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Smoking cessation in pregnancy: psychosocial interventions and patient-focused perspectives

Authors Miyazaki Y, Hayashi K, Imazeki S

Received 9 January 2015

Accepted for publication 5 March 2015

Published 21 April 2015 Volume 2015:7 Pages 415—427


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Professor Elie Al-Chaer

Yukiko Miyazaki,1 Kunihiko Hayashi,2 Setsuko Imazeki1

1Faculty of Health Care, Takasaki University of Health and Welfare, Takasaki, 2School of Health Sciences, Faculty of Medicine, Gunma University, Maebashi, Japan

Background: Smoking during pregnancy causes obstetric and fetal complications, and smoking cessation may have great benefits for the mother and the child. However, some pregnant women continue smoking even in pregnancy.
Objective: To review the literature addressing the prevalence of smoking during pregnancy, explore psychosocial factors associated with smoking, and review the evidence of psychosocial interventions for smoking cessation during pregnancy in recent years.
Literature review: Computerized Internet search results in PubMed for the years spanning from 2004 to 2014, as well as references cited in articles, were reviewed. A search for the keywords “smoking cessation pregnancy” and “intervention” and “clinical trials” yielded 52 citations. Thirty-five citations were identified as useful to this review for the evidence of psychosocial interventions for smoking cessation during pregnancy.
Results: The prevalence of smoking during pregnancy differs by country, reflecting the countries’ social, cultural, and ethnic backgrounds. Women who had socioeconomic disadvantages, problems in their interpersonal relationships, higher stress, depression, less social support, and who engaged in health-risk behaviors were more prone to smoking during pregnancy. Psychosocial interventions, such as counseling, are effective methods for increasing smoking cessation.
Conclusion: Smokers may have various psychosocial problems in addition to health problems. It is important to understand each individual’s social situation or psychosocial characteristics, and a psychosocial intervention focused on the characteristics of the individual is required.

Keywords: women’s health, smoking cessation, pregnancy, psychosocial intervention

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