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Smoking in pregnancy

Smoking causes devastation and is responsible from cancers to heart disease to fetal health effects-teratogenicity. It is an acceptable fact that Smoking is Injurious to health , more so to the innocent fetus growing in the womb of smoking mother.

We need to discuss with the woman the details of smoking and its ill effects.

At the first contact with the woman, discuss her smoking status, provide information about the risks of smoking to the unborn child and the hazards of exposure to secondhand smoke. Address any concerns she and her partner or family may have about stopping smoking.

Pregnant women should be informed about the specific risks of smoking during pregnancy (such as the risk of having a baby with low birthweight and preterm birth). The benefits of quitting at any stage should be emphasised.

 Offer personalised information, advice and support on how to stop smoking. Encourage pregnant women to use local NHS Stop Smoking Services and the NHS pregnancy smoking helpline, by providing details on when, where and how to access them. Consider visiting pregnant women at home if it is difficult for them to attend specialist services.

 Monitor smoking status and offer smoking cessation advice, encouragement and support throughout the pregnancy and beyond.

 Discuss the risks and benefits of nicotine replacement therapy (NRT) with pregnant women who smoke, particularly those who do not wish to accept the offer of help from the NHS Stop Smoking Service. If a woman expresses a clear wish to receive NRT, use professional judgement when deciding whether to offer a prescription.

 Advise women using nicotine patches to remove them before going to bed.

This supersedes NICE technology appraisal guidance 39 on NRT and bupropion.

For further details please contact

dr. sarita kapoor  00971506570141 ashukap@emirates.net.ae

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