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Association Between Smoking Cessation Interventions During Prenatal Care and Postpartum Relapse: Results from 2004 to 2008 Multi-State PRAMS Data

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Abstract

Cigarette smoking is a serious global public health issue, and is particularly harmful to the maternal and child population. The study aimed to determine if there was an association between smoking cessation intervention during pregnancy and postpartum smoking relapse, and to define a time trend of postpartum smoking relapse after delivery. Data from the 2004–2008 pregnancy risk assessment monitoring systems of Colorado, Maine, Ohio, and Washington were analyzed. Logistic regression was used to define the association between smoking cessation intervention and postpartum smoking relapse, and to identify trend of postpartum smoking relapse. Analyses were done using SAS-Callable SUDAAN v.10.0 and Mplus v.6.0. Among the 2,938 women in the study the relapse rate was 48 %. It was 45 % among those without intervention, 58 % among those who received only counseling, and 57 % among those who received both counseling with treatment and/or referral. The rate was 42, 61, and 67 % among women whose infants were at 2–3, 4–5, and 6 months or more, respectively. Adjusted logistic regression models showed a trend of increased smoking relapse, but did not indicate an association between smoking cessation intervention and smoking relapse. Rates of smoking relapse were high and increased by time after delivery. Smoking cessation intervention during pregnancy may not be successful at preventing postpartum smoking relapse.

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Acknowledgments

This study was supported by the Maternal & Child Health (MCH) Program of Office of Public Health (OPH), Louisiana Department of Health and Hospitals. The authors express their appreciation to the director of Louisiana OPH MCH Program, MCH EPI unit, CDC PRAMS Team, Applied Sciences Branch, Division of Reproductive Health, and project coordinators and staff of Colorado, Main, Ohio, and Washington PRAMS.

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Authors and Affiliations

  1. Maternal and Child Health Program, Louisiana Office of Public Health, New Orleans, LA, USA

    Tri Tran & Lillian Funke

  2. Department of Pediatrics, School of Medicine, Louisiana State University Health Science Center, New Orleans, LA, USA

    Tri Tran & Nicole Richmond

  3. Department of Epidemiology, Tulane School of Public Health and Tropical Medicine, New Orleans, LA, USA

    Austin Reeder

  4. Children’s Special Health Services Program, Louisiana Office of Public Health, New Orleans, LA, USA

    Nicole Richmond

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  1. Tri Tran
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  2. Austin Reeder
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  3. Lillian Funke
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  4. Nicole Richmond
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Correspondence to Tri Tran.

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Tran, T., Reeder, A., Funke, L. et al. Association Between Smoking Cessation Interventions During Prenatal Care and Postpartum Relapse: Results from 2004 to 2008 Multi-State PRAMS Data. Matern Child Health J 17, 1269–1276 (2013). https://doi.org/10.1007/s10995-012-1122-8

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  • DOI: https://doi.org/10.1007/s10995-012-1122-8

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