Treatment options for pregnant who smoke


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Discover the various quit smoking treatment methods available for women who smoke.

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Treatment options for pregnant who smoke

  1. 1. Treatment Options forPregnant Who Smoke By
  2. 2. Introduction• It’s no longer news that smoking during pregnancy is harmful to both mother and child. It ‘s also not news that the number of women who smoke during pregnancy is on the rise.• According to the National Partnership to Help Pregnant Smokers Quit, “12 to 20 percent of women smoke during pregnancy, putting mothers and babies at risk for complications such as premature birth, low birth weight, or miscarriage.” It goes on to say that over a thousand babies die every year in the United States of America because their mothers smoked cigarettes during pregnancy.
  3. 3. Pregnant Women Smoking on the Rise• In the same vein, a July 2009 Kids Count report reveals that the percentage of women who smoked while pregnant rose from 18.3% in 2003 to 20% in 2007. The findings were collected by the Annie E. Casey Foundation.• In yet another report, the 2008 Pregnancy Risk Assessment and Monitorin data from 29 states in the U.S. reveals that• close to 13% of women confessed to smoking during the last 3 months of pregnancy.
  4. 4. Pregnant Women Smoking on the Rise(2)• 45% of women who smoked cigarettes 3 months before pregnancy quit during pregnancy. Sadly,50% of the women who stopped smoking during pregnancy went back to cigarettes within 6 months of giving birth.• Interestingly, smoking remains the single most preventable cause of adverse pregnancy and birth outcomes in the U.S. The Western Journal of Medicine says it accounts for 20% of children born with low birth weights, 8% of premature births, and 5% of all postnatal deaths.• To make matters worse, new studies have discovered that smoking during pregnancy brings about sudden infant death syndrome (SIDS) as well as vital alterations in fetal brain and nervous system development.
  5. 5. Pregnant Women Must Quit Fast• Due to these dangers, pregnant women have to quit smoking fast. But how can they quit? What treatment options are available to them? How safe are these treatment options for mother and child?• One of the treatment options is nicotine replacement therapies but a research this year says it might no longer be effective for pregnant smokers .• The study, which appears in the March 1,2012 issue of The New England Journal of Medicine, is said to be the largest clinical trial ever to examine the use of nicotine patches during pregnancy. It reportedly found little evidence that the treatment helps pregnant women drop off cigarettes.
  6. 6. NRT not Safe for Pregnant Women• The research team, led by Tim Coleman, MD, of the University of Nottingham in the UK, concluded that standard-dose nicotine replacement therapy is not a useful strategy for helping pregnant women achieve non-smoking status. The team also mentioned that it’s not clear if nicotine replacement is totally safe for pregnant women so it shouldn’t be recommended to women who are pregnant. The study examined the efficacy and safety of nicotine patches during pregnancy.
  7. 7. Treatment Methods for Pregnant Women• One thing pregnant women should do is to get support and advice about quitting from qualified medical personnel. Evidence shows that counseling by qualified health professionals can double quit rates for pregnant women.• According to a Cochrane Summary, “interventions offered to promote smoking cessation in pregnancy are generally given individually and include cognitive behaviour and motivational interviewing; offering incentives; interventions based on stages of change; giving feedback to the mothers on fetal health status or nicotine by-products measurements; nicotine replacement therapy, bupropion or other medications.”
  8. 8. Cognitive Behaviour Therapy• Cognitive Behaviour Therapy is a psychiatric technique that combines two approaches; cognitive and behavior therapies. Generally considered a short-term form of psychotherapy,it concentrates on singling out negative thoughts and developing new ways of thinking about situations. For pregnant women who want to stop smoking, cognitive behavior therapy may be the way out. Suffice to say, behavioral therapy has been shown to be an effective stop smoking strategy and experts advise pregnant smokers to seek out quality behavioral treatments to help them kick the habit.
  9. 9. Motivational Interviewing• Motivational Interviewing is a guiding patient-centred style of counselling, fashioned to help people to resolve ambivalence about behaviour change. It was developed as a treatment for alcohol abuse, but can help smokers to make a successful quit attempt. It has evolved and been refined since its original publication as an approach to behavior change.
  10. 10. Effectiveness of Motivational Interviewing• To ascertain the effectiveness of motivational interviewing on stop smoking in pregnant women , an intervention study was conducted between December 2007 and June 2008. 38 pregnant and educated women who were smoking a minimum of one cigarette per day and had not reached their 4th month of pregnancy participated in the research at the prenatal unit of a public hospital. A total of 8 home visits was made for each participating woman with 12- to 13-day intervals between visits; 5 visits were for intervention, with 3 follow-up visits at 1-month intervals.
  11. 11. Effectiveness of Motivational Interviewing(2)• The study was hugely successful as a total of 39.5% of pregnant smokers dropped off cigarettes; a further 44.7% decreased their smoking by 60% from their starting rate. The rate of second-hand smoking before the intervention (86.8%) reduced to 55.3%.• The study concluded that similar programs by nurses and midwives working in primary health care and antenatal settings should be developed and applied.
  12. 12. Offering Incentives• Offering incentives like cash, free classes and medical insurance discounts has been successfully used by companies to prompt employees to quit smoking. Pregnant women have also warmed up to the idea according to this Cochrane Summary.• Stop smoking aids like Zyban, Chantix and NRTs were not mentioned because their safety for use by pregnant women has not been established.
  13. 13. NRTs not Safe for Pregnant Women• At present, there are few safety and efficacy studies on the use of NRT with pregnant women. In 1991, Neal L. Benowitz, MD concluded that the benefits of NRT in helping patients quit during pregnancy outweighed the risk of smoking for many patients who cannot stop after the provision of behavioral therapy. Read more about stop smoking medication for pregnant women .
  14. 14. Quit Smoking Tips for Pregnant Women• Having said the above, I want to say that pregnant smokers who want to quit should do the following:• Involve their doctors every step of the way. Their advice and support is invaluable to the quitting process. Plus, they will be on hand to handle any side effects that may arise during the quit procedure.• Stay busy and get moderate exercise to rid their mind of cravings.• Chose a “quit day” and throw out all cigarettes, lighters, and ashtrays on that date. Make sure you plan how to cope with the side effects before your “quit day” arrives.
  15. 15. Quit Smoking Tips for Pregnant Women(2)• Avoid places, events and activities connected with smoking. If your partner smokes, encourage him to quit at the same time. It will be beneficial to both of you and the baby.• Ask a friend or partner for help, and talk to them when you feel like smoking. You can also make such a friend, your accountability partner.• Each craving lasts a few minutes. Use the 5Ds – delay smoking, deep breathe, drink water, ditch stressful situations and do something else.
  16. 16. Frequently Asked Questions About Quitting When You are PregnantQ: When should I quit smoking as a pregnant woman?A: Quit the very moment you discover you are pregnant.Q: Am already four months gone, what’s the point of quitting now? The damage is already done.A: Most of the baby’s growth happens later in pregnancy, so, it is never too late to quit. For instance, if you quit today, your risk of having a low-weight or pre-term baby will be similar to that of a woman who has never smoked before. Quitting at any period during pregnancy brings down the risk of harm to your baby. However, planning to quit as early as you can means a better start to life for your baby.
  17. 17. Frequently Asked Questions AboutQuitting When You are Pregnant(2)• Q: What if I find smoking irresistible and slip while trying to quit?• A: For starters, don’t try to quit; just quit and if you slip and smoke a cigarette, don’t allow that to make you abandon your quit attempt. A slip- up is a temporary setback, not a failure.• Q: Can I use medication to quit?• A: Involve your doctor in every quitting decision you make. His advice would be invaluable at this period.
  18. 18. Conclusion• Successful quit smoking during pregnancy requires the right information and attitude. Discover how to quit permanently using the best stop smoking book of all time.• Read more about the effects of smoking during pregnancy.
  19. 19. Thanks for Reading!!!• For more incisive articles, please visit: •