Review: smoking cessation interventions during pregnancy reduce maternal smoking [commentary on Lumley J, Oliver S, Waters E. Smoking cessation programs implemented during pregnancy. (Cochrane Review, latest version 25 May 1998). In: Cochrane Library. Oxford: Update Software].
Question: What is the effectiveness of smoking cessation interventions implemented during pregnancy for reducing maternal smoking during pregnancy and for improving newborn outcomes? Data sources: Medline was searched using the strategies of the Cochrane Pregnancy and Childbirth Group. Medline, Psyc...
| Publicado en: | Evidence Based Nursing pp. 42 - 43 |
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| Autor principal: | |
| Formato: | abstract commentary tables/charts Journal Article |
| Publicado: |
BMJ Publishing Group
Apr1999
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107090728&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107090728 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13676539 C0J jtl: Evidence Based Nursing issn: 13676539 maglogo: N pubinfo: dt: Apr1999 pid: 8280 pub: BMJ Publishing Group artinfo: ui: 107090728 107090728 2000008858 107090728 ppf: 42 ppct: 1 formats: tig: atl: Review: smoking cessation interventions during pregnancy reduce maternal smoking [commentary on Lumley J, Oliver S, Waters E. Smoking cessation programs implemented during pregnancy. (Cochrane Review, latest version 25 May 1998). In: Cochrane Library. Oxford: Update Software]. aug: au: Edwards NC affil: Associate Professor, School of Nursing, University of Ottawa, Ottawa, Ontario, Canada sug: subj: Smoking Cessation In Pregnancy Systematic Review Pregnancy Female Pregnancy Outcomes Birth Weight Infant, Newborn Confidence Intervals Odds Ratio Meta Analysis Clinical Trials Smoking Complications Fetus Infant, Low Birth Weight Infant, Newborn: birth-1 month Fetus, conception to birth Female ab: Question: What is the effectiveness of smoking cessation interventions implemented during pregnancy for reducing maternal smoking during pregnancy and for improving newborn outcomes? Data sources: Medline was searched using the strategies of the Cochrane Pregnancy and Childbirth Group. Medline, PsycLIT, Datastar, Dissertation Abstracts Online, Applied Social Sciences Index and Abstracts, Social Citations Index, and Social Science Citations Index were searched using the strategies of the Cochrane Tobacco Group. Studies were also identified from handsearches of 60 journals, conference proceedings, bulletins, and bibliographies of review articles). Study selection: Randomised and quasi-randomised controlled trials of interventions implemented during pregnancy to increase maternal smoking cessation were selected. Data extraction: Data were extracted on study design, participants, participation and withdrawal rates, interventions, and outcomes. Methodological quality of studies was assessed. Main results: 40 trials (1975-97) of healthy pregnant women were identified. Interventions took place in hospitals or community antenatal clinics and included information on the risks of smoking to the fetus and infant and the benefits of stopping; recommendations to stop; feedback about the fetus; and cognitive behavioural strategies for stopping. Main outcome measure was continued maternal smoking in late pregnancy. Meta-analyses were based on a fixed effects model. Smoking cessation interventions reduced continued maternal smoking during late pregnancy compared with usual care (table). Results were similar when analyses were restricted to 17 trials with biochemically validated smoking cessation, 11 trials of interventions with the highest intensities, and 12 trials with high quality interventions. Mothers who received smoking cessation interventions had fewer low birthweight infants (table) and the infants had a higher mean birth weight (8 trials, increase of 41 g, 95% CI 16.6 to 65.5) compared with mothers who received usual care. There were no group differences in the number of very low birthweight infants (3 trials), preterm births (5 trials), stillbirths (3 trials), or total perinatal deaths (3 trials). Conclusion: Smoking cessation interventions implemented during pregnancy reduce maternal smoking during pregnancy and reduce the number of low birthweight infants. pubtype: Academic Journal doctype: abstract commentary tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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