Titre
Smoking and smoking cessation in pregnancy. Synthesis of a systematic review.
Type
synthèse (review)
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Auteur(s)
Grangé, G.
Auteure/Auteur
Berlin, I.
Auteure/Auteur
Bretelle, F.
Auteure/Auteur
Bertholdt, C.
Auteure/Auteur
Berveiller, P.
Auteure/Auteur
Blanc, J.
Auteure/Auteur
DiGuisto, C.
Auteure/Auteur
Dochez, V.
Auteure/Auteur
Garabedian, C.
Auteure/Auteur
Guerby, P.
Auteure/Auteur
Koch, A.
Auteure/Auteur
Le Lous, M.
Auteure/Auteur
Perdriolle-Galet, E.
Auteure/Auteur
Peyronnet, V.
Auteure/Auteur
Rault, E.
Auteure/Auteur
Torchin, H.
Auteure/Auteur
Legendre, G.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
2468-7847
Statut éditorial
Publié
Date de publication
2020-10
Volume
49
Numéro
8
Première page
101847
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Systematic Review
Publication Status: ppublish
Publication Status: ppublish
Résumé
To provide up-to-date evidence-based guidelines for the management of smoking cessation during pregnancy and the post-partum period.
A systematic review of the international literature was undertaken between January 2003 and April 2019. MEDLINE, EMBASE databases and the Cochrane library were searched for a range of predefined key words. All relevant reports in English and French were classified according to their level of evidence ranging from 1(highest) to 4(lowest). The strength of each recommendation was classified according to the Haute Autorité de Santé (French National Authority for Health) ranging from A (highest) to C (lowest).
"Counselling", including all types of non-pharmacological interventions, has a moderate benefit on smoking cessation, birth weight and prematurity. The systematic use of measuring expired air CO concentration does not influence smoking abstinence, however, it may be useful in assessing smoked tobacco exposure prior to and after quitting. The use of self-help therapies and health education are recommended in helping pregnant smokers quit and should be advised by healthcare professionals. Nicotine replacement therapies (NRT) may be prescribed to pregnant women who have failed to stop smoking after trying non-pharmacological interventions. Different modes of delivery and dosages can be used in optimizing their efficacy. Smoking in the postpartum period is essential to consider. The same treatment options as during pregnancy can be used.
Smoking during pregnancy concerns more than a hundred thousand women each year in France resulting in a major public health burden. Healthcare professionals should be mobilised to employ a range of methods to reduce or even eradicate it.
A systematic review of the international literature was undertaken between January 2003 and April 2019. MEDLINE, EMBASE databases and the Cochrane library were searched for a range of predefined key words. All relevant reports in English and French were classified according to their level of evidence ranging from 1(highest) to 4(lowest). The strength of each recommendation was classified according to the Haute Autorité de Santé (French National Authority for Health) ranging from A (highest) to C (lowest).
"Counselling", including all types of non-pharmacological interventions, has a moderate benefit on smoking cessation, birth weight and prematurity. The systematic use of measuring expired air CO concentration does not influence smoking abstinence, however, it may be useful in assessing smoked tobacco exposure prior to and after quitting. The use of self-help therapies and health education are recommended in helping pregnant smokers quit and should be advised by healthcare professionals. Nicotine replacement therapies (NRT) may be prescribed to pregnant women who have failed to stop smoking after trying non-pharmacological interventions. Different modes of delivery and dosages can be used in optimizing their efficacy. Smoking in the postpartum period is essential to consider. The same treatment options as during pregnancy can be used.
Smoking during pregnancy concerns more than a hundred thousand women each year in France resulting in a major public health burden. Healthcare professionals should be mobilised to employ a range of methods to reduce or even eradicate it.
Sujets
PID Serval
serval:BIB_25DFBADAD8B4
PMID
Open Access
Oui
Date de création
2020-07-08T10:54:04.309Z
Date de création dans IRIS
2025-05-20T14:23:11Z