Obstetricians and Gynecologists' Perceptions and Use of Nicotine Replacement Therapy

Overview

Journal J Community Health

Publisher Springer

Specialty Public Health

Date 2006 Jul 13

PMID 16830505

Citations 13

Authors

James H Price

Timothy R Jordan

Joseph A Dake

Affiliations

Soon will be listed here.

Abstract

The objective of this study was to assess Ohio obstetricians/ gynecologists' perceptions and use of nicotine replacement therapy (NRT) with pregnant smokers. A three-wave mailing procedure was used and 154 responded (44%) to a valid and reliable 36-item questionnaire regarding: Stage of Change in using NRT, perceptions of prescribing NRT, confidence in using NRT, barriers to prescribing NRT, and use of 5 A's counseling steps. One-fourth (26%) prescribed NRT to pregnant smokers. One-third (32%) perceived NRT as safe, yet few (14%) perceived it as effective. Respondents were most likely to prescribe NRT if the patient requested it (44%). Those most likely to prescribe NRT were more likely to: perceive use of NRT in pregnancy as safe (OR = 20.0); perceive NRT as effective in pregnancy (OR = 4.3); have high confidence in their ability to effectively prescribe NRT (OR = 3.86); and believed most or some of their colleagues prescribed NRT to pregnant smokers (OR = 6.7). The majority did not prescribe NRT possibly because few respondents received cigarette smoking cessation training in medical school or their residencies. Significant revisions in professional training and more continuing medical education are needed regarding smoking cessation and use of NRT.

Citing Articles

Barriers and enablers to addressing smoking, nutrition, alcohol consumption, physical activity and gestational weight gain (SNAP-W) as part of antenatal care: A mixed methods systematic review.

Dilworth S, Doherty E, Mallise C, Licata M, Hollis J, Wynne O Implement Sci Commun. 2024; 5(1):112.

PMID: 39385250 PMC: 11462853. DOI: 10.1186/s43058-024-00655-z.

Physician Reluctance to Intervene in Addiction: A Systematic Review.

Campopiano von Klimo M, Nolan L, Corbin M, Farinelli L, Pytell J, Simon C JAMA Netw Open. 2024; 7(7):e2420837.

PMID: 39018077 PMC: 11255913. DOI: 10.1001/jamanetworkopen.2024.20837.

What components of smoking cessation care during pregnancy are implemented by health providers? A systematic review and meta-analysis.

Gould G, Twyman L, Stevenson L, Gribbin G, Bonevski B, Palazzi K BMJ Open. 2019; 9(8):e026037.

PMID: 31427313 PMC: 6701616. DOI: 10.1136/bmjopen-2018-026037.

Overcoming Challenges to Treating Tobacco use During Pregnancy - A Qualitative study of Australian General Practitioners Barriers.

Bar-Zeev Y, Skelton E, Bonevski B, Gruppetta M, Gould G BMC Pregnancy Childbirth. 2019; 19(1):61.

PMID: 30732568 PMC: 6367814. DOI: 10.1186/s12884-019-2208-8.

Algorithm for resolving discrepancies between claims for smoking cessation pharmacotherapies during pregnancy and smoking status in delivery records: The impact on estimates of utilisation.

Roper L, Tran D, Einarsdottir K, Preen D, Havard A PLoS One. 2018; 13(8):e0202999.

PMID: 30161203 PMC: 6117013. DOI: 10.1371/journal.pone.0202999.

References

. Smoking during pregnancy--United States, 1990-2002. MMWR Morb Mortal Wkly Rep. 2004; 53(39):911-5. View

Mullen P . Maternal smoking during pregnancy and evidence-based intervention to promote cessation. Prim Care. 1999; 26(3):577-89. DOI: 10.1016/s0095-4543(05)70118-4. View

Edwards P, Roberts I, Clarke M, DiGuiseppi C, Pratap S, Wentz R . Increasing response rates to postal questionnaires: systematic review. BMJ. 2002; 324(7347):1183. PMC: 111107. DOI: 10.1136/bmj.324.7347.1183. View

Melvin C, Windsor R, Whiteside Jr H, Goldenberg R . Recommended cessation counselling for pregnant women who smoke: a review of the evidence. Tob Control. 2000; 9 Suppl 3:III80-4. PMC: 1766309. DOI: 10.1136/tc.9.suppl_3.iii80. View

Chapin J, Root W . Improving obstetrician-gynecologist implementation of smoking cessation guidelines for pregnant women: an interim report of the American College of Obstetricians and Gynecologists. Nicotine Tob Res. 2004; 6 Suppl 2:S253-7. DOI: 10.1080/14622200410001669123. View

Benowitz N, Dempsey D . Pharmacotherapy for smoking cessation during pregnancy. Nicotine Tob Res. 2004; 6 Suppl 2:S189-202. DOI: 10.1080/14622200410001669169. View

Klebanoff M, LEVINE R, Clemens J, DerSimonian R, Wilkins D . Serum cotinine concentration and self-reported smoking during pregnancy. Am J Epidemiol. 1998; 148(3):259-62. DOI: 10.1093/oxfordjournals.aje.a009633. View

. A clinical practice guideline for treating tobacco use and dependence: A US Public Health Service report. The Tobacco Use and Dependence Clinical Practice Guideline Panel, Staff, and Consortium Representatives. JAMA. 2000; 283(24):3244-54. View

Mullen P, Pollak K, Titus J, Sockrider M, Moy J . Prenatal smoking cessation counseling by Texas obstetricians. Birth. 1998; 25(1):25-31. DOI: 10.1046/j.1523-536x.1998.00025.x. View

10.

Owen L, McNeill A . Saliva cotinine as indicator of cigarette smoking in pregnant women. Addiction. 2001; 96(7):1001-6. DOI: 10.1046/j.1360-0443.2001.96710019.x. View

11.

Helwig A, Swain G, Gottlieb M . Smoking cessation intervention: the practices of maternity care providers. J Am Board Fam Pract. 1998; 11(5):336-40. DOI: 10.3122/15572625-11-5-336. View

12.

Silagy C, Lancaster T, Stead L, Mant D, Fowler G . Nicotine replacement therapy for smoking cessation. Cochrane Database Syst Rev. 2004; (3):CD000146. DOI: 10.1002/14651858.CD000146.pub2. View

13.

Schroeder D, Ogburn Jr P, Hurt R, Croghan I, Ramin K, Offord K . Nicotine patch use in pregnant smokers: smoking abstinence and delivery outcomes. J Matern Fetal Neonatal Med. 2002; 11(2):100-7. DOI: 10.1080/jmf.11.2.100.107. View

14.

Biener L, Garrett C, Gilpin E, Roman A, Currivan D . Consequences of declining survey response rates for smoking prevalence estimates. Am J Prev Med. 2004; 27(3):254-7. DOI: 10.1016/j.amepre.2004.05.006. View

15.

Li C, Windsor R, Perkins L, Goldenberg R, Lowe J . The impact on infant birth weight and gestational age of cotinine-validated smoking reduction during pregnancy. JAMA. 1993; 269(12):1519-24. View

16.

Chan B, Koren G . Pharmacological treatment for pregnant women who smoke cigarettes. Tob Induc Dis. 2009; 1(3):165-74. PMC: 2671545. DOI: 10.1186/1617-9625-1-3-165. View

17.

McMenamin S, Schauffler H, Shortell S, Rundall T, Gillies R . Support for smoking cessation interventions in physician organizations: results from a national study. Med Care. 2003; 41(12):1396-406. DOI: 10.1097/01.MLR.0000100585.27288.CD. View

18.

Grimley D, Bellis J, Raczynski J, Henning K . Smoking cessation counseling practices: a survey of Alabama obstetrician-gynecologists. South Med J. 2001; 94(3):297-303. View

19.

Kottke T, Battista R, Defriese G, Brekke M . Attributes of successful smoking cessation interventions in medical practice. A meta-analysis of 39 controlled trials. JAMA. 1988; 259(19):2883-9. DOI: 10.1001/jama.259.19.2883. View

20.

Buka S, Shenassa E, Niaura R . Elevated risk of tobacco dependence among offspring of mothers who smoked during pregnancy: a 30-year prospective study. Am J Psychiatry. 2003; 160(11):1978-84. DOI: 10.1176/appi.ajp.160.11.1978. View