Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Smoking Cessation During Pregnancy

Obstet Gynecol; ePub 2017 Oct; ACOG

The use of alternative forms of nicotine have increased in recent years, but there are little data regarding the health effects of these agents in pregnant women. This according to a committee opinion on smoking cessation during pregnancy from the American College of Obstetricians and Gynecologists (AGOG) that has been updated to reflect a limited, focused change in electronic nicotine delivery system and pharmacotherapy references. Among the updated information and continued recommendations:

  • The use of alternative forms of nicotine, such as e-cigarettes and vaping, have increased substantially in recent years, but there are little data regarding health effects of these agents, either in the general population or in pregnant women.
  • A short counseling session with pregnancy-specific educational materials and a referral to the smokers’ quit line is an effective smoking cessation strategy.
  • Knowledge and use of the 5A’s (Ask, Advise, Assess, Assist, and Arrange), health care support systems, and pharmacotherapy add to the techniques providers can use to support perinatal smoking cessation.

Citation:

Smoking cessation during pregnancy. Committee Opinion No. 721. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2017;130:e200–4.