Evidence map›Paper›PMID 24317354›Full record

ArticleJournal of addiction medicine

Smoking cessation during pregnancy and postpartum: practice patterns among obstetrician-gynecologists.

Victoria H Coleman-Cowger, Britta L Anderson, Jeanne Mahoney, Jay Schulkin

Abstract read
In one paragraph

Article in Journal of addiction medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Quitting Smoking before and after Pregnancy: Study Methods and Baseline Data from a Prospective Cohort Study.International journal of environmental research and public health · 2022
    Article
  6. Healthcare Professionals' Beliefs, Attitudes, Knowledge, and Behavior Around Vaping in Pregnancy and Postpartum: A Qualitative Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021
    Article
  7. Article
  8. Observational
  9. Article
  10. Patterns of Single and Multiple Tobacco Product Use Among US Women of Reproductive Age.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2018
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Understanding Inequalities of Maternal Smoking--Bridging the Gap with Adapted Intervention Strategies.International journal of environmental research and public health · 2016
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Victoria H Coleman-CowgerFrom Chestnut Health Systems (VHCC), Normal, IL; and American College of Obstetricians and Gynecologists (BLA, JM, JS), Washington, DC.
Britta L Anderson
Jeanne Mahoney
Jay Schulkin
American Congress of Obstetricians and Gynecologists · US

Funding

Phone-Based Postpartum Continuing Care: Smoking Cessation Beginning in PregnancyR34DA032683 · NIDA · CHESTNUT HEALTH SYSTEMS, INC. · PI COLEMAN-COWGER, VICTORIA HOPE · 2012 to 2014
$676k
NIDA NIH HHS 1R34DA032683NIDA NIH HHS R34 DA032683PHS HHS UA6MC19010
6 · The paper itself

Abstract

objectivesTo assess current obstetrician-gynecologist (ob-gyn) practice patterns related to the management of and barriers to smoking cessation during pregnancy and postpartum.

methodsA smoking cessation questionnaire was mailed to 1024 American College of Obstetricians and Gynecologists Fellows in 2012. χ(2) analyses were used to assess for categorical differences between groups, Pearson r was used to conduct correlational analysis, and analysis of variance was used to assess for mean differences between groups.

resultsThe analyses included 252 practicing ob-gyns who see pregnant patients who returned a completed survey. Ob-gyns estimated that 23% of their patients smoke before pregnancy, 18% smoke during first trimester, 12% during second trimester, and 11% during third trimester. They approximated that 32% quit during pregnancy, but 50% return to smoking postpartum. A large majority of ob-gyns feel that it is important for pregnant and postpartum women to quit smoking, and report asking all pregnant patients about tobacco use at the initial prenatal visit. Fewer ob-gyns follow-up on tobacco use at subsequent visits when the patient has admitted to use at a prior visit. The primary barrier to intervention was reported as time limitations, though other barriers were noted that may be addressable through the provision of additional training and resources offered to physicians.

conclusionsCompared with findings from a similar study conducted in 1998, physicians are less likely to adhere to the 5 As smoking cessation guideline at present. As we know that brief intervention is effective, it is imperative that we work toward addressing practice gaps and providing additional resources to address the important public health issue of smoking during pregnancy and postpartum.

Indexed as

Smoking PreventionAdultChi-Square DistributionFemaleHumansMaleMiddle AgedPhysiciansPostnatal CarePractice Patterns, Physicians'PregnancyPregnancy ComplicationsPrenatal CareSmoking CessationSurveys and Questionnaires

Identifiers

PMID24317354
PMCPMC4346356
OpenAlexW2062107023

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.