'I don't need you to criticise me, I need you to support me'. A qualitative study of women's experiences of and attitudes to smoking cessation during pregnancy.
Peer support
Personalised care
Pregnancy
Qualitative study
Smoking cessation
Journal
Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
received:
16
12
2021
revised:
26
01
2022
accepted:
26
01
2022
pubmed:
5
2
2022
medline:
8
11
2022
entrez:
4
2
2022
Statut:
ppublish
Résumé
Smoking is associated with health inequalities and is the most important modifiable risk factor for poor outcome in pregnancy. To explore women's experiences of smoking during pregnancy, examine their attitudes and barriers to smoking cessation, and to discover what support they feel might enable them to have a smoke-free pregnancy in future. A qualitative study was conducted with nineteen women in the United Kingdom who had smoked at some stage in pregnancy during the last five years. Data were collected through in-depth telephone interviews between June and August 2021. The interviews were audio-recorded, transcribed verbatim, and thematically analysed. Four key themes were identified: the complex relationship with smoking, being ready to quit, the need for support and understanding, and ideas to support a smoke free pregnancy. The findings revealed that there were two distinct avenues for enabling the support process: encouraging a readiness to quit through identifying individual context, personalised support, and educational risk perception, and, supporting the process of quitting, and offering a range of options, underpinned by a personalised, non-judgemental approach. Smoking in pregnancy is a complex issue resulting from a combination of social, emotional, and physical factors. The findings from this study suggest that a combination of approaches should be made available to enable pregnant women who smoke to select the best options for their individual needs. Irrespective of the practical support offered, there is a need for informed, sensitive, individualised support system that women can identify with.
Sections du résumé
BACKGROUND
BACKGROUND
Smoking is associated with health inequalities and is the most important modifiable risk factor for poor outcome in pregnancy.
AIM
OBJECTIVE
To explore women's experiences of smoking during pregnancy, examine their attitudes and barriers to smoking cessation, and to discover what support they feel might enable them to have a smoke-free pregnancy in future.
METHODS
METHODS
A qualitative study was conducted with nineteen women in the United Kingdom who had smoked at some stage in pregnancy during the last five years. Data were collected through in-depth telephone interviews between June and August 2021. The interviews were audio-recorded, transcribed verbatim, and thematically analysed.
FINDINGS
RESULTS
Four key themes were identified: the complex relationship with smoking, being ready to quit, the need for support and understanding, and ideas to support a smoke free pregnancy. The findings revealed that there were two distinct avenues for enabling the support process: encouraging a readiness to quit through identifying individual context, personalised support, and educational risk perception, and, supporting the process of quitting, and offering a range of options, underpinned by a personalised, non-judgemental approach.
CONCLUSION
CONCLUSIONS
Smoking in pregnancy is a complex issue resulting from a combination of social, emotional, and physical factors. The findings from this study suggest that a combination of approaches should be made available to enable pregnant women who smoke to select the best options for their individual needs. Irrespective of the practical support offered, there is a need for informed, sensitive, individualised support system that women can identify with.
Identifiants
pubmed: 35115246
pii: S1871-5192(22)00013-0
doi: 10.1016/j.wombi.2022.01.010
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e549-e555Informations de copyright
Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.