SMOKING RELAPSE PREVENTION FOR PREGNANT WOMEN

在过去十年中，许多报告证实， 怀孕期间吸烟对妇女健康的有害影响 胎儿、新生儿和母亲。 最近，努力 正在提高认识，并告知双方， 母亲和医生关于吸烟的影响， 怀孕 这些公共宣传活动和警告 似乎正在激励一些女性尝试戒烟 一旦怀孕（约20-25%）。 显然 然而，从早期的工作来看， 成功戒烟后恢复吸烟。 努力 需要被引导向这些有动力的女性提供 鼓励怀孕期间继续取得成功的经验。 目前没有任何计划可以帮助怀孕的前- 吸烟者不会复发。 该项目的目的是开发 预防吸烟复吸的多成分干预措施 公共卫生妇产科诊所的孕妇。 我们将 评估由三个组成的干预措施的有效性 主成分：1）10分钟标准化复发 预防技能培训课程，2）社会支持，3）诊所 加固. 一项随机、前瞻性的前测/后测 以小组设计评估成效。 一 共有110名最近戒烟的人将被随机分为两组 然后一直跟踪到怀孕结束 的自我报告 禁欲将通过一氧化碳测试进行验证。 我们正在寻找新的，关键的信息， 评估：1）什么类型的程序将适合一个忙碌 产前护理诊所（可行性）和2）有效性水平 这些方法可能有（行为影响）。 与此 信息，我们将能够估计干预效果， 有能力提出更大更严格的试验 为了解决怀孕妇女再次犯罪这一重大问题， 高危女性。

During the past decade, numerous reports have confirmed the detrimental effects of smoking during pregnancy on the health of the fetus, newborn infant, and the mother. More recently, efforts are being made to increase the awareness and to inform both the mother and the physician about the effects of smoking during pregnancy. These public information campaigns and warnings appear to be motivating some women to attempt to quit smoking once becoming pregnant (approximately 20-25%). It is apparent from early work, however, a significant problem exists in the resumption of smoking following successful cessation. Efforts need to be directed toward providing these motivated women with experiences to encourage continued success during pregnancy. No programs are currently available to assist the pregnant ex- smoker in not relapsing. The purpose of this project is to develop a multi-component intervention to prevent smoking relapse among pregnant women in Public Health Maternity clinics. We will evaluate the effectiveness of an intervention composed of three principal components: 1) a ten minute standardized relapse prevention skill training session, 2) social support, and 3) clinic reinforcement. A randomized, perspective pretest/post-test group design will be employed to evaluate the effectiveness. A total of 110 recent quitters will be randomized to the two groups and then be followed until the end of pregnancy. Self-reports of abstinence will be verified using carbon monoxide testing. We are seeking new, critical information in this formative evaluation on: 1) what type of program will fit into a busy prenatal care clinic (feasibility) and 2) the level of effectiveness these methods might have (behavioral impact). With this information, we will be able to estimate intervention effects and be in an excellent position to propose a larger, more rigorous trial to address this significant problem of recidivism among pregnant women at high risk.