RESEARCH PAPER
A pilot study of the Tobacco Treatment Guidelines for High-Risk Groups (TOB-G) for pregnant and postpartum women
 
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1
George D. Behrakis Research Lab, Hellenic Cancer Society, Athens, Greece
2
Institute of Public Health, American College of Greece, Athens, Greece
3
Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Canada
Faculty of Medicine, University of Ottawa, Ottawa, Canada
4
Midwifery Department, University of West Attica, Athens, Greece
5
Hellenic Centre for Disease Control and Prevention, Athens, Greece
6
General Oncological Hospital of Kifisia, Athens, Greece
7
George D. Behrakis Research Lab, Hellenic Cancer Society, Athens, Greece
8
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
Publish 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
KEYWORDS:
TOPICS:
ABSTRACT:
Introduction:
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.

Methods:
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.

Results:
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.

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 and were associated with smoking abstinence among pregnant women sampled.

CORRESPONDING AUTHOR:
Sophia Papadakis   
Institute of Public Health, 17b Ipitou Street, 105 57, Plaka, Athens, Greece
 
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