Study Methods: Simi-structured interviews were conducted with 40 pregnant women. There were 40 pregnant smokers attending antenatal clinic. These women were approached after their appointments and could refuse or consent. All but 2 consented. They were interviewed in private rooms. The age range of the sample was 15-35. All of the respondents were current smokers.
Key Findings: Respondent highlighted four factors in roughly equal proportion which were other smokers, lack of will-power, the physical and psychological addiction and being irritable. Most of the women focused on one main factor which is being in the presence of other smokers. They cited stress, coping with children, coffee breaks, boredom, socializing, relationship problems, and relaxing as reasons that made them smoke.
Introduction: This study looks at the psychosocial factors that that cause a continuing smoking habit in maternal smoking. 40 women were who generally attended the primary care clinic were permitted and included in the program
1. How rigorous and reliable is the evidence This study has strong implications for patient safety as well as the safety of her unborn child. The study is well supported by other studies, however the structure was not as rigorous as one might like and the participant size was small and from only one practice. This is a peer reviewed study with doi number listed.
2. What is the evidence and the magnitude of effect There is evidence in this study that there are emotional and psychological reasons as well as physical reasons why a pregnant woman might smoke during her pregnancy. It is also shown that the majority of these understand that there is risk and continue to smoke. The magnitude is related to the fact that this finding points to a need to find a way other than education that is safe for changing this habit without harming the infant.
3. What are the peripheral benefits and costs The peripheral benefits, of course, in this case are many including the decrease in second hand smoke for other children in the home. The long term increased health of the mother and infant, the encouragement of friends and family to decrease smoking or stop smoking. The cost of this financially cannot outweigh the improvement if the improvement actually occurs. Not taking action in this case is extremely detrimental to mother, baby, and other children in the home.
4. Appraisal of the evidence: This patient would have qualified for the study. She would not have been excluded for any of the exclusion factors. It appears, however, from the evidence in this case, that just education does not work. There needs to be more information and before applying any of the suggestions in this case, this writer would want to do a greater search of the evidence.
Effectiveness of Turning with Unequal Time Intervals on