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='''Smoking Cessation for Expecting or Nursing Mothers'''= | ='''Smoking Cessation and Abstinence for Expecting or Nursing Mothers'''= | ||
===2022: [https://www.nature.com/articles/s41591-022-01808-0 Electronic cigarettes versus nicotine patches for smoking cessation in pregnancy: a randomized controlled trial]=== | ===2022: [https://www.nature.com/articles/s41591-022-01808-0 Electronic cigarettes versus nicotine patches for smoking cessation in pregnancy: a randomized controlled trial]=== | ||
*E-cigarettes might help women who are pregnant to stop smoking, and their safety for use in pregnancy is similar to that of nicotine patches. | *E-cigarettes might help women who are pregnant to stop smoking, and their safety for use in pregnancy is similar to that of nicotine patches. | ||
===2022: [https://web.archive.org/web/20230715124209/https://www.rcm.org.uk/media/3394/support-to-quit-smoking-in-pregnancy.pdf The Royal College of Midwives - Position Statement]=== | |||
*Nicotine Replacement Therapy is safe in pregnancy and should be provided in line with evidence-based protocols to women and their partners, to maximise its use as a quitting aid | |||
*E-cigarettes contain some toxins, but at far lower levels than found in tobacco smoke. If a pregnant woman who has been smoking chooses to use an e-cigarette (vaping) and it helps her to quit smoking and stay smokefree, she should be supported to do so. | |||
*If a woman has switched completely to vaping and is not smoking at all, she should be recorded as a non-smoker. | |||
*Based on the available evidence on e-cigarette safety, there is no reason to believe that use of an e-cigarette has any adverse effect on breastfeeding. ‘Vaping’ should continue if it is helpful to quitting smoking and staying smokefree. | |||
===2020: [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369696/ Addressing and Overcoming Barriers to E-Cigarette Use for Smoking Cessation in Pregnancy: A Qualitative Study]=== | ===2020: [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369696/ Addressing and Overcoming Barriers to E-Cigarette Use for Smoking Cessation in Pregnancy: A Qualitative Study]=== | ||
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===2019: [https://www.sciencedirect.com/science/article/abs/pii/S0167629618308129 E-cigarette minimum legal sale age laws and traditional cigarette use among rural pregnant teenagers]=== | ===2019: [https://www.sciencedirect.com/science/article/abs/pii/S0167629618308129 E-cigarette minimum legal sale age laws and traditional cigarette use among rural pregnant teenagers]=== | ||
*This paper suggests that increases in teen prenatal cigarette smoking may be an unintended consequence of ENDS MLSAs among rural teens. Increases in prenatal smoking were entirely accounted for by pre-pregnancy smokers, suggesting that the mechanism through which ENDS MLSAs affected prenatal smoking was by reducing smoking cessation rather than by causing new initiation of cigarette smoking during pregnancy. | *This paper suggests that increases in teen prenatal cigarette smoking may be an unintended consequence of ENDS MLSAs among rural teens. Increases in prenatal smoking were entirely accounted for by pre-pregnancy smokers, suggesting that the mechanism through which ENDS MLSAs affected prenatal smoking was by reducing smoking cessation rather than by causing new initiation of cigarette smoking during pregnancy. | ||
===2015:[https://obgyn.onlinelibrary.wiley.com/doi/10.1111/ajo.12318 E-cigarettes and pregnancy. Is a closer look appropriate?]=== | |||
*Pregnancy is a special situation where there is a limited window to reduce the risk of harm to the fetus, and it may be that e-cigarettes have a role where other interventions have been unsuccessful. The available data suggest that ecigarettes have a risk profile very similar to that of currently available forms of NRT, but that trial participants are more likely to use them because of the similarities to conventional smoking. The best evidence we have is that NRT is safer than continued smoking, certainly for women who smoke more than five cigarettes a day in pregnancy. | |||
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