Barriers and Facilitators to Staying Smoke-Free after Having a Baby, a Qualitative Study: Women’s Views on Support Needed to Prevent Returning to Smoking Postpartum

Background: Postpartum return to smoking (PPRS) is a common and important public health problem. Interventions to prevent PPRS have not been shown to be effective. We aimed to qualitatively explore the barriers and facilitators to staying smoke-free after having a baby, and women’s views on the supp...

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Autores principales:	Lucy Phillips, Katarzyna Anna Campbell, Tim Coleman, Michael Ussher, Sue Cooper, Sarah Lewis, Sophie Orton
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	smoking pregnancy relapse postpartum Medicine R
Acceso en línea:	https://doaj.org/article/599c288ecf2c4dbdb107ef29a6e1182d
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spelling	oai:doaj.org-article:599c288ecf2c4dbdb107ef29a6e1182d2021-11-11T16:29:20ZBarriers and Facilitators to Staying Smoke-Free after Having a Baby, a Qualitative Study: Women’s Views on Support Needed to Prevent Returning to Smoking Postpartum10.3390/ijerph1821113581660-46011661-7827https://doaj.org/article/599c288ecf2c4dbdb107ef29a6e1182d2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11358https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Background: Postpartum return to smoking (PPRS) is a common and important public health problem. Interventions to prevent PPRS have not been shown to be effective. We aimed to qualitatively explore the barriers and facilitators to staying smoke-free after having a baby, and women’s views on the support needed to avoid PPRS to inform future intervention development. Methods: We conducted semi-structured telephone interviews (<i>n</i> = 26) with pregnant women who quit smoking (<i>n</i> = 9), and postpartum women who were abstinent at delivery and returned to smoking (<i>n</i> = 7) or stayed smoke-free (<i>n</i> = 10). Inductive thematic analysis was used. Results: Five overarching themes were identified: (i) smoking intentions; (ii) facilitators to staying smoke-free; (iii) barriers to staying smoke-free; (iv) support to avoid relapse; and (v) e-cigarettes, nicotine replacement therapy, and varenicline. Facilitators to staying smoke-free were the health benefits to their baby, whilst barriers included stress, cravings, and being in environments where they would previously have smoked. Women wanted continuous offers of support to stay smoke-free throughout the extended postpartum period, with a particular interest in support for partners to quit smoking and self-help support. Women expressed safety concerns for e-cigarettes, nicotine replacement therapy, and varenicline. Conclusions: Offers of support to stay smoke-free should continue throughout the postpartum and engage with partners or other household members who smoke. Reassuring women about the relative safety of nicotine replacement therapy and e-cigarettes by a health professional, particularly for those who are breastfeeding, could be beneficial.Lucy PhillipsKatarzyna Anna CampbellTim ColemanMichael UssherSue CooperSarah LewisSophie OrtonMDPI AGarticlesmokingpregnancyrelapsepostpartumMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11358, p 11358 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	smoking pregnancy relapse postpartum Medicine R
spellingShingle	smoking pregnancy relapse postpartum Medicine R Lucy Phillips Katarzyna Anna Campbell Tim Coleman Michael Ussher Sue Cooper Sarah Lewis Sophie Orton Barriers and Facilitators to Staying Smoke-Free after Having a Baby, a Qualitative Study: Women’s Views on Support Needed to Prevent Returning to Smoking Postpartum
description	Background: Postpartum return to smoking (PPRS) is a common and important public health problem. Interventions to prevent PPRS have not been shown to be effective. We aimed to qualitatively explore the barriers and facilitators to staying smoke-free after having a baby, and women’s views on the support needed to avoid PPRS to inform future intervention development. Methods: We conducted semi-structured telephone interviews (<i>n</i> = 26) with pregnant women who quit smoking (<i>n</i> = 9), and postpartum women who were abstinent at delivery and returned to smoking (<i>n</i> = 7) or stayed smoke-free (<i>n</i> = 10). Inductive thematic analysis was used. Results: Five overarching themes were identified: (i) smoking intentions; (ii) facilitators to staying smoke-free; (iii) barriers to staying smoke-free; (iv) support to avoid relapse; and (v) e-cigarettes, nicotine replacement therapy, and varenicline. Facilitators to staying smoke-free were the health benefits to their baby, whilst barriers included stress, cravings, and being in environments where they would previously have smoked. Women wanted continuous offers of support to stay smoke-free throughout the extended postpartum period, with a particular interest in support for partners to quit smoking and self-help support. Women expressed safety concerns for e-cigarettes, nicotine replacement therapy, and varenicline. Conclusions: Offers of support to stay smoke-free should continue throughout the postpartum and engage with partners or other household members who smoke. Reassuring women about the relative safety of nicotine replacement therapy and e-cigarettes by a health professional, particularly for those who are breastfeeding, could be beneficial.
format	article
author	Lucy Phillips Katarzyna Anna Campbell Tim Coleman Michael Ussher Sue Cooper Sarah Lewis Sophie Orton
author_facet	Lucy Phillips Katarzyna Anna Campbell Tim Coleman Michael Ussher Sue Cooper Sarah Lewis Sophie Orton
author_sort	Lucy Phillips
title	Barriers and Facilitators to Staying Smoke-Free after Having a Baby, a Qualitative Study: Women’s Views on Support Needed to Prevent Returning to Smoking Postpartum
title_short	Barriers and Facilitators to Staying Smoke-Free after Having a Baby, a Qualitative Study: Women’s Views on Support Needed to Prevent Returning to Smoking Postpartum
title_full	Barriers and Facilitators to Staying Smoke-Free after Having a Baby, a Qualitative Study: Women’s Views on Support Needed to Prevent Returning to Smoking Postpartum
title_fullStr	Barriers and Facilitators to Staying Smoke-Free after Having a Baby, a Qualitative Study: Women’s Views on Support Needed to Prevent Returning to Smoking Postpartum
title_full_unstemmed	Barriers and Facilitators to Staying Smoke-Free after Having a Baby, a Qualitative Study: Women’s Views on Support Needed to Prevent Returning to Smoking Postpartum
title_sort	barriers and facilitators to staying smoke-free after having a baby, a qualitative study: women’s views on support needed to prevent returning to smoking postpartum
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/599c288ecf2c4dbdb107ef29a6e1182d
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Barriers and Facilitators to Staying Smoke-Free after Having a Baby, a Qualitative Study: Women’s Views on Support Needed to Prevent Returning to Smoking Postpartum

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