: there is a wide variety of evidence for the effectiveness of intervention strategies aimed at assisting women to quit smoking during pregnancy. However, few studies have specifically aimed to identify strategies to assist those women who report quitting in early pregnancy to maintain that status throughout pregnancy. CONCLUSIONS: in light of the results of the case-control study and this literature review, it is important that changes are made to prenatal care in order to enable midwives to better identify women who are struggling with abstinence or who resume smoking during pregnancy. IMPLICATIONS FOR PRACTICE: midwives should discuss and monitor smoking status with women at every prenatal visit. If a midwife finds that a woman has relapsed into smoking, they can be offered a range of quit smoking intervention strategies, including referral to a dedicated cessation service, counselling support, alternative therapies and, perhaps, nicotine replacement therapy. Further research aimed at identifying the extent of relapse among these women and the impact this may have on pregnancy outcome is warranted. Research to ascertain the most appropriate interventions to prevent relapse is also needed. |
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Authors:
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Jane Warland; Helen McCutcheon |
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Publication Detail:
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Type: Journal Article Date: 2010-09-15 |
Journal Detail:
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Title: Midwifery Volume: 27 ISSN: 1532-3099 ISO Abbreviation: Midwifery Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-09-12 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8510930 Medline TA: Midwifery Country: Scotland |
Other Details:
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Languages: eng Pagination: 607-11 Citation Subset: N |
Copyright Information:
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Copyright © 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
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School of Nursing and Midwifery, University of South Australia, City East Campus, North Terrace, Adelaide 5000, Australia. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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