[Smoking cessation during pregnancy].

IF 0.5 4区 医学 Q4 RESPIRATORY SYSTEM Revue des maladies respiratoires Pub Date : 2024-08-28 DOI:10.1016/j.rmr.2024.06.009
V Peyronnet, A-L Le Faou, I Berlin
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Abstract

Smoking during pregnancy is associated with negative pregnancy and perinatal health outcomes. Physiological and societal particularities can modify the smoking behavior of pregnant women. Pregnancy is a teachable moment for smoking cessation. Increased nicotine clearance may lead to exacerbated tobacco withdrawal symptoms and desire to smoke, which need to be taken into account when helping pregnant smokers to quit. Although most pregnant smokers try to quit on their own, 12% of pregnant women in France reported smoking in 2021 during the 3rd trimester of pregnancy. Health care professionals should screen for tobacco consumption and assess the level of addiction. Management of smoking cessation can be multidisciplinary, including non-pharmacological support such as counselling, behavioral support, financial reward contingent on abstinence, and medication (nicotine replacement therapies). Assessment and limitation of secondhand smoke exposure (SHS) is needed because SHS can also have negative maternal and fetal consequences. Management of relapse during the postpartum period is also to be anticipated; in 2021, it concerned 22.4% of women who had stopped smoking during pregnancy. While electronic cigarette use is increasing overall and among pregnant women who smoke (5.4 before pregnancy, 1.3% during the 3rd trimester in 2021), well-conducted smoking cessation studies are necessary to assess its benefits and potential risks in this specific group of smokers.

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[孕期戒烟]。
孕期吸烟与妊娠和围产期的不良健康后果有关。生理和社会的特殊性会改变孕妇的吸烟行为。怀孕是戒烟的好时机。尼古丁清除率的增加可能会导致戒烟症状和吸烟欲望的加剧,在帮助孕妇戒烟时需要考虑到这一点。尽管大多数孕期吸烟者都会尝试自行戒烟,但法国仍有12%的孕妇表示在2021年怀孕第3个月时吸烟。医护人员应筛查孕妇是否吸烟,并评估烟瘾程度。戒烟管理可以是多学科的,包括非药物支持,如咨询、行为支持、戒烟经济奖励和药物治疗(尼古丁替代疗法)。需要对二手烟暴露(SHS)进行评估和限制,因为二手烟暴露也会对孕产妇和胎儿造成负面影响。产后期间的复吸管理也值得期待;2021 年,22.4% 的孕期戒烟妇女都有复吸问题。虽然电子香烟的使用在总体上和在吸烟孕妇中都在增加(2021年,怀孕前5.4%,怀孕三个月期间1.3%),但有必要开展完善的戒烟研究,以评估其对这一特殊吸烟群体的益处和潜在风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Revue des maladies respiratoires
Revue des maladies respiratoires 医学-呼吸系统
CiteScore
1.10
自引率
16.70%
发文量
168
审稿时长
4-8 weeks
期刊介绍: La Revue des Maladies Respiratoires est l''organe officiel d''expression scientifique de la Société de Pneumologie de Langue Française (SPLF). Il s''agit d''un média professionnel francophone, à vocation internationale et accessible ici. La Revue des Maladies Respiratoires est un outil de formation professionnelle post-universitaire pour l''ensemble de la communauté pneumologique francophone. Elle publie sur son site différentes variétés d''articles scientifiques concernant la Pneumologie : - Editoriaux, - Articles originaux, - Revues générales, - Articles de synthèses, - Recommandations d''experts et textes de consensus, - Séries thématiques, - Cas cliniques, - Articles « images et diagnostics », - Fiches techniques, - Lettres à la rédaction.
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