Controversy and Evidence about Nicotine Replacement Therapy in Pregnancy

@article{Forest2010ControversyAE,
  title={Controversy and Evidence about Nicotine Replacement Therapy in Pregnancy},
  author={Sharron Forest},
  journal={MCN, The American Journal of Maternal/Child Nursing},
  year={2010},
  volume={35},
  pages={89–95}
}
  • Sharron Forest
  • Published 1 March 2010
  • Medicine
  • MCN, The American Journal of Maternal/Child Nursing
Nicotine replacement therapy (NRT) is effective for smoking cessation, but much controversy surrounds its use during pregnancy. The importance of finding ways to help pregnant smokers quit is undisputed, since smoking during pregnancy causes harm to the mother and the fetus, with effects of smoke exposure extending into childhood. Researchers and providers are divided, however, with respect to opinions of safety and efficacy of NRT use in pregnant smokers. The research-based evidence on the… 

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References

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SUCCESSFUL INTERVENTIONS FOR SMOKING CESSATION IN PREGNANCY

Research about nicotine replacement, nurse-managed counseling sessions, hypnosis, and behavioral modifications are presented to evaluate research regarding beneficial approaches to smoking cessation interventions during pregnancy.

Recommendations for the Use of Pharmacological Smoking Cessation Strategies in Pregnant Women

Assessment of the evidence for the effectiveness and safety of using NRT, bupropion and varenicline for smoking cessation during pregnancy concludes that NRT may be safer than smoking in pregnancy, and pregnant women who have unsuccessfully tried to stop smoking without pharmacotherapy may consider using N RT in subsequent quit attempts.

Obstetricians and gynecologists’ perceptions and use of nicotine replacement therapy

Assessment of Ohio obstetricians/gynecologists’ perceptions and use of nicotine replacement therapy (NRT) with pregnant smokers found the majority did not prescribe NRT possibly because few respondents received cigarette smoking cessation training in medical school or their residencies.

Use of nicotine replacement therapy during pregnancy and stillbirth: a cohort study

Whether the use of nicotine replacement therapy during pregnancy increases the risk of stillbirth is examined.

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The results showed no increase in congenital malformations related to prenatal tobacco smoking, however, an increase of mal Formations risk in nonsmokers using nicotine substitutes was identified.