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Am J Public Health. 1999 May;89(5):706-11.

Prevention of relapse in women who quit smoking during pregnancy.

Author information

  • 1Group Health Cooperative of Puget Sound, Center for Health Studies, Seattle, Wash., USA. mcbri002@mc.duke.edu

Abstract

OBJECTIVES:

This study is an evaluation of relapse prevention interventions for smokers who quit during pregnancy.

METHODS:

Pregnant smokers at 2 managed care organizations were randomized to receive a self-help booklet only, prepartum relapse prevention, or prepartum and postpartum relapse prevention. Follow-up surveys were conducted at 28 weeks of pregnancy and at 8 weeks, 6 months, and 12 months postpartum.

RESULTS:

The pre/post intervention delayed but did not prevent postpartum relapse to smoking. Prevalent abstinence was significantly greater for the pre/post intervention group than for the other groups at 8 weeks (booklet group, 30%; prepartum group, 35%; pre/post group, 39%; P = .02 [different superscripts denote differences at P < .05]) and at 6 months (booklet group, 26%, prepartum group, 24%; pre/post group, 33%; P = .04) postpartum. A nonsignificant reduction in relapse among the pre/post group contributed to differences in prevalent abstinence. There was no difference between the groups in prevalent abstinence at 12 months postpartum.

CONCLUSIONS:

Relapse prevention interventions may need to be increased in duration and potency to prevent post-partum relapse.

PMID:
10224982
[PubMed - indexed for MEDLINE]
PMCID:
PMC1508743
Free PMC Article
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