Are We Justified in Introducing Carbon Monoxide Testing to Encourage Smoking Cessation in Pregnant Women?
Are We Justified in Introducing Carbon Monoxide Testing to Encourage Smoking Cessation in Pregnant Women?
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DOI：
10.1007/s10728-018-0364-z
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发表时间：
2019-06-01
影响因子：
1.9
通讯作者：
Bowden, Catherine
中科院分区：
文献类型：
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作者：
Bowden, Catherine
当吸烟者是孕妇时，吸烟经常被认为是特别有问题的，因为对未来的孩子有潜在的伤害。这一前提被用来证明针对孕妇采取独特的戒烟方法是合理的，包括在每次产前预约时对所有孕妇进行一氧化碳常规检测等政策。本文研究的证据表明，这种政策是合理的伤害预防的目的，并认为，以这种方式针对孕妇可能弊大于利。常规的一氧化碳测试是特别有问题的，因为它向孕妇发出一个信息，即他们不能被信任，要么如实回答他们是否吸烟的问题，要么以非怀孕个体的方式为自己和未来孩子的最佳利益做出决定。此外，如果目的是降低产前伤害率，证据表明，对产前护理采取支持性和赋权的办法是实现这一目标的最有效途径，而目前针对孕妇的政策与此相冲突。
Smoking is frequently presented as being particularly problematic when the smoker is a pregnant woman because of the potential harm to the future child. This premise is used to justify targeting pregnant women with a unique approach to smoking cessation including policies such as the routine testing of all pregnant women for carbon monoxide at every antenatal appointment. This paper examines the evidence that such policies are justified by the aim of harm prevention and argues that targeting pregnant women in this way is likely to do more harm than good. Routine carbon monoxide testing is particularly problematic as it sends a message to pregnant women that they cannot be trusted either to truthfully answer questions as to whether or not they smoke, or to make decisions in the best interests of themselves and their future children in the way that non-pregnant individuals are. Further, if the aim is to reduce rates of prenatal harm, the evidence suggests that adopting a supportive and empowering approach to prenatal care is the most effective way to achieve this, something that the current policies aimed at pregnant women are in conflict with.