The Relationship Between Maternal–Fetal Attachment and Cigarette Smoking Over Pregnancy (original) (raw)
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Comparison of Prenatal Attachment Levels in Smoking and Non-Smoking Pregnant Women
Bağımlılık dergisi, 2023
Objective: This study aimed to compare prenatal attachment levels between smoker and non-smoker pregnant women. Method: In this comparative-descriptive study, a total of 160 pregnant women (80 smokers-80 non-smokers), who were between 18-35 years of age, had their first pregnancy, were at or above 20 weeks of gestation, and had no chronic health problems or communication problems, among the pregnant women who applied to Family Health Centers for pregnancy follow-up. The data were collected using a Participant Screening Form, the Fagerstrom Test for Nicotine Dependence, Prenatal Attachment Inventory. Results: Although there was no significant difference, it was determined that the attachment scores of non-smokers were higher than those of smokers. A negative correlation was found between nicotine addiction levels and motherinfant attachment levels of pregnant smokers. Bivariate logistic regression analysis revealed that the effect of smoking during pregnancy on prenatal mother-infant attachment (Odds Ratio=0.010; p=0.999) was insignificant. Conclusion: Although the effect of smoking during pregnancy on prenatal attachment was insignificant, it was revealed that the nicotine addiction of pregnant women who smoked during pregnancy reduced prenatal attachment. Strengthening prenatal attachment may be a promising new approach to interventions for smoking cessation during pregnancy. At the same time, not smoking during pregnancy can strengthen prenatal attachment.
The Effect of Smoking During Pregnancy on Prenatal Attachment
Online türk sağlık bilimleri dergisi, 2020
Bu çalışma gebelikte sigar a kullanım dur umu, sigara kullanımının prenatal bağlanma üzerine etkisinin belirlenmesi amacıyla yapılmıştır. Materyal ve Metot: Kesitsel tipteki çalışma, 01.09.2017 ve 30.01.2018 tarihleri arasında bir devlet hastanesinde gerçekleştirildi. Çalışma 352 gebe ile yürütüldü. Verilerin toplanmasında sosyodemografik özellikler, obstetrik öykü, sigara içme özelliklerini içeren tanımlayıcı bilgi formu, nikotin bağımlılığı için Fagerstrom testi ve prenatal bağlanma envanteri kullanılmıştır. Bulgular: Gebeler in, % 64,5'i (n=227) hiç sigar a içmediklerini, %35,5'i (n=125) sigara içtiğini belirtmiştir. Sigara içenlerin %19,6'sı (n=69) gebelik sırasında sigara içmeye devam etmiş ve %15,9'u (n=56) sigarayı bırakmıştır. Çalışmada, sigara içen gebelerin, içmeyen gebelere oranla daha az eğitimli, işsiz ve plansız gebeliği olduğu saptanmıştır. Sigara içen gebelerin, prenatal bağlanma düzeyleri sigara içmeyen gebelere göre anlamlı olarak daha düşüktür (p> 0,05). Sonuç: Sigar a içmenin pr enatal bağlanma üzer ine etkisi saptanmıştır. Sigara içmenin zararları gebelikte anne ve bebeğe olan etkileri hakkında kadınlara danışmanlık yapılmalıdır. Özellikle sigara içen gebeler, antenatal izlemlerde ebelik bakımı kapsamında danışmanlık hizmetleriyle sigaranın bırakılması ve prenatal bağlanma konusunda desteklenmelidir.
Cigarette consumption and biomarkers of nicotine exposure during pregnancy and postpartum
Addiction, 2018
Background and AimsSmokers can regulate their nicotine intake by altering the number of cigarettes smoked per day (CPD) and their smoking intensity. The current study aimed to compare the utility of self‐reported CPD, total nicotine equivalents (TNE) and urinary cotinine to estimate nicotine intake during pregnancy.DesignLongitudinal smoking behavior and biomarker data were collected at early pregnancy, late pregnancy and at postpartum as part of a smoking cessation trial to examine voucher‐based incentives for decreasing smoking.SettingObstetric practices in Burlington, Vermont, United States.ParticipantsA subset of participants (n = 47) from the parent trial, recruited between December 2006 and June 2012, who provided a urine sample at each assessment during early pregnancy, late pregnancy and postpartum.MeasurementsSmoking was assessed using self‐reported CPD, TNE, TNE/CPD and urinary cotinine.FindingsPregnant smokers reported smoking 10.4 CPD at early pregnancy, 7.2 CPD at late ...
International journal of environmental research and public health, 2018
Exposure to environmental tobacco smoke (ETS) presents substantial health risks for pregnant women and newborn infants. Measurements of ETS include invasive and expensive biochemical tests, as well as less invasive and lower-cost, self-reported exposure and avoidance measures. Better understanding of self-report measures will help to select ETS assessments for evaluation. This analysis was conducted within the context of a tailored video intervention to reduce tobacco smoking and ETS exposure during pregnancy and after delivery in the control group sample of 147 nonsmoking women. Measurements of salivary cotinine concentration, self-reported ETS exposure, and avoidance behaviors were captured at 32 weeks’ gestation and 6 months postpartum. Salivary cotinine concentration was significantly related to ETS avoidance among pregnant nonsmokers at 32 weeks’ gestation, but not ETS exposure. At 6 months postpartum, both the reported ETS exposure of the infant and maternal avoida...
Partner smoking and maternal cotinine during pregnancy: Implications for negative control methods
Drug and Alcohol Dependence, 2014
Background: Comparison of the associations of maternal and mother's partner smoking with offspring outcomes is, in theory, a useful method for assessing whether there may be an intrauterine effect of tobacco exposure on these outcomes. However, this approach assumes that the effects of passive smoking from exposure to partner smoking during pregnancy are minimal. We evaluated this assumption using a biochemical measure of tobacco exposure in pregnant women. Methods: Cotinine levels taken during the first trimester of pregnancy were measured in a sample of 3928 women from the Avon Longitudinal Study of Parents and Children. Median cotinine values were compared across categories of smoking heaviness (cigarettes per day) of the women during the first trimester and in non-smoking women by the smoking heaviness of their partner. Results: Cotinine levels were substantially higher in women who smoked compared to non-smokers (range of medians across smoking heaviness categories: 900-5362 ng/ml versus 20 ng/ml, interquartile range (IQR) (0-63) for non-smokers). In contrast, cotinine levels in non-smoking women were only very weakly related to partner smoking status (range of medians in women with smoking partners: 34-69 ng/ml versus 12 ng/ml, IQR (0-48) in women with non-smoking partners). Conclusions: Levels of tobacco exposure from partner smoking, as assessed by cotinine, were low in nonsmoking pregnant women. This suggests that using mother's partner's smoking as a negative control for investigating intrauterine effects is valid.