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INTRAUTERINE GROWTH RESTRICTION |
J Am Acad Nurse Pract. 2001 Apr;13(4):171-7.
Smoking cessation interventions for pregnant women to prevent low birth
weight: what does the evidence show?
Messecar DC.
Oregon Health Sciences University School of Nursing, Portland, OR, USA.
messecar@ohsu.edu
Purpose:
To review the epidemiology of smoking cessation and low birth
weight (LBW), the use of meta-analysis and cost-benefit analysis in
analyzing this problem, and the financial considerations of
institutionalizing smoking cessation interventions. Recommendations for
clinicians caring for smoking pregnant women and suggestions for
implementing the recommended strategies for smoking cessation programs are
included.
Data Sources: Comprehensive review of smoking and low birth weight
(LBW) outcomes, cost-effectiveness, and tobacco use and dependence
literature; clinical practice guidelines, and a widely cited meta-analysis
on smoking cessation.
Conclusions:
Research has shown that smoking is a
significant factor in LBW outcomes and that cessation is especially critical
for pregnant women. IMPLICATIONS FOR PRACTICE: Careful evaluation of the
intervention research is required before designing local interventions to
ensure the most effective measures are utilized.
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