Specific Populations and Other Topics — Pregnant Smokers (Continued)
|Motivate quit attempts by providing educational messages about the impact of smoking on both maternal and fetal health.
||These are associated with higher quit rates.
|Give clear, strong advice to quit as soon as possible.
||Quitting early in pregnancy provides the greatest benefit to the fetus.
|Use problem-solving counseling methods and provide social support and pregnancy-specific self-help materials.
||Reinforces pregnancy-specific benefits and increases cessation rates.
|Arrange for follow-up assessments throughout pregnancy, including further encouragement of cessation.
||The woman and her fetus will benefit even when quitting occurs late in pregnancy.
|In the early postpartum period, assess for relapse and be prepared to continue or reapply tobacco cessation interventions recognizing that patients may minimize or deny smoking.
||Postpartum relapse rates are high even if a woman maintains abstinence throughout pregnancy.
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