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Few Doctors Counsel
Pregnant Women on Smoking
(HealthScoutNews) -- While they recognize the harmful health effects
caused when pregnant women smoke, many doctors in the United States
don't take advantage of opportunities to help those women stop
smoking.
That's the finding of a new national
survey in the May-June issue of Nicotine & Tobacco Research.
The survey of 793 doctors covered
5,622 office visits by pregnant women. It found that doctors identified
the women's smoking status at 81 percent of the office visits
but provided counseling to quit smoking only 23 percent of the
time.
"Although physicians frequently
identified the smoking status of pregnant women, they did not
often counsel smokers about quitting," study author Dr. Susan
Moran, of Harvard Medical School and the Tobacco Research and
Treatment Center at Massachusetts General Hospital, says in a
news release.
Smoking while pregnant can result
in pregnancy complications, low baby birth rate, and an increased
risk of birth defects.
The survey found doctors identified
the smoking status of white women more often than other women.
But once pregnant smokers were identified, they received the same
rate of counseling regardless of race.
Doctors in rural areas and southern
states were less likely to counsel pregnant smokers. The survey
also found that doctors were more likely to determine whether
or not a pregnant woman smoked on a return office visit than on
a first visit.
The authors suggest that may be
because doctors may want to avoid a confrontation with a patient
during initial attempts to establish a rapport with the patient.
But determining a patient's smoking
status at an early stage is important to begin prompt counseling
to quite smoking. That's especially important with pregnant women,
because smoking during pregnancy often indicates alcohol and drug
use as well, the authors note.
More information
Here's where you can learn more
about smoking
and pregnancy.
Reference
Source 101
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