PMID: 9534502Apr 16, 1998Paper

Prenatal smoking cessation counseling by Texas obstetricians

Birth
P D MullenJ G Moy

Abstract

Smoking during pregnancy causes 20 to 30 percent of low birthweight and 10 percent of infant mortality in the United States. Brief counseling can reduce rates of smoking. The study objectives were to describe Texas obstetricians' pregnancy smoking cessation counseling activity and to identify attributes associated with consistent, effective counseling. A survey was mailed to a random sample of Texas obstetricians. A response rate of 44 percent (n = 204) was attained. A counseling coverage-effectiveness index was created based on the percentage of smokers counseled and use of specific techniques. Almost all respondents reported asking about smoking; fewer, however, reported counseling smokers. Physicians with low index scores, indicating inconsistent coverage, ineffective counseling, or both were dissatisfied with their current counseling, did not perceive counseling to decrease smoking, were not aware of the risks of smoking, and were unfamiliar with expert reports and recommendations for prenatal care. Obstetricians who are not reached by expert reports and guidelines from groups outside their specialty or who do not perceive the seriousness of maternal smoking are less likely to counsel consistently and to use the most effect...Continue Reading

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Citations

Jan 20, 2007·Community Mental Health Journal·James H PriceJoy A Price
Jul 13, 2006·Journal of Community Health·James H PriceJoseph A Dake
Oct 2, 2009·Maternal and Child Health Journal·Sarah-Truclinh T TranNichole E Carlson
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