Maternal consumption of tobacco and pregnancy

Abstract

Methods: We’ve reviewed the clinical and smoking histories of pregnant smokers. In this unit, they were applied the same assistance program:offering pharmacological treatment, nicotine replacement therapy (NRT), and psychological, which includes the development of cognitive-behavioral techniques designed specifically for this group of smokers in 9 consultations, over 6months of tracing. The characteristics of smoking in all subjects were analyzed. Results: 22 pregnant women. The average age was 34.27 yrs and they were approximately at week 17 gestation (mean value). Through an analog-visual scale they showed a high motivation to stop smoking (average 8.66 pts). Characteristics of smoking, smoked 17.18yrs(±5.21), the index of packets years was 19.86 and 64% of them smoked for negative reward. Average score in the Fagerstrom Test: 6.68±1.93; more than 80% of them lit the 1 cigarette of the day in the 1 half hour. Before becoming pregnant, they smoked an average of 23.13cig/day and after finding out that they were pregnant their consumption dropped to an average of 9.63cig/day; despite them the CO in expired air was 21.27 ppm (±9.25ppm) (See figure 1). Pharmacological treatment was received by 20 of them in the form of chewing gum and nicotine tablets. The abstinence rate at 6 mths was 27%, the same as the rate of failure (27%). The worrying fact is that 46% of them left in the 1 consultation Conclusions: It was high degree of physical dependence due to nicotine in the pregnant women who attended. Before pregnancy, they smoked an average of 23cig/day and after being pregnant they smoked an average of 10cig/day that is not related to the carbon monoxide figures. Abstinence rate27%. The 46% of them abandoned the treatment after the first consultation.