Stoebner-Delbarre A, Letourmy F
Epidaure, Département de Prévention C.R.L.C. Val d'Aurelle Parc Euromédecine, rue des Apothicaires, 34298 Montpellier Cedex 05.
J Gynecol Obstet Biol Reprod (Paris). 2005 Apr;34 Spec No 1:3S326-35.
Active and passive exposure to tobacco smoke during pregnancy is the most serious and preventable cause of adverse maternal, fetal, and infant outcomes in France. The clinical and economic benefits of cessation have been documented. The objective of this article is to review the evidence base addressing smoking cessation in pregnant women. The article describes how best to assist the pregnant smoker in clinical practice or hospital to quit during pregnancy. The following low intensity interventions designed to be integrated into routine prenatal care are detailed: expired air CO measures, practice of the evidence-based 5 A's smoking cessation intervention for pregnant women, use of pregnant woman's self-help guide to quit smoking, relapse prevention, health professionals' training, participation to community program.
在法国,孕期主动和被动接触烟草烟雾是导致孕产妇、胎儿和婴儿不良结局的最严重且可预防的原因。戒烟的临床和经济效益已有文献记载。本文的目的是综述关于孕妇戒烟的证据基础。文章描述了在临床实践或医院中如何最好地帮助怀孕吸烟者在孕期戒烟。详细介绍了以下旨在纳入常规产前护理的低强度干预措施:呼出气体一氧化碳测量、针对孕妇的循证5A戒烟干预措施的实施、使用孕妇戒烟自助指南、预防复吸、卫生专业人员培训、参与社区项目。