Intervention Review

You have free access to this content

Psychosocial interventions for supporting women to stop smoking in pregnancy

  1. Catherine Chamberlain1,*,
  2. Alison O'Mara-Eves2,
  3. Sandy Oliver2,
  4. Jenny R Caird2,
  5. Susan M Perlen3,
  6. Sandra J Eades4,
  7. James Thomas2

Editorial Group: Cochrane Pregnancy and Childbirth Group

Published Online: 23 OCT 2013

Assessed as up-to-date: 25 JUN 2013

DOI: 10.1002/14651858.CD001055.pub4


How to Cite

Chamberlain C, O'Mara-Eves A, Oliver S, Caird JR, Perlen SM, Eades SJ, Thomas J. Psychosocial interventions for supporting women to stop smoking in pregnancy. Cochrane Database of Systematic Reviews 2013, Issue 10. Art. No.: CD001055. DOI: 10.1002/14651858.CD001055.pub4.

Author Information

  1. 1

    Monash University, Global Health and Society Unit, Department of Epidemiology and Preventive Medicine, Melbourne, Victoria, Australia

  2. 2

    University of London, EPPI-Centre, Social Science Research Unit, Institute of Education, London, UK

  3. 3

    Murdoch Childrens Research Institute, Healthy Mothers Healthy Families Research Group, Melbourne, Victoria, Australia

  4. 4

    University of Sydney, School of Public Health, Sydney School of Medicine, Sydney, NSW, Australia

*Catherine Chamberlain, Global Health and Society Unit, Department of Epidemiology and Preventive Medicine, Monash University, L3/89 Commercial Road, Melbourne, Victoria, 3181, Australia. chamberl@ihug.com.au. catherine.chamberlain@monash.edu.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 23 OCT 2013

SEARCH

[Figure 1]
Figure 1. Logic model for systematic review analysis of potential factors impacting on efficacy of interventions for supporting women to stop smoking in pregnancy.
[Figure 2]
Figure 2. Funnel plot of comparison: 1 Smoking cessation interventions: counselling vs usual care, outcome: 1.1 Abstinence in late pregnancy.
[Figure 3]
Figure 3. Funnel plot of comparison: 2 Smoking cessation interventions: counselling vs less intensive intervention, outcome: 2.1 Abstinence in late pregnancy.
[Figure 4]
Figure 4. Search flow chart.
[Figure 5]
Figure 5. Duration of contact for each condition by publication year.
[Figure 6]
Figure 6. Frequency of contact for each condition by publication year.
[Figure 7]
Figure 7. 'Risk of bias' summary: review authors' judgments about each risk of bias item for each included study.
[Figure 8]
Figure 8. 'Risk of bias' graph: review authors' judgments about each risk of bias item presented as percentages across all included studies.
[Analysis 1.1]
Analysis 1.1. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 1 Abstinence in late pregnancy.
[Analysis 1.2]
Analysis 1.2. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 2 Abstinence in late pregnancy: biochemically validated only.
[Analysis 1.3]
Analysis 1.3. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 3 Continued abstinence (relapse prevention) in late pregnancy for spontaneous quitters.
[Analysis 1.4]
Analysis 1.4. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 4 Abstinence at 0 to 5 months postpartum.
[Analysis 1.5]
Analysis 1.5. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 5 Abstinence at 6 to 11 months postpartum.
[Analysis 1.6]
Analysis 1.6. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 6 Abstinence at 12 to 17 months postpartum.
[Analysis 1.7]
Analysis 1.7. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 7 Abstinence at 18+ months postpartum.
[Analysis 1.8]
Analysis 1.8. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 8 Reduction in late pregnancy: biochemically validated.
[Analysis 1.9]
Analysis 1.9. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 9 Reduction in late pregnancy: self reported (various definitions).
[Analysis 1.10]
Analysis 1.10. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 10 Biochemical measures in late pregnancy: mean cotinine.
[Analysis 1.11]
Analysis 1.11. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 11 Mean cigarettes per day in late pregnancy.
[Analysis 1.12]
Analysis 1.12. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 12 Low birthweight infants (< 2500 g).
[Analysis 1.13]
Analysis 1.13. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 13 Very low birthweight infants (< 1500 g).
[Analysis 1.14]
Analysis 1.14. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 14 Preterm births.
[Analysis 1.15]
Analysis 1.15. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 15 Mean birthweight.
[Analysis 1.16]
Analysis 1.16. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 16 Perinatal deaths.
[Analysis 1.17]
Analysis 1.17. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 17 Stillbirths.
[Analysis 1.18]
Analysis 1.18. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 18 Neonatal deaths.
[Analysis 1.19]
Analysis 1.19. Comparison 1 Smoking cessation interventions: counselling vs usual care, Outcome 19 NICU admissions.
[Analysis 2.1]
Analysis 2.1. Comparison 2 Smoking cessation interventions: counselling vs less intensive intervention, Outcome 1 Abstinence in late pregnancy.
[Analysis 2.2]
Analysis 2.2. Comparison 2 Smoking cessation interventions: counselling vs less intensive intervention, Outcome 2 Abstinence in late pregnancy: biochemically validated only.
[Analysis 2.3]
Analysis 2.3. Comparison 2 Smoking cessation interventions: counselling vs less intensive intervention, Outcome 3 Continued abstinence (relapse prevention) in late pregnancy (spontaneous quitters).
[Analysis 2.4]
Analysis 2.4. Comparison 2 Smoking cessation interventions: counselling vs less intensive intervention, Outcome 4 Abstinence at 0 to 5 months postpartum.
[Analysis 2.5]
Analysis 2.5. Comparison 2 Smoking cessation interventions: counselling vs less intensive intervention, Outcome 5 Abstinence at 6 to 11 months postpartum.
[Analysis 2.6]
Analysis 2.6. Comparison 2 Smoking cessation interventions: counselling vs less intensive intervention, Outcome 6 Abstinence at 12 to 17 months postpartum.
[Analysis 2.7]
Analysis 2.7. Comparison 2 Smoking cessation interventions: counselling vs less intensive intervention, Outcome 7 Reduction in late pregnancy: self-reported > 50%.
[Analysis 2.8]
Analysis 2.8. Comparison 2 Smoking cessation interventions: counselling vs less intensive intervention, Outcome 8 Reduction in late pregnancy: biochemically validated.
[Analysis 2.9]
Analysis 2.9. Comparison 2 Smoking cessation interventions: counselling vs less intensive intervention, Outcome 9 Mean cigarettes per day in late pregnancy.
[Analysis 2.10]
Analysis 2.10. Comparison 2 Smoking cessation interventions: counselling vs less intensive intervention, Outcome 10 Low birthweight infants (< 2500 g).
[Analysis 2.11]
Analysis 2.11. Comparison 2 Smoking cessation interventions: counselling vs less intensive intervention, Outcome 11 Preterm births.
[Analysis 2.12]
Analysis 2.12. Comparison 2 Smoking cessation interventions: counselling vs less intensive intervention, Outcome 12 Mean birthweight.
[Analysis 3.1]
Analysis 3.1. Comparison 3 Smoking cessation interventions: health education vs usual care, Outcome 1 Abstinence in late pregnancy.
[Analysis 3.2]
Analysis 3.2. Comparison 3 Smoking cessation interventions: health education vs usual care, Outcome 2 Abstinence in late pregnancy: biochemically validated only.
[Analysis 3.3]
Analysis 3.3. Comparison 3 Smoking cessation interventions: health education vs usual care, Outcome 3 Mean cigarettes per day in late pregnancy.
[Analysis 4.1]
Analysis 4.1. Comparison 4 Smoking cessation interventions: health education vs less intensive intervention, Outcome 1 Abstinence in late pregnancy: biochemically validated.
[Analysis 4.2]
Analysis 4.2. Comparison 4 Smoking cessation interventions: health education vs less intensive intervention, Outcome 2 Abstinence at 0 to 5 months postpartum.
[Analysis 5.1]
Analysis 5.1. Comparison 5 Smoking cessation interventions: feedback vs usual care, Outcome 1 Abstinence in late pregnancy.
[Analysis 5.2]
Analysis 5.2. Comparison 5 Smoking cessation interventions: feedback vs usual care, Outcome 2 Reduction in late pregnancy: various definitions.
[Analysis 5.3]
Analysis 5.3. Comparison 5 Smoking cessation interventions: feedback vs usual care, Outcome 3 Preterm births.
[Analysis 5.4]
Analysis 5.4. Comparison 5 Smoking cessation interventions: feedback vs usual care, Outcome 4 Mean birthweight.
[Analysis 5.5]
Analysis 5.5. Comparison 5 Smoking cessation interventions: feedback vs usual care, Outcome 5 Stillbirths.
[Analysis 6.1]
Analysis 6.1. Comparison 6 Smoking cessation interventions: feedback vs less intensive intervention, Outcome 1 Abstinence in late pregnancy: biochemically validated.
[Analysis 7.1]
Analysis 7.1. Comparison 7 Smoking cessation interventions: incentives vs usual care, Outcome 1 Abstinence in late pregnancy:biochemically validated.
[Analysis 8.1]
Analysis 8.1. Comparison 8 Smoking cessation interventions: social support vs less intensive intervention, Outcome 1 Abstinence in late pregnancy (peer and partner support).
[Analysis 8.2]
Analysis 8.2. Comparison 8 Smoking cessation interventions: social support vs less intensive intervention, Outcome 2 Abstinence in late pregnancy: biochemically validated (peer support only).
[Analysis 8.3]
Analysis 8.3. Comparison 8 Smoking cessation interventions: social support vs less intensive intervention, Outcome 3 Abstinence at 0 to 5 months postpartum.
[Analysis 8.4]
Analysis 8.4. Comparison 8 Smoking cessation interventions: social support vs less intensive intervention, Outcome 4 Abstinence at 6 to 11 months postpartum.
[Analysis 9.1]
Analysis 9.1. Comparison 9 Maternal health intervention with smoking cessation component: social support (tailored) vs usual care, Outcome 1 Abstinence in late pregnancy.
[Analysis 9.2]
Analysis 9.2. Comparison 9 Maternal health intervention with smoking cessation component: social support (tailored) vs usual care, Outcome 2 Self-reported mean cigarettes per day in late pregnancy.
[Analysis 10.1]
Analysis 10.1. Comparison 10 Maternal health intervention with smoking cessation component: social support vs less intensive intervention, Outcome 1 Abstinence in late pregnancy.
[Analysis 10.2]
Analysis 10.2. Comparison 10 Maternal health intervention with smoking cessation component: social support vs less intensive intervention, Outcome 2 Abstinence in late pregnancy: biochemically validated.
[Analysis 11.1]
Analysis 11.1. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 1 Abstinence in late pregnancy: self-reported and biochemically validated (non-winsorised).
[Analysis 11.2]
Analysis 11.2. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 2 Abstinence in late pregnancy: biochemically validated only (non-winsorised).
[Analysis 11.3]
Analysis 11.3. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 3 Continued abstinence (Relapse prevention) in late pregnancy for spontaneous quitters.
[Analysis 11.4]
Analysis 11.4. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 4 Abstinence at 0 to 5 months postpartum.
[Analysis 11.5]
Analysis 11.5. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 5 Abstinence at 6 to 11 months postpartum.
[Analysis 11.6]
Analysis 11.6. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 6 Abstinence at 12 to 17 months postpartum.
[Analysis 11.7]
Analysis 11.7. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 7 Abstinence at 18+ months postpartum.
[Analysis 11.8]
Analysis 11.8. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 8 Smoking reduction: numbers of women reducing smoking in late pregnancy.
[Analysis 11.9]
Analysis 11.9. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 9 Smoking reduction: biochemical measures in late pregnancy.
[Analysis 11.10]
Analysis 11.10. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 10 Smoking reduction: self-reported mean cigarettes per day measured in late pregnancy or at delivery.
[Analysis 11.11]
Analysis 11.11. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 11 Low birthweight (under 2500 g).
[Analysis 11.12]
Analysis 11.12. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 12 Very low birthweight (under 1500 g).
[Analysis 11.13]
Analysis 11.13. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 13 Preterm birth (under 37 weeks).
[Analysis 11.14]
Analysis 11.14. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 14 Mean birthweight.
[Analysis 11.15]
Analysis 11.15. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 15 Perinatal deaths.
[Analysis 11.16]
Analysis 11.16. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 16 Stillbirths.
[Analysis 11.17]
Analysis 11.17. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 17 Neonatal deaths.
[Analysis 11.18]
Analysis 11.18. Comparison 11 Interventions for smoking cessation in pregnancy versus control: subgrouped by main intervention strategy, Outcome 18 NICU admissions.