Seizing the 9-month moment: Addressing behavioral risks in prenatal patients

Herzig, Karen; Danley, Dale; Jackson, Rebecca; Petersen, Ruth; Chamberlain, Linda; Gerbert, Barbara

doi:10.1016/j.pec.2005.04.001

Cited by 36 publications

(50 citation statements)

References 65 publications

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“…113,133,[162][163][164][165][166][167][168] The synthesis identified that both the professional role of participants and the organisational context in which they worked could act as either barriers to or facilitators of an individual's ability to provide smoking cessation support to pregnant or postpartum women. Underpinning these factors was an acknowledgement that the association between maternal smoking and social disadvantage was a considerable barrier to addressing and supporting smoking cessation.…”

Section: Resultsmentioning

confidence: 99%

“…In those circumstances, promoting harm reduction (cutting down) was prominent and still practised. 162,164,165,167 There was less evidence found of promoting cutting down in the interviews we conducted with UK HPs, although some who were not trained smoking cessation advisors still regarded this as acceptable or helpful, or in some cases inevitable, particularly when dealing with women or families living in complex and disadvantaged circumstances.…”

Section: Organisational Factors Hindering Smoking Cessationmentioning

confidence: 86%

See 1 more Smart Citation

Barriers to and facilitators of smoking cessation in pregnancy and following childbirth: literature review and qualitative study

Bauld

Graham

Sinclair

et al. 2017

Health Technol Assess

111

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Background: Although many women stop smoking in pregnancy, others continue, causing harm to maternal and child health. Smoking behaviour is influenced by many factors, including the role of women's significant others (SOs) and support from health-care professionals (HPs). Objectives: To enhance understanding of the barriers to, and facilitators of, smoking cessation and the feasibility and acceptability of interventions to reach and support pregnant women to stop smoking. Design: Four parts: (1) a description of interventions in the UK for smoking cessation in pregnancy; (2) three systematic reviews (syntheses) of qualitative research of women's, SOs' and HPs' views of smoking in pregnancy using meta-ethnography (interpretative approach for combining findings); (3) semistructured interviews with pregnant women, SOs and HPs, guided by the social-ecological framework (conceptualises behaviour as an outcome of individuals' interactions with environment); and (4) identification of new/ improved interventions for future testing. Setting: Studies in reviews conducted in high-income countries. Qualitative research was conducted from October 2013 to December 2014 in two mixed urban/rural study sites: area A (Scotland) and area B (England). Participants: Thirty-eight studies (1100 pregnant women) in 42 papers, nine studies (150 partners) in 14 papers and eight studies described in nine papers (190 HPs) included in reviews. Forty-one interviews with pregnant women, 32 interviews with pregnant women's SOs and 28 individual/group interviews with 48 HPs were conducted. Main outcome measures: The perceived barriers to, and facilitators of, smoking cessation in pregnancy and the identification of potential new/modified interventions. Results: Syntheses identified smoking-related perceptions and experiences for pregnant women and SOs that were fluid and context dependent with the capacity to help or hinder smoking cessation. Themes were analysed in accordance with the social-ecological framework levels. From the analysis of the interviews, the themes that were central to cessation in pregnancy at an individual level, and that reflected the findings from the reviews, were perception of risk to baby, self-efficacy, influence of close relationships and smoking as a way of coping with stress. Overall, pregnant smokers were faced with more barriers than facilitators. At an interpersonal level, partners' emotional and practical support, willingness to change smoking behaviour and role of smoking within relationships were important. Across the review and interviews of HPs, education to enhance knowledge and confidence in delivering information about smoking in pregnancy and the centrality of the client relationship, protection of which could be a factor in downplaying risks, were important. HPs acknowledged that they could best assist by providing support and understanding, and access to effective interventions, including an opt-out referral pathway to Stop Smoking Services, routine carbon monoxide screening, behavioural s...

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Section: Resultsmentioning

confidence: 99%

Section: Organisational Factors Hindering Smoking Cessationmentioning

confidence: 86%

Barriers to and facilitators of smoking cessation in pregnancy and following childbirth: literature review and qualitative study

Bauld

Graham

Sinclair

et al. 2017

Health Technol Assess

111

View full text Add to dashboard Cite

show abstract

“…39 However, it should be emphasized that a brief intervention, in the form of counseling as a followup to screening and appropriate referral, can be offered by the primary care clinician to the majority of women who drink during pregnancy and who are unlikely to meet physiologic criteria for dependence. 40,41 It should be emphasized that identifying regular alcohol consumption and not only treating abuse and dependence but also providing education to those for whom it is not a problem behavior is an important part of preconception care.…”

Section: Should Pregnant Alcohol Users Be Reported To the Authorities?mentioning

confidence: 99%

Alcohol Use During Pregnancy: Prevalence and Impact

Bhuvaneswar¹,

Chang²,

Epstein³

et al. 2007

Prim. Care Companion J. Clin. Psychiatry

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“…Pregnant women may be especially motivated to make lifestyle changes out of concern for the health of their offspring. 4,5 Therefore, prenatal care may be an opportune time for healthcare providers to assist women in making positive lifestyle changes affecting weight, nutrition, and physical activity.…”

Section: Introductionmentioning

confidence: 99%