Smoking cessation during pregnancy: A systematic literature review

Schneider, Sven; Huy, Christina; Schütz, Jessica; Diehl, Katharina

doi:10.1111/j.1465-3362.2009.00098.x

Cited by 177 publications

(193 citation statements)

References 49 publications

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“…Heavy and dependent users, more common in countries with delayed parenthood, are less likely to cease use during pregnancy 104 . However, given that around 40% of pregnancies are unintended and recognition typically occurs around 6-8 weeks of gestation, pre-and periconceptional exposure is likely to be very high in countries in which substance use in adolescents is common 105,106 .…”

Section: Persistence Of Adolescent Assets and Risksmentioning

confidence: 99%

Adolescence and the next generation

Patton

Olsson

Skirbekk

et al. 2018

Nature

290

228

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Adolescent growth and social development shape the early development of offspring from preconception through to the post-partum period through distinct processes in males and females. At a time of great change in the forces shaping adolescence, including the timing of parenthood, investments in today’s adolescents, the largest cohort in human history, will yield great dividends for future generations.

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Section: Persistence Of Adolescent Assets and Risksmentioning

confidence: 99%

Adolescence and the next generation

Patton

Olsson

Skirbekk

et al. 2018

Nature

290

228

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“…Firth (penalized) logistic regression models 29 were then used to estimate ORs with 95% profile CIs 30 to compare smoking outcomes between treatment groups, adjusting for factors used to stratify the randomization via their inclusion as fixed covariates in each model (trial site, gestation at randomization). Three additional models for all seven smoking outcomes were carried out, each adjusting for one of three baseline variables associated commonly with smoking in pregnancy (heaviness of smoking, partner's smoking status and education) 31, 32, with likelihood ratio tests assessing whether these improved model prediction. Where convergence of a model could not be achieved due to low event rates within small centre sites, these centres were merged to overcome the issue.…”

Section: Methodsmentioning

confidence: 99%

Large multi-centre pilot randomized controlled trial testing a low-cost, tailored, self-help smoking cessation text message intervention for pregnant smokers (MiQuit)

et al. 2017

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AimsTo estimate the effectiveness of pregnancy smoking cessation support delivered by short message service (SMS) text message and key parameters needed to plan a definitive trial.DesignMulti‐centre, parallel‐group, single‐blinded, individual randomized controlled trial.SettingSixteen antenatal clinics in England.ParticipantsFour hundred and seven participants were randomized to the intervention (n = 203) or usual care (n = 204). Eligible women were < 25 weeks gestation, smoked at least one daily cigarette (> 5 pre‐pregnancy), were able to receive and understand English SMS texts and were not already using text‐based cessation support.InterventionAll participants received a smoking cessation leaflet; intervention participants also received a 12‐week programme of individually tailored, automated, interactive, self‐help smoking cessation text messages (MiQuit).Outcome measurementsSeven smoking outcomes, including validated continuous abstinence from 4 weeks post‐randomization until 36 weeks gestation, design parameters for a future trial and cost‐per‐quitter.FindingsUsing the validated, continuous abstinence outcome, 5.4% (11 of 203) of MiQuit participants were abstinent versus 2.0% (four of 204) of usual care participants [odds ratio (OR) = 2.7, 95% confidence interval (CI) = 0.93–9.35]. The Bayes factor for this outcome was 2.23. Completeness of follow‐up at 36 weeks gestation was similar in both groups; provision of self‐report smoking data was 64% (MiQuit) and 65% (usual care) and abstinence validation rates were 56% (MiQuit) and 61% (usual care). The incremental cost‐per‐quitter was £133.53 (95% CI = –£395.78 to 843.62).ConclusionsThere was some evidence, although not conclusive, that a text‐messaging programme may increase cessation rates in pregnant smokers when provided alongside routine NHS cessation care.

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“…Pregnant women who continued to smoke were more likely to experience conflicts with their partner [54,59] and were less likely to feel they were supported by their partner or by close relatives or friends or were less satisfied with the perceived support they received from their partner [37]. It was particularly difficult for the pregnant woman to stop smoking if her partner smoked [35]. In addition to social characteristics there was repeated evidence for the existence of mental health problems or stress among pregnant women who smoked, usually in the form of increased depression and anxiety scores [51,53,54,59,68].…”

Section: Prevalence Of Nicotine and Alcohol Consumption In Pregnancymentioning

confidence: 99%

Consequences and Possible Predictors of Health-damaging Behaviors and Mental Health Problems in Pregnancy – A Review

Ulrich

Petermann

2016

Geburtshilfe Frauenheilkd

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!In recent decades, the understanding of the short and longer term effects of health-damaging behaviors and mental health problems in pregnant women and the underlying mechanisms of these behaviors and illnesses has significantly increased. In contrast, little is known about the factors affecting individual pregnant women which contribute to health-damaging behaviors and mental illness. The aim of this paper was therefore to summarize the current state of research into the consequences of nicotine and alcohol consumption, malnutrition, excessive weight gain or obesity, and impaired mental health (depression and anxiety) during pregnancy. In addition, the characteristics of pregnant women which increase their risk of developing such behaviors or mental disorders are described. A better knowledge of these risks should make it easier for clinicians to identify cases at risk early on and put measures of support in place. A review of the literature has shown that certain characteristics of pregnant women (e.g. her relationship with her partner, a previous history of mental illness prior to pregnancy) are associated with various healthdamaging behaviors as well as with impaired mental health. Affected women often show an accumulated psychosocial stress which was already present prior to the pregnancy and which may persist even after the birth of the child. Zusammenfassung Consequences and Possible Predictors of Health-damaging Behaviors and Mental Health Problems in Pregnancy -A ReviewAuswirkungen und mögliche Prädiktoren gesundheitsschädigender Verhaltensweisen und psychischer Beeinträchtigungen in der Schwangerschaft -ein Überblick

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Smoking cessation during pregnancy: A systematic literature review

Abstract: The risk groups that can be defined based on our results are a key target population for preventive measures.

Cited by 177 publications

References 49 publications

Adolescence and the next generation

Adolescence and the next generation

Large multi-centre pilot randomized controlled trial testing a low-cost, tailored, self-help smoking cessation text message intervention for pregnant smokers (MiQuit)

Consequences and Possible Predictors of Health-damaging Behaviors and Mental Health Problems in Pregnancy – A Review

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