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Maternal harmful pattern of use of tobacco — Clinical Guidelines

Overview

Maternal harmful pattern of tobacco use refers to the detrimental effects on maternal and fetal health due to tobacco consumption during pregnancy, impacting both short-term and long-term health outcomes for both mother and child. 5

Diagnosis

Clinical History: Identification of tobacco use through self-reporting or biomarker testing (e.g., cotinine levels). 5

Prenatal Screening: Routine screening for tobacco use during prenatal visits. 5

Fetal Monitoring: Increased surveillance for complications such as low birth weight, preterm birth, and intrauterine growth restriction. 5

Management

Counseling and Behavioral Support: Provide smoking cessation counseling and support programs. 5

Nicotine Replacement Therapy: Consider nicotine replacement therapies (e.g., patches, gum) under medical supervision. 5

Pharmacological Interventions: Use of non-nicotine medications like bupropion or varenicline as adjuncts to behavioral support. 5

Special Populations

Pregnancy: Emphasis on smoking cessation due to severe risks including fetal growth restriction and preterm birth. 5

Pediatrics: Exposure to secondhand smoke can cause respiratory issues and increased susceptibility to infections. 5

Key Recommendations

Implement routine screening for tobacco use during prenatal care to identify harmful patterns early. (Evidence: Moderate 5)

Offer comprehensive smoking cessation programs including behavioral counseling and pharmacological aids to pregnant women. (Evidence: Moderate 5)

Educate mothers on the long-term health impacts of tobacco use on both maternal and child health, leveraging empowerment initiatives that improve socioeconomic outcomes. (Evidence: Moderate 2)

References

1 Hawkins SS. Paid Parental Leave Policies. Journal of obstetric, gynecologic, and neonatal nursing : JOGNN 2023. link 2 Noghanibehambari H, Noghani F. Long-run intergenerational health benefits of women empowerment: Evidence from suffrage movements in the US. Health economics 2023. link 3 Mansournia MA, Collins GS, Nielsen RO, Nazemipour M, Jewell NP, Altman DG et al.. A CHecklist for statistical Assessment of Medical Papers (the CHAMP statement): explanation and elaboration. British journal of sports medicine 2021. link 4 Cruz MJB, Santos AFD, Araújo LHL, Andrade EIG. [Coordination of care and quality of healthcare for women and children in the PMAQ]. Cadernos de saude publica 2019. link 5 Binns C, Lee MK, Low WY. Children and E-Cigarettes: A New Threat to Health. Asia-Pacific journal of public health 2018. link 6 Harris LJ. On teaching infants "the right use of their hands": Advice and reassurance from Mary Palmer Tyler's The Maternal Physician (1811). Laterality 2010. link 7 Smith D, Smith HL. Toward improvements in parenting: a description of prenatal and postpartum classes with teaching guide. JOGN nursing; journal of obstetric, gynecologic, and neonatal nursing 1978. link

Maternal harmful pattern of use of tobacco