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Behavioural support is effective in helping pregnant smokers to stop.



Smoking during pregnancy risks harming the fetus, and this knowledge motivates many women to quit. Healthcare professionals should counsel patients that the risks are reversed if a woman quits early in pregnancy. In societies where awareness of the risks is already high, women who continue to smoke during early pregnancy may require intensive support to quit. More intensive support or referral to a specialist service can increase quit rates over usual care or brief advice alone. Brief health education advice from a usual care provider has not been shown to increase quit rates over usual care.



Chamberlain C, O'Mara-Eves A, Oliver S, Caird JR, Perlen SM, Eades SJ, Thomas J. Psychosocial interventions for supporting women to stop smoking in pregnancy. Cochrane Database of Systematic Reviews 2013, Issue 10. Art. No.: CD001055. DOI: 10.1002/14651858.CD001055.pub4.

Hajek P, West R, Lee A, et al. Randomized controlled trial of a midwife-delivered brief smoking cessation intervention in pregnancy. Addiction. 2001; 96: 485-494.

McLeod D, Pullon S, Benn C, et al. Can support and education for smoking cessation and reduction be provided effectively by midwives within primary maternity care ? Midwifery. 2004; 20: 37-50.

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