There may be no more horrible example of what happens when we try to quit for others than watching pregnant smoking women attempt to protect the developing life inside. Below is a tragic study summary showing that just 111 of 682 pregnant smoking women, only 16.3%, were able to stop smoking during pregnancy.
One of the greatest cessation education challenges of all is motiving a pregnant woman to do this for herself, so that her baby won't have a drug addict for a mom, and can inherit the fruits of her decision, including allowing the baby to bond her natural smells instead of passing smokers who happen to wear the stink of her brand of cigarettes. But as suggested in this study, most cessation facilitators have surprisingly little understanding of how a sense of self-deprivation gradually eats away and destroys whatever self motivations once existed. Still just one rule ... none today!
John (Gold x10)
Attitude towards cessation among French pregnant smokers:
Eur J Obstet Gynecol Reprod Biol. 2009 Aug 24. [Epub ahead of print]
Baha MY, Le Faou AL.
OBJECTIVES: This study investigated pregnant smokers' profile and attitude towards cessation to explain who stops smoking during pregnancy and who is unsuccessful.
Explaining the poor uptake of specialised support
STUDY DESIGN: 682 pregnant smokers aged less than 50 had visited cessation services between 2004 and 2006. Pregnant smokers' profile was described using: socio-demographic details, psychological and medical history, characteristics of tobacco consumption and details of cessation interventions. At the end of the first visit, cessation specialists could record a brief report of the visit with additional information on the smoker. Abstinence was verified during follow-up visits with expired carbon monoxide measures, with a threshold of 5ppm. Associations between pregnant smokers' profile and subsequent cessation interventions outcomes were tested using descriptive statistics. Predictors of cessation were determined with multivariate logistic regression. Reports of the visits were analysed by open coding to determine main themes.
RESULTS: 80.5% of women were heavy smokers at baseline whatever the intervention outcome (10 cigarettes or more per day by the first visit). 16.3% (N=111) of women stopped smoking during their pregnancy. 59.8% (N=408) were registered during a first visit but never returned to a cessation service. The reports revealed that these women showed little motivation for complete cessation, despite being offered an intervention plan. They were more interested in maintaining a reduced tobacco consumption for stress relief. Women who lived or worked with smokers feared that they would not be able to maintain abstinence.
CONCLUSIONS: Despite being offered professional help, many pregnant heavy smokers do not feel ready to stop smoking. Their attitude towards cessation illustrates ambivalence. There is thus a need for coordinated efforts between antenatal care providers and smoking treatment specialists in order to enhance pregnant smokers' motivation to quit.