Maternal smoking during pregnancy and evidence-based intervention to promote cessation

Prim Care. 1999 Sep;26(3):577-89. doi: 10.1016/s0095-4543(05)70118-4.


Maternal smoking during pregnancy is hazardous to the developing fetus and mother. Smokers should be identified and offered personalized advice and assistance, including self-help materials tailored for pregnancy. Results of a meta-analysis of 16 randomized trials with validated outcomes indicate that such intervention increases cessation by 70% in diverse populations of pregnant women. At this time, intensive counseling on multiple occasions does not appear to increase cessation.

Publication types

  • Meta-Analysis

MeSH terms

  • Evidence-Based Medicine
  • Female
  • Humans
  • Pregnancy
  • Pregnancy Complications / epidemiology
  • Pregnancy Complications / prevention & control*
  • Prenatal Care
  • Prevalence
  • Smoking / adverse effects*
  • Smoking / epidemiology
  • Smoking Cessation / methods*
  • Smoking Prevention*
  • United States / epidemiology