New mothers have a high rate of relapse back to smoking after giving birth. This can negatively impact both their own health and the health of their newborns through exposure to secondhand smoke. The presentation discusses the dangers of postpartum smoking relapse and various evidence-based strategies that can help reduce the relapse rate, including behavioral counseling, pharmacotherapy using nicotine replacement therapy or other smoking cessation medications, digital interventions like mobile health apps, and electronic cigarettes. Adopting the right strategy based on each individual's needs and circumstances can help new mothers maintain their smoking abstinence and provide a healthier environment for their newborns.

1. Presented by:

2. Introduction
 Smoking is considered one of the key factors that
affects the health of newborns if their mothers keep
on smoking
 In most cases, pregnant mothers stop smoking during
pregnancy, but find it hard to cope with the addiction
after giving birth (McDonnell & Regan, 2019)
 Postpartum relapse of smoking usually rise to 85%
 67% of those who relapse go back to smoking
within 3 months while 90% take up six months

3. Importance of the topic
 There is need to learn the dangers of getting back to
smoking after giving birth
 Some of the dangers that are linked to postpartum
relapse of smoking among women who give birth
include:
 It exposes the newborns to the harmful second hand
smoke
 Smoking after giving birth affects the baby’s
development and health

4. Continuation
 Through this topic, new mothers will get to
understand the benefits they will get for not getting
back to smoking after giving birth
 They learn more about their risk factors
 They learn the possible ways that they could adopt to
reduce their relapse rate
 They get an opportunity to learn the importance of not
smoking to the health of the newborns and to their
own health

5. Continuation
 Insights from the topic will play an important role in
highlighting the possible approaches to fighting
relapse
 Advice on the best relapse protection strategy will be
offered through this presentation because it will
highlight on the dos and the don’ts when using each of
the approaches
 Learning about the best evidence-based strategies will
help new mothers choose their preferred strategies
best

6. Evidence-based intervention
 Behavioral counseling
 Informing the women on some of the negative effects of
smoking after giving birth will help them manage their
desire to get back to the habits
 Change social group or company that might make them
get back to smoking after giving birth
 Avoid going to places where tobacco is being handled
after giving birth (Diamanti et al., 2019)

7. Continuation
 Pharmacotherapy
 Use NRTs
 This strategy should be introduced at a very early stage
 The amount of tobacco dose used by the new mothers should
be significantly controlled to avoid getting back to full
smoking
 Introduce short acting NRT (Ziedonis et al., 2006)
 Bupropion
 Not all women are advised to use this remedy

8. Continuation
 It is only advised to women who find it hard to quit smoking after
giving birth and would like to continue smoking (Diamanti et al.,
2019)
 Varenicline
 This option of not recommended for breastfeeding mothers
 Mothers should wait until they stop breastfeeding to adopt
this approach

9. Continuation
 Digital interventions
 These include the use of mHealth strategies like digital
counseling for any mother who feels like
 Electronic cigarettes
 The adoption of electronic cigarettes amongst pregnant
mothers has been highly considered
 Pregnant mothers who find it difficult to quit smoking
might opt for this option

10. Conclusion
 New mothers should work on making sure they do not go
back to their old smoking ways
 They should learn the negative effects linked to smoking
and how they can protect their young ones from issues
linked to smoking once they get back to the habit
 Different strategies should be adopted to help them from
going back to where they have been
 Some of these strategies include:
 Behavioral strategies
 Pharmacological
 Digital strategies
 E-cigarettes

11. References
 Diamanti, A., Papadakis, S., Schoretsaniti, S., Rovina, N.,
Vivilaki, V., Gratziou, C., & Katsaounou, P. A. (2019). Smoking
cessation in pregnancy: An update for maternity care
practitioners. Tobacco induced diseases, 17.
 McDonnell, B. P., & Regan, C. (2019). Smoking in pregnancy:
pathophysiology of harm and current evidence for monitoring
and cessation. The Obstetrician & Gynaecologist, 21(3), 169-175.
 van Agteren, J. E., Lawn, S., Bonevski, B., & Smith, B. J. (2018).
Kick. it: the development of an evidence-based smoking
cessation smartphone app. Translational behavioral medicine,
8(2), 243-267.
 Ziedonis, D. M., Guydish, J., Williams, J., Steinberg, M., &
Foulds, J. (2006). Barriers and solutions to addressing tobacco
dependence in addiction treatment programs. Alcohol Research
& Health, 29(3), 228.