
Smoking cessation in pregnancy: Intervention among heavy smokers
Author(s) -
Valbös Annelill,
Nylander Gro
Publication year - 1994
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016349409023442
Subject(s) - medicine , pregnancy , smoking cessation , randomized controlled trial , gestation , intervention (counseling) , obstetrics , physical therapy , surgery , nursing , genetics , pathology , biology
Objective . To investigate the effects of a low cost multicomponent intervention program among pregnant heavy smokers. Design . A randomized controlled experimental trial. Setting . The National Hospital, Oslo, Norway. Subjects . 104 pregnant women smoking 10 cigarettes or more daily at the time of routine ultrasound screening around the 18th week of pregnancy. Intervention . Around the 18th week of gestation the women received information about the dangers of smoking in pregnancy together with a self‐help manual. The manual was developed especially for pregnant women to aid smoking cessation during a 10 day program. A control ultrasound was performed around the 32nd week of pregnancy. Two encouraging reminders were mailed to them before and after the control ultrasound. Main outcome measures . Changes in smoking pattern were investigated at delivery time. Smoking cessation, reduction, increase and no change in smoking consumption was registered. Results . 20% stopped smoking and 65% reduced their smoking in the intervention group compared to 4% and 38% respectively in the control group. 11% in the intervention group did not change their smoking habit and 4% increased their consumption compared to 36% and 22% respectively in the control group. The differences were highly significant. Conclusion . This low cost multiple intervention model seems more effective than other intervention models investigated in Norway. The resources invested are probably within the limits of the common pregnancy health care.