ArticleBJOG : an international journal of obstetrics and gynaecology2013
Smoking cessation in pregnant women with mental disorders: a cohort and nested qualitative study.
Article in BJOG : an international journal of obstetrics and gynaecology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 9 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Evidence-based behaviour change techniques to aid smoking cessation for pregnant women with mental illness: a systematic review.BMC pregnancy and childbirth · 2026Pooled it
- Pooled it
- Health providers' and pregnant women's perspectives about smoking cessation support: a COM-B analysis of a global systematic review of qualitative studies.BMC pregnancy and childbirth · 2021Pooled it
- The Relationship between Maternal Personality Disorder and Early Birth Outcomes: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2020Pooled it
- Factors influencing the uptake and use of nicotine replacement therapy and e-cigarettes in pregnant women who smoke: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2020Pooled it
- What components of smoking cessation care during pregnancy are implemented by health providers? A systematic review and meta-analysis.BMJ open · 2019Pooled it
- Psychosocial interventions for supporting women to stop smoking in pregnancy.The Cochrane database of systematic reviews · 2017Pooled it
- Pooled it
- Psychosocial interventions for supporting women to stop smoking in pregnancy.The Cochrane database of systematic reviews · 2013Pooled it
- Trial
- Trial
- Healthcare professionals' experiences of supporting pregnant women with mental illness with their smoking behaviors: a qualitative study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026Article
- Standardized Manual-Based Smoking Cessation Treatment in Patients With Comorbid Mental Disorders: Qualitative Interview Study.JMIR formative research · 2026Article
- Prevalence and incidence of moderate and severe mental illness in the second postpartum year in England (1995-2020): a national retrospective cohort study using primary care data.The Lancet regional health. Europe · 2025Article
- Maternal mental disorders and neonatal outcomes: Danish population-based cohort study.The British journal of psychiatry : the journal of mental science · 2025Article
- Cigarette Smoking Cessation Counselling in Pregnant Smokers with Mental Illness/Substance Use Disorders.Western journal of nursing research · 2023Article
- Development of type 2 diabetes in women with comorbid gestational diabetes and common mental disorders in the Born in Bradford cohort.BMJ open · 2022Article
- Severe mental illness and pregnancy outcomes in Australia. A population-based study of 595 792 singleton births 2009-2016.PloS one · 2022Article
- Article
- Interest in and Use of Smoking Cessation Support Across Pregnancy and Postpartum.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate whether 1) pregnant smokers with mental disorders are less likely to accept referrals to smoking cessation services compared with pregnant smokers without disorders; 2) they experience specific barriers to smoking cessation.
designCohort study supplemented by cross-sectional survey and nested qualitative study.
settingThree maternity services, London, UK. POPULATION: Pregnant smokers with and without mental disorders.
methodsCase notes were examined on a cohort of 400 consecutive pregnant smokers; data were triangulated with routinely collected data on 845 pregnant smokers at two other sites; 27 pregnant smokers were interviewed using qualitative methods.
main outcome measuresAcceptance of referral to smoking cessation services; perceived barriers to quitting.
resultsPregnant smokers with a mental disorder recorded by midwives were one-quarter of the cohort (97, 23%), were more likely to accept referral to smoking cessation services (69% versus 56%, adjusted odds ratio 1.70, 95% confidence interval 1.03-2.79), but more likely to still smoke at delivery (69% versus 56%, adjusted odds ratio 2.63, 95% confidence interval 1.41-4.92). Discussion about smoking was documented in 7.7% of subsequent antenatal visits in women with or without mental disorders. Pregnant smokers with diagnosed mental disorders reported that they and health practitioners did not prioritise smoking advice because of concern about adversely impacting mental health.
conclusionsPregnant women with mental disorders appear more motivated, yet find it more difficult, to stop smoking. Prioritisation of mental health over smoking may therefore lead to increasing health inequality for this group. Research into effective smoking cessation interventions is required for those with mental disorders.
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