1. A pilot study of the Tobacco Treatment Guidelines for High-Risk Groups (TOB-G) for pregnant and postpartum women
- Author
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Victoria G. Vivilaki, Constantine Ι. Vardavas, Vaso Evangelopoulou, Sophia Papadakis, Vergina Konstantina Vyzikidou, Panagiotis Behrakis, Theodosia Peleki, and Andriani Ν. Loukopoulou
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medicine.medical_specialty ,Maternal smoking ,medicine.medical_treatment ,TOB-G ,lcsh:Gynecology and obstetrics ,tobacco ,Risk groups ,Intervention (counseling) ,Maternity and Midwifery ,medicine ,guidelines ,lcsh:RG1-991 ,lcsh:RT1-120 ,Pregnancy ,lcsh:Nursing ,Obstetrics ,business.industry ,Obstetrics and Gynecology ,Guideline ,medicine.disease ,smoking cessation ,midwives ,Outpatient visits ,Pediatrics, Perinatology and Child Health ,Smoking cessation ,Smoking status ,pregnancy ,business ,Research Paper - Abstract
INTRODUCTION Maternal smoking constitutes a significant risk to the fetus and is associated with multiple adverse pregnancy outcomes. Despite this, an estimated 6–19% of women in Europe smoke during pregnancy. We conducted a pilot study to examine the feasibility and effectiveness of the clinical practice recommendations of the 2017 Tobacco Cessation Guidelines for High-Risk Groups (TOB-G) for pregnant and postpartum women in an outpatient obstetrics setting. METHODS The guideline recommendations were tested on a sample of 67 pregnant women recruited from obstetrics outpatient visits. Pregnant women who smoked received three behavioural counselling sessions through a combination of face-toface and telephone consultations by a midwife trained in the TOBG tobacco treatment recommendations. Smoking status was assessed at 1 month and at 6 months follow-up via self-report. RESULTS Seventy-one per cent of pregnant smokers screened agreed to participate in the counselling intervention. Pregnant women participants (mean age, M=31.73 years, SD±6.09) smoked for an average of 12.2 (SD±6.55) years. Women reported smoking an average of 4.82 (SD±4.14) cigarettes per day with 51% reporting smoking within 30 minutes of waking, an indicator of higher levels of nicotine addiction. Rates of smoking abstinence among pregnant women undergoing the counselling intervention were 43.9% and 45.6% at the 1 month and at 6 months follow-up, respectively. Replacing those participants with missing data as smokers, the quit rates were 26.9% and 38.8% at the 1 month and 6 months follow-up, respectively. CONCLUSIONS The counselling intervention delivered to pregnant women who smoke was feasible to implement in a manner that was consistent with the TOB-G guideline recommendations in an outpatient obstetrics setting. Future work should focus on increasing uptake of evidence-based tobacco treatment recommendations in outpatient obstetrics settings.
- Published
- 2018
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