Smoke free families project brief
Randomised controlled trial of a postpartum relapse prevention intervention
Susan M Van't Hofa, Michael A Wallb, David W Dowlera, Michael J Starka
a Program
Design and Evaluation Services, Oregon Health Division, Portland,
Oregon, USA, b Pulmonary Division, Department of Pediatrics,
Oregon Health Sciences University, Portland
Correspondence to: Susan M Van't Hof, Program Design and Evaluation Services, Oregon Health Division, 800 NE Oregon Street, Suite 550, Portland, OR 97232, USA; susan.m.vanthof@state.or.us
| The first 150 words of the full text of this article appear below. |
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Introduction |
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Many women quit smoking during pregnancy but postnatal relapse rates are high, averaging 50-80% in the first year after delivery.1 2 Previous work suggests that provider based relapse intervention in the context of well-baby visits may lead to a decrease in postnatal relapse rates.3 However, prior research also suggests that the majority of postnatal providers do not take a systematic approach to obtaining a smoking history from all new mothers, and thus may miss opportunities for cessation and relapse counselling.3 4
In the present study we examined whether: (1) a relapse prevention
intervention, implemented during the hospital stay during the period
soon after delivery and at well-baby visits, would reduce the rate of
relapse to smoking six months postpartum; (2) the time of delivery was
an opportune moment to obtain a smoking history; (3) the history could
be transmitted quickly to the infant's pediatric provider; and (4)
transmission would lead to increased
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Lancaster, T., Hajek, P., Stead, L. F., West, R., Jarvis, M. J.
(2006). Prevention of Relapse After Quitting Smoking: A Systematic Review of Trials.. Arch Intern Med
166: 828-835
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