Smoking Cessation During Pregnancy and Postpartum: Practice Patterns Among Obstetrician-Gynecologists

被引:23
作者
Coleman-Cowger, Victoria H. [1 ]
Anderson, Britta L. [2 ]
Mahoney, Jeanne [2 ]
Schulkin, Jay [2 ]
机构
[1] Chestnut Hlth Syst, Normal, IL 61761 USA
[2] Amer Coll Obstetricians & Gynecologists, Washington, DC 20024 USA
基金
美国国家卫生研究院;
关键词
pregnancy; smoking cessation; obstetrician-gynecologists; practice patterns; MATERNAL CIGARETTE-SMOKING; UNITED-STATES; WOMEN; PREVENTION; DELIVERY; ALCOHOL; TRENDS; RISK;
D O I
10.1097/ADM.0000000000000000
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Objectives: To assess current obstetrician-gynecologist (ob-gyn) practice patterns related to the management of and barriers to smoking cessation during pregnancy and postpartum. Methods: A smoking cessation questionnaire was mailed to 1024 American College of Obstetricians and Gynecologists Fellows in 2012. chi(2) analyses were used to assess for categorical differences between groups, Pearson r was used to conduct correlational analysis, and analysis of variance was used to assess for mean differences between groups. Results: The analyses included 252 practicing ob-gyns who see pregnant patients who returned a completed survey. Ob-gyns estimated that 23% of their patients smoke before pregnancy, 18% smoke during first trimester, 12% during second trimester, and 11% during third trimester. They approximated that 32% quit during pregnancy, but 50% return to smoking postpartum. A large majority of ob-gyns feel that it is important for pregnant and postpartum women to quit smoking, and report asking all pregnant patients about tobacco use at the initial prenatal visit. Fewer ob-gyns follow-up on tobacco use at subsequent visits when the patient has admitted to use at a prior visit. The primary barrier to intervention was reported as time limitations, though other barriers were noted that may be addressable through the provision of additional training and resources offered to physicians. Conclusions: Compared with findings from a similar study conducted in 1998, physicians are less likely to adhere to the 5 As smoking cessation guideline at present. As we know that brief intervention is effective, it is imperative that we work toward addressing practice gaps and providing additional resources to address the important public health issue of smoking during pregnancy and postpartum.
引用
收藏
页码:14 / 24
页数:11
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