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Preconception and Prenatal Smoking among Maine Women: Defining Risk and Determining the Impact of Efforts by Care Providers to Promote Cessation

Published online by Cambridge University Press:  28 June 2017

David E. Harris ,
AbouEl-Makarim A. Aboueissa ,
Cheryl Sarton  and
Nancy Baugh
David E. Harris*
Affiliation:
School of Nursing, University of Southern Maine, Portland, Maine
AbouEl-Makarim A. Aboueissa
Affiliation:
Department of Mathematics and Statistics, University of Southern Maine, Portland, Maine
Cheryl Sarton
Affiliation:
School of Nursing, University of Southern Maine, Portland, Maine
Nancy Baugh
Affiliation:
College of Graduate & Professional Studies, Franklin Pierce University, Rindge, New Hampshire
*
Address for correspondence: David E. Harris, School of Nursing, University of Southern Maine, Portland, ME 04104. Email: deharris@maine.edu
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Abstract

Introduction: Smoking before and during pregnancy is a risk for women and their babies, but encouraging tobacco abstinence challenges practitioners.

Aims: We define correlates of tobacco use around pregnancy and determine the impact of providers’ efforts to encourage abstinence.

Methods: We analysed responses (2000 – 2010) from the Pregnancy Risk Assessment Monitoring System questionnaire for Maine, United States, a state with higher than average smoking rates. We performed multivariable logistic regression analysis with demographic and behavioural independent variables, and smoking in the last 3 months before and in the last 3 months of pregnancy as dependent variables.

Results: Of 12,409 questionnaire responders, 32% smoked before pregnancy; 60.5% of these women continued during pregnancy. Women were more likely to smoke before pregnancy and to continue during pregnancy if they had a previous birth, were unmarried, had ≤ a high school education, or had a household income ≤ $20,000/year. Pre-pregnancy smokers were more likely to continue smoking during pregnancy if their gestational weight gain was less than recommended and, surprisingly, if they recalled a provider discussion about smoking cessation.

Conclusions: We identify women at risk for smoking before and during pregnancy and demonstrate that current tobacco abstinence interventions by providers may not always be effective.

Type
Protocol
Information
Journal of Smoking Cessation , Volume 13 , Issue 2 , June 2018 , pp. 87 - 91
Copyright
Copyright © The Author(s) 2017 

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References

American College of Nurse-Midwives (2014). Recommendations to help pregnant women stop smoking. Retrieved from http://www.midwife.org/acnm/files/ccLibraryFiles/Filename/000000004521/CDC-SC-For-Clinicians-Recs-To-Stop-Preg-Smoking-101314.pdf.Google Scholar
American College of Obstetricians & Gynecologists (2011). Smoking cessation during pregnancy: A clinician's guide to helping pregnant women quit smoking. Retrieved from https://www.acog.org/-/media/Departments/Tobacco-Alcohol-and-Substance-Abuse/SCDP.pdf?dmc=1&ts=20160311T1242133903.Google Scholar
Banderali, G. et al. (2015). Short and long term health effects of parental tobacco smoking during pregnancy and lactation: A descriptive review. Journal of Translational Medicine, 13, 327.Google Scholar
Barger, M., Faucher, M. A., & Murp, P. A. (2015). The centering pregnancy model of group prenatal care. Journal of Midwifery Women's Health, 60 (2), 211–213.Google Scholar
Centers for Disease Control (2016). What is PRAMS? Retrieved from http://www.cdc.gov/prams/.Google Scholar
DeCesare, J. Z., & Jackson, J. R. (2015). Centering pregnancy: Practical tips for your practice. Archives of Gynecology and Obstetrics, 291, 499–507.Google Scholar
Ebert, L. M., & Fahy, K. (2007). Why do women continue to smoke in pregnancy? Women Birth, 20, 161–168.CrossRefGoogle ScholarPubMed
Favaretto, A. L. et al. (2007). Prenatal weight gain following smoking cessation. European Journal of Obstetrics & Gynecology and Reproductive Biology, 135, 149–153.CrossRefGoogle ScholarPubMed
Fiore, M. C. et al. (2008). Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: U.S. Department of Health and Human Services (Public Health Service).Google Scholar
Harris, D. E., Aboueissa, A.-M., Baugh, N., & Sarton, C. (2015). Impact of rurality on maternal and infant health indicators and outcomes in Maine. Rural and Remote Health, 15, 3278. Retrieved from http://www.rrh.org.au/articles/showarticlenew.asp?ArticleID=3278.Google Scholar
Harris, D. E., Aboueissa, A.-M., Baugh, N., Sarton, C., & Lichter, E. (2014). 11-Year Trends in Pregnancy-Related Health Indicators in Maine – 2000–2010. Journal of Pregnancy. Article ID 780626, 11 p., doi: 10.1155/2014/780626.Google Scholar
Healthy People 2020 (2014). Topics and objectives: Maternal, infant, and child health. Retrieved from http://www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child-health/objectives.Google Scholar
Institute of Medicine (2009). Weight gain during pregnancy: Reexamining the guidelines. Institute of Medicine of the National Academies. Retrieved from https://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2009/Weight-Gain-During-Pregnancy-Reexamining-the-Guidelines/Report%20Brief%20-%20Weight%20Gain%20During%20Pregnancy.pdf.Google Scholar
Lemola, S., Meyer-Leu, Y., Samochowiec, J., & Grob, A. (2013). Control beliefs are related to smoking prevention in prenatal care. Journal of Evaluation in Clinical Practice, 19, 948–952.Google Scholar
Magriples, U. et al. (2015). The impact of group prenatal care on pregnancy and postpartum weight trajectories. American Journal of Obstetrics and Gynecology, 213, 688.e1–688.e9.Google Scholar
Maine Center for Disease Control and Prevention (2013). Pregnancy Risk Assessment Monitoring System (PRAMS). Retrieved from http://www.maine.gov/dhhs/mecdc/public-health-systems/data-research/prams/index.shtml.Google Scholar
Marufu, T. C., Ahankari, A., Coleman, T., & Lewis, S. (2015). Maternal smoking and the risk of still birth: Systematic review and meta-analysis. BMC Public Health, 15, 239.Google Scholar
McLeod, D. et al. (2003). The midwife's role in facilitating smoking behaviour change during pregnancy. Midwifery, 19, 285–297.Google Scholar
Mund, M., Louwen, F., Klingelhoefer, D., & Gerber, A. (2013). Smoking and pregnancy—A review on the first major environmental risk factor of the unborn. International Journal of Environmental Research and Public Health, 10, 6485– 6499.CrossRefGoogle ScholarPubMed
Panjari, M., Bell, R. J., Asbury, J., Bishop, S. M., & Rice, G. E. (1997). Women who spontaneously quit smoking in early pregnancy. Australian and New Zealand Journal of Obstetrics and Gynaecology, 37 (3), 271–278.Google Scholar
Price, J., Jordan, T., & Dake, J. (2006). Perceptions and use of smoking cessation in Nurse-Midwives’ practice. Journal of Midwifery & Women's Health, 51, 208–215.CrossRefGoogle ScholarPubMed
Quinn, V., Mullen, P., & Ereshoff, D. (1991). Women who stop smoking spontaneously prior to prenatal care and predictors of relapse before delivery. Addictive Behaviors, 16, 29–40.Google Scholar
Schneider, S., Huy, K., Schutz, J., & Diehl, K. (2010). Smoking cessation during pregnancy: A systematic literature review. Drug and Alcohol Review, 29, 81–90.Google Scholar
Thyrian, J., Hannover, W., Roske, K., Scherbarth, S., Hapke, U., & John, U. (2006). Midwives’ attitudes to counselling women about their smoking behaviour during pregnancy and postpartum. Midwifery, 22, 32–39.Google Scholar
Tong, V. T. et al. (2013). Trends in smoking before, during, and after pregnancy – Pregnancy Risk Assessment Monitoring System, United States, 40 sites, 2000–2010. MMWR, 62 (6), 1–7.Google Scholar
Williams, L., Zapata, L. B., D'Angelo, D. V., Harrison, L., & Morrow, B. (2012). Associations between preconception counseling and maternal behaviors before and during pregnancy. Maternal and Child Health Journal, 16, 1854– 1861.CrossRefGoogle ScholarPubMed