A pilot study of the Tobacco Treatment Guidelines for High-Risk Groups (TOB-G) for pregnant and postpartum women
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George D. Behrakis Research Lab, Hellenic Cancer Society, Athens, Greece
Institute of Public Health, American College of Greece, Athens, Greece
Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Canada
Faculty of Medicine, University of Ottawa, Ottawa, Canada
Midwifery Department, University of West Attica, Athens, Greece
Hellenic Centre for Disease Control and Prevention, Athens, Greece
General Oncological Hospital of Kifisia, Athens, Greece
George D. Behrakis Research Lab, Hellenic Cancer Society, Athens, Greece
Hellenic Centre for Disease Control and Prevention, Athens, Greece
Biomedical Research Foundation of the Athens Academy, Athens, Greece
Academy of Medicine, University of Athens, Athens, Greece
Sophia Papadakis   

Institute of Public Health, 17b Ipitou Street, 105 57, Plaka, Athens, Greece
Publication date: 2018-11-28
Submission date: 2018-08-22
Final revision date: 2018-11-01
Acceptance date: 2018-11-02
Eur J Midwifery 2018;2(November):16
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 Post-Partum Women in an outpatient obstetrics setting.

The guideline recommendations were tested in 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-to-face and telephone consultation by a midwife trained in the TOBG tobacco treatment recommendations. Smoking status was assessed at 1 and 6-months follow-up via self-report.

Seventy-one percent of pregnant smokers screened agreed to participate in the counseling intervention. Pregnant women participants (mean age 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 a 51% reporting smoking within 30 minutes of waking, an indicator of higher levels of nicotine addiction. Rates of smoking abstinence among pregnant women exposed to the counselling intervention were 43.9% and 45.6% at the 1 and 6-month follow-up respectively. Assuming missing data for women we were unable to reach for follow-up were active smokers, the quit rates were 26.9% and 38.8% at the 1 and 6-month follow-up respectively.

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 and were associated with smoking abstinence among pregnant women sampled.

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