ASK — 1 Minute You have never smoked or have smoked fewer than 100 cigarettes in your lifetime. You stopped smoking before you found out you were pregnant and are not smoking now. You stopped smoking after you found out you were pregnant and are not smoking now. You smoke some now but have cut down since you found out you were pregnant. You smoke about the same amount now as you did before you found out you were pregnant. Which of the following statements best describes your current smoking habits? Advise Congratulate Patient
ASK — 1 Minute You do not have regular contact with anyone who smokes. You have regular contact (but do not live) with other people who smoke, but they DO NOT smoke around you. You have regular contact (but do not live) with other people who smoke, and they DO often smoke when you are around. You live with at least 1 smoker, but they DO NOT smoke when you are around. You live with at least 1 smoker, and they DO often smoke when you are around. Which of the following best describes your exposure to other people smoking? Advise Congratulate Patient
The Overwhelming Majority of These Chemicals Have Been Shown to be Carcinogenic!
Some Of The Over 4,000 Chemicals In A Cigarette
Acrolein Toxic Liquid with Cancerous Vapors Hexamine Barbecue Lighter Cadmium Rechargeable Batteries Nitrous Oxide Phenols Disinfectant Acetone Nail Polish Remover Hydrogen Cyanide Gas Chamber Poison Pyridyne Water Repellents, Bactericides, & Herbicides Propionaldehyde Chemical Disinfectant, Preservative Plastic , & Rubber Acetic Acid Vinegar Methanol Antifreeze & Rocket Fuel DDT/Dieldrin Insecticides & Bug Sprays Carbon Monoxide Car Exhaust Fumes Ammonia Floor/Toilet Cleaner Napthalene Mothballs Ethanol Alcohol Stearic Acid Candle Wax & Fireworks Arsenic Poison used in Making Insecticides Nicotine Insecticide/ Addictive Drug Formaldehyde Preserver-Body Tissue & Fabric Toluene Industrial Solvent Butane Cigarette Lighter Fluid Nitrobenzene Gasoline Additive Formic Acid Gas Used in Making Pesticides & Textiles Vinyl Chloride Makes PVC
Sample Contents: Timing of Health Benefits 1990 Surgeon General’s Report 20 minutes Blood pressure, heart rate return to normal 8 hours O 2 level returns to normal; nicotine and CO levels reduced by half 24 hours CO is eliminated from body; lungs begin to eliminate mucus, debris 48 hours Nicotine eliminated from body; taste and smell improve 72 hours Breathing is easier; bronchial tubes relax; energy levels increase 2 to 12 weeks Circulation improves 3 to 9 months Lung function increases by up to 10%; coughing, wheezing, breathing problems reduced 1 year Heart attack risk halved 10 years Lung cancer risk halved 15 years Heart attack risk same as for someone who never smoked
Sample Contents: Health Benefits for Both Mother & Child
THE BABY’S HEALTH
If She Quits While Pregnant,
Her Baby Will :
Get more oxygen.
Be protected from deadly carbon monoxide and other carcinogens
Have fewer health problems such as asthma, wheezing, colds, ear infections, etc.
Be more likely to be born at a healthy size and weight.
Cough and cry less.
Be less likely to develop chronic lifelong disabilities
Have fewer doctor visits.
Likely have fewer behavioral or attention problems later in life.
Be less likely to die of prenatal complications & SIDS .
THE PATIENT’S HEALTH
If She Quits Smoking, She Will:
Breathe easier & have more energy.
Be less likely to have a miscarriage, stillbirth or spontaneous abortion.
Decrease her chances of having a heart attack, stroke, heart disease, and lung cancer.
Be a good role model for her child.
Have fewer wrinkles.
Have clothes, a car, a home, and breath that smell better.
Summary of Tasks for TIPS Program – cont. Tennessee Intervention for Pregnant Smokers East Tennessee State University Box 70621 Johnson City, TN 37614 Office: (423) 439- 6705 Fax: (423) 439-2440 Beth Bailey, Ph.D., Program Director: [email_address] Laura K. Jones Cole, M.S., M.A., Program Coordinator: [email_address] TIPS Website: http://www.etsu.edu/tips Step 6. Contact TIPS Staff With Questions/Concerns
Windsor RA, Woodby LL, Miller TM, Hardin JM, Crawford MA, DiClemente CC. Effectiveness of Agency for Health Care Policy and Research clinical practice guidelines and patent education methods for pregnant smokers in Medicaid maternity care. Am J Obstet Gynecol, 200;1:1.