Nicotine Replacement and Behavioral Therapy for Smoking Cessation in Pregnancy
American Journal of Preventive MedicinePublished 20 September 2007Open access
Kathryn I. Pollak, Cheryl Oncken, Isaac M. Lipkus, Pauline Lyna, Geeta K. Swamy, Pamela K. Pletsch
Citations138
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The addition of NRT to CBT promoted smoking cessation in pregnant women but this effect did not persist postpartum and more data are needed to determine safety parameters and to confirm the efficacy of N RT use during pregnancy.
Abstract
The addition of NRT to CBT promoted smoking cessation in pregnant women. This effect did not persist postpartum. More data are needed to determine safety parameters and to confirm the efficacy of NRT use during pregnancy.
Keywords
MedicineHealth ProfessionsEnvironmental Science
Medical Entomology and ZoologySocial Foundations of Thought and Action : A Social Cognitive Theory
19,075 Citations1986Albert Bandura
Cochrane Database of Systematic ReviewsPharmacological interventions for somatoform disorders in adults
11,355 Citations2014Maria Kleinstäuber, Michael Witthöft +4 more
A systematic review and meta-analysis of placebo-controlled studies examined the efficacy and tolerability of different types of antidepressants, the combination of an antidepressant and an antipsychotic, antipsychotics alone, or natural products in adults with somatoform disorders in adults to improve optimal treatment decisions.
Journal of Consulting and Clinical PsychologyStages and processes of self-change of smoking: Toward an integrative model of change.
8,667 Citations1983James O. Prochaska, Carlo C. DiClemente
Motivational interviewing: preparing people for change.
7,054 Citations2002William R. Miller, Stephen Rollnick
Cochrane Database of Systematic ReviewsNicotine replacement therapy for smoking cessation
2,477 Citations2012Lindsay F Stead, Rafael Perera +5 more
There was evidence that combining a nicotine patch with a rapid delivery form of NRT was more effective than a single type of N RT, and the main outcome measure was abstinence from smoking after at least six months of follow-up.
Cochrane Database of Systematic ReviewsInterventions for promoting smoking cessation during pregnancy
873 Citations2009Judith Lumley, Catherine Chamberlain +4 more
Smoking cessation interventions in pregnancy reduce the proportion of women who continue to smoke in late pregnancy, and reduce low birthweight and preterm birth.
Cochrane Database of Systematic ReviewsInterventions for promoting smoking cessation during pregnancy
624 Citations2004Judith Lumley, Catherine Chamberlain +2 more
Smoking cessation programs in pregnancy appear to reduce smoking, low birth Weight and preterm birth, but no effect was detected for very low birthweight or perinatal mortality.
JAMAA Clinical Trial of Change in Maternal Smoking and Its Effect on Birth Weight
490 Citations1984Mary Sexton
These clinical trial results are the first, to the authors' knowledge, from a prospective, randomized, and controlled experiment demonstrating that a reduction of smoking during pregnancy improves the birth weight of the infant.
American Journal of Public HealthSmoking before, during, and after pregnancy.
410 Citations1990Lois A. Fingerhut, J C Kleinman +1 more
The fact that relapse remains high suggests that while health of the fetus is a strong influence on women's smoking habits, women may be less aware of the effect of passive smoke on the infant.
BJOG An International Journal of Obstetrics & GynaecologyClassification and heterogeneity of preterm birth
380 Citations2003J MOUTQUIN
Cochrane Database of Systematic ReviewsNicotine replacement therapy for smoking cessation
356 Citations2002C Silagy, Tim Lancaster +3 more
All of the commercially available forms of NRT are effective as part of a strategy to promote smoking cessation, and they increase quit rates approximately 1.5 to 2 fold regardless of setting.
European Journal of General PracticeEffect of Maternal Cigarette Smoking on Pregnancy Complications and Sudden Infant Death Syndrome
354 Citations1995Joseph R. DiFranza, Robert Lew
The low success rate of smoking cessation among pregnant women suggests that efforts to reduce the complications of pregnancy attributable to tobacco use by pregnant women should focus on preventing nicotine addiction among teenaged girls.
Drug SafetyRisks and Benefits of Nicotine to Aid Smoking Cessation in Pregnancy
345 Citations2001Delia Dempsey, Neal L. Benowitz
A national registry for NRT use during pregnancy should be created to prospectively collect obstetrical outcome data from NRT efficacy trials and from individual use to determine the safety of NRTUse during pregnancy, especially with respect to uncommon outcomes such as placental abruption.
Journal of Consulting and Clinical PsychologyTelephone counseling for smoking cessation: Effects of single-session and multiple-session interventions.
305 Citations1996Shu‐Hong Zhu, Vincent Stretch +4 more
A dose-response relation was observed, as multiple sessions produced significantly higher abstinence rates than a single session; the first week after quitting seems to be the critical period for intervention.
Journal of Consulting and Clinical PsychologyBrief motivational interviewing in a hospital setting for adolescent smoking: A preliminary study.
298 Citations1998Suzanne M. Colby, Peter M. Monti +6 more
Feasibility of brief smoking interventions with teen patients was supported by high rates of recruitment, retention, and quit attempts, and long periods of continuous abstinence, although between-groups differences on smoking measures were not significant at 3-month follow-up.
BJOG An International Journal of Obstetrics & GynaecologyClassification and heterogeneity of preterm birth
295 Citations2003Jean‐Marie Moutquin
Variability within the main categories may be explained by the studied population, ethnic group, social class and preventive interventions towards reducing spontaneous preterm birth where the proportion of medically‐indicated pre term birth is increased.
Annual Review of Public HealthA Review of Smoking in Pregnancy: Effects on Pregnancy Outcomes and Cessation Efforts
272 Citations1993R. Louise Floyd, Barbara K. Rimer +3 more
American Journal of Public HealthCigarette smoking as a risk factor for sudden infant death syndrome: a population-based study.
260 Citations1990B Haglund, Sven Cnattingius
Elevated relative risks were associated with low maternal age, multiparity, maternal smoking, and male infants, and smoking doubled the risk and a clear dose-response relation by amount smoked was observed.
American Journal of Public HealthIntegrating smoking cessation into routine public prenatal care: the Smoking Cessation in Pregnancy project.
227 Citations1995Juliette S. Kendrick, S. Christine Zahniser +8 more
Biochemical verification of self-reported quitting is essential to the evaluation of smoking cessation interventions and achieving changes in smoking behavior in pregnant women with low-intensity interventions is difficult.
Obstetrics and GynecologyNicotine patches for pregnant smokers: a randomized controlled study
218 Citations2000Kirsten Wisborg
Nicotine patches had no influence on smoking cessation during pregnancy, although they might increase birth weight in comparison with placebo.
Spectrum Research Repository (Concordia University)Motivational consulting versus brief advice for smokers in general practice: a randomized trial
215 Citations1999Christopher Butler, Stephen Rollnick +4 more
Motivational consulting produces better outcomes than brief advice, especially among those not 'ready to change', which supports the stages of change model.
American Journal of Public HealthPrevention of relapse in women who quit smoking during pregnancy.
211 Citations1999Colleen M. McBride, Susan J. Curry +4 more
Relapse prevention interventions may need to be increased in duration and potency to prevent post-partum relapse.
PsychopharmacologyUrges to smoke during the first month of abstinence: relationship to relapse and predictors
203 Citations1995Kathleen Doherty, Tarja I. Kinnunen +2 more
Urges to smoke at a given day were consistently the best predictors of the persistence of urges at the next assessment, and greater negative emotion and psychosocial stress also predicted stronger urges to smoke.
American Journal of Public HealthA randomized trial of a serialized self-help smoking cessation program for pregnant women in an HMO.
174 Citations1989D Ershoff, P D Mullen +1 more
It is concluded that a low-cost prenatal self-help intervention can significantly affect the public health problem of smoking during pregnancy and its associated risks for maternal and child health.
Obstetrics and GynecologyThe Effect of Cigarette Smoking on Neonatal Anthropometric Measurements
172 Citations1995Sue Cliver, R GOLDENBERG +4 more
All neonatal anthropometric measurements studied showed some negative effect of maternal cigarette smoking, including birth weight, crown-heel length, ponderal index, head and abdominal circumferences, arm length and circumference, femur length and thigh circumference, and triceps, thigh, and subscapular skinfold measurements.
PubMedEffect of maternal cigarette smoking on pregnancy complications and sudden infant death syndrome.
155 Citations1995DiFranza, Lew Ra
Health PsychologyPartner smoking status and pregnant smoker's perceptions of support for and likelihood of smoking cessation.
145 Citations1998Colleen M. McBride, Susan J. Curry +4 more
Cessation interventions for expectant fathers may increase pregnant women's success at quitting, and partner smoking status nor partner support at baseline was associated with cessation or relapse later in pregnancy.
American Journal of Preventive MedicineMaternal smoking cessation and relapse prevention during health care visits
124 Citations2001Barbara Valanis
The intervention supports women who want to quit smoking during pregnancy and improves the likelihood of their remaining nonsmokers for the long term.
American Journal of Preventive MedicineThe Impact of Pregnancy on Women’s Prenatal and Postpartum Smoking Behavior
124 Citations1992Patricia O’Campo, Ruth Faden +2 more
Using logistic regression, it is found formula feeding to be the most important predictor of early postpartum smoking relapse for both white and black women.
American Journal of Public HealthA brief smoking cessation intervention for women in low-income planned parenthood clinics
108 Citations2000Russell E. Glasgow, Evelyn P Whitlock +2 more
This brief, clinic-based intervention appears to be effective in reaching and enhancing cessation among female smokers, a traditionally underserved population.
Journal of Consulting and Clinical PsychologyTelephone counseling for smoking cessation: Effects of single-session and multiple-session interventions.
100 Citations1996Shu‐Hong Zhu, Vincent Stretch +4 more
JAMAA clinical trial of change in maternal smoking and its effect on birth weight
99 Citations1984M. Sexton
BMJRandomised controlled trial of home based motivational interviewing by midwives to help pregnant smokers quit or cut down
93 Citations2005D. Tappin, MA Lumsden +7 more
Good quality motivational interviewing did not significantly increase smoking cessation among pregnant women and motivational interviewing provided at home by specially trained midwives helps pregnant smokers to quit.
Acta Obstetricia Et Gynecologica ScandinavicaMultimodal intervention raises smoking cessation rate during pregnancy
85 Citations2003Hanne Kristine Hegaard, Hanne Wacher Kjærgaard +3 more
The aim was to study the effect of a multimodal smoking cessation intervention regimen on a number of pregnant smokers.
Obstetrics and GynecologyEffects of Transdermal Nicotine or Smoking on Nicotine Concentrations and Maternal-Fetal Hemodynamics
79 Citations1997Cheryl Oncken
Eight-hour use of 21-mg transdermal nicotine yields nicotine concentrations and middle cerebral artery RIs similar to those produced by hourly smoking in pregnant smokers.
Obstetrics and GynecologyA randomized controlled trial of smoking cessation intervention in pregnancy in an academic clinic
76 Citations1996Katherine E. Hartmann, J THORPJR +2 more
The intervention is effective in promoting smoking cessation and reduction and this technique is inexpensive, readily accepted by staff, and efficient.
Clinical Pharmacology & TherapeuticsEffects of short-term use of nicotine gum in pregnant smokers*
72 Citations1996Cheryl Oncken, Dorothy K. Hatsukami +4 more
To compare blood concentrations of nicotine and cotinine and maternal and fetal hemodynamic effects resulting from use of nicotine gum versus cigarette smoking in pregnant smokers, a large number of pregnant smokers are surveyed.
American Journal of Preventive MedicineA community health center smoking-cessation intervention for pregnant and postpartum women
62 Citations2004Lori Pbert, Judith K. Ockene +5 more
Interventions extended into postpartum care did not affect relapse and smoking rates postdelivery and brief interventions delivered by healthcare providers during routine prenatal care increased smoking abstinence during pregnancy among women who did not quit spontaneously.
American Journal of Obstetrics and GynecologyTransdermal nicotine replacement in pregnancy: Maternal pharmacokinetics and fetal effects
62 Citations1997Lydia N. Wright, John M. Thorp +4 more
Addictive BehaviorsImpact of a motivational intervention on mechanisms of change in low-income pregnant smokers
59 Citations2004Angela L. Stotts, Katherine A. DeLaune +2 more
More intensive motivational and cognitive-behavioral interventions demonstrated effective in nonpregnant, smoking populations, with more frequent sessions separate from prenatal visits, are recommended to further increase smoking cessation rates among low-income pregnant smokers.
AddictionDoes stage‐based smoking cessation advice in pregnancy result in long‐term quitters? 18‐month postpartum follow‐up of a randomized controlled trial
55 Citations2004Terry Lawrence, Paul Aveyard +4 more
The TTM-based interventions delivered in pregnancy may have shown some evidence of a short-term benefit for quitting in pregnancy but no benefit relative to standard care when followed-up in the longer-term.
American Journal of Obstetrics and GynecologyMaternal risk factors and their influence on fetal anthropometric measurements
55 Citations1993Robert L. Goldenberg, Richard O. Davis +5 more
The impact of maternal risk factors and fetal sex on estimated fetal weight has been demonstrated to occur first in specific gestational age windows and is mediated through effects on specific fetal anthropometric measurements.
Addictive BehaviorsA randomised-controlled pilot study using nicotine patches with pregnant women
54 Citations2005Elizabeth Hotham, Andrew L. Gilbert +1 more
Low interest in participation and the high withdrawal rate in offering free nicotine patches with counselling to mid-trimester pregnant women at the Women's and Children's Hospital, Adelaide suggest that nicotine patches may not be highly useful for pregnant women.
Preventive MedicineEffectiveness of a brief counseling and behavioral intervention for smoking cessation in pregnant women
45 Citations2005Carina Ferreira‐Borges
Counseling and behavioral brief interventions seem to be promising approaches that can help women stop smoking during pregnancy.
Health PsychologyPartner smoking status and pregnant smoker's perceptions of support for and likelihood of smoking cessation.
37 Citations1998Colleen M. McBride, Susan J. Curry +4 more
Nihon Kikan Shokudoka Gakkai KaihoNicotine Replacement Therapy for Smoking Cessation
33 Citations2005Keigo Takagi, Nobuhide Kato +2 more
It is confirmed that £1.3bn will be spent on refurbishing the pavilion at the 2016 Olympics in Rio de Janeiro.
American Journal of Preventive MedicineSmoking Prevalence During Pregnancy for Women Who Are and Women Who Are Not Medicaid-Funded
33 Citations1994Floyd J. Frost, Mary Lawrence Cawthon +4 more
The increased maternal smoking prevalence in older single mothers and the higher maternalsmoking prevalence in women with Medicaid-funded deliveries suggest that infants born to these mothers may be particularly susceptible to smoking-related health effects.
Nicotine & Tobacco ResearchChallenges and solutions for recruiting pregnant smokers into a nicotine replacement therapy trial
28 Citations2006Kathryn I. Pollak, Cheryl Oncken +8 more
Recruitment efforts for a multiclinic trial to test the effectiveness of NRT use in addition to behavioral therapy in promoting cessation during pregnancy and specific obstacles for recruitment are described.
PubMedEfficacy and effectiveness of the smoking cessation program for pregnant women.
26 Citations2004Kinga Polańska, Wojciech Hanke +2 more
The midwife-assisted smoking cessation intervention seems to be an effective tool to help pregnant smokers make a decision to quit smoking.
BMC Health Services ResearchRecruiting pregnant smokers for a placebo-randomised controlled trial of nicotine replacement therapy
23 Citations2004Tim Coleman, Marilyn Antoniak +4 more
It is feasible to recruit women for a trial of NRT in pregnancy as they wait for antenatal ultrasound examinations and staff recruiting women believed that trial recruitment would be maximised if women attending the ultrasound department knew about trial recruitment before attending and greater staff resources were made available for this.
PubMedSmoking, pregnancy, and source of prenatal care: results from the Pregnancy Risk Assessment Monitoring System. The Pregnancy Risk Assessment Monitoring System Working Group.
22 Citations1992Adams Mm, Brogan Dj +4 more
Although many smokers reduced or quit smoking during pregnancy, most resumed or increased their smoking to nearly pre-pregnancy levels by 3-6 months postpartum, suggesting interventions should target the very high levels of smoking among the 27% of women receiving publicly funded prenatal care.
Health Promotion PracticeTelephone Support for Pregnant Smokers Who Want to Stop Smoking
22 Citations2004Laura J. Solomon, Brian S. Flynn
A statewide, proactive telephone peer-support system to help low-income pregnant women stop smoking in Vermont resulted in 25% self-reported abstinence at last telephone contact when women never reached for telephone support were counted as smokers.
Nursing Clinics of North AmericaReduction of primary and secondary smoke exposure for low-income black pregnant women
18 Citations2002Pamela K. Pletsch
Questions are raised about the conceptual fit of the transtheoretical model with pregnant women of the Smoke Free Families intervention in moving pregnant women forward in the stages of change toward becoming a non-smoker and reducing exposure to second-hand smoke.
