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Tamar Meyer
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Feb 05, 2010 (10:39 AM)
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Please click the link below for a powerpoint presentation entitled: "Helping pregnant smokers stop smoking" given at a recent smoking cessation workshop offered by the Registered Nurses Association of Ontario:
Tamar Meyer
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Tamar Meyer
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Sep 29, 2009 (10:51 AM)
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Clinical question: Is smoking cessation during pregnancy associated with an improvement in rates of small-for-gestational age and preterm births?
Hi colleagues,
A new study examining the association between prenatal smoking cessation and delivery of a preterm or small-for-gestational-age (SGA) newborns in a large U.S. subpopulation found that pregnant smokers who quit in the first trimester lowered their risk of delivering preterm and SGA newborns to a level similar to that of pregnant nonsmokers, and this benefit appeared to increase with maternal age. These findings reinforce current clinical guidance to encourage smoking cessation among pregnant smokers and serve as an additional incentive to quit.
Reference:
Polakowski LL, Akinbami LJ, Mendola P. Prenatal smoking cessation and the risk of delivering preterm and small-for-gestational age newborns. Obstet Gynecol 2009; 114:318-325.
Tamar Meyer
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Virginia Chow
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Jul 27, 2009 (01:31 PM)
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Dear all,
We recieved the following questions from Lori and I wonder if there are others out there who have examples of recommendations from their own experience:
- How long does nicotine stay in breast milk? I don't have information about the details or circumstances of this scenerio that is raising the question. The "simple" question was emailed to me from a nurse who knew I had attended the TEACH specialty course "How To Help Pregnant Women Stop Smoking", however I couldn't find a specific answer to the question! I am comfortable providing the information about the risks of SHS to the baby, how nicotine can affect the quality and quantity of breasmilk, and the increased risks if a baby lives in a smoking environment and is also formula fed, but that is not the question.
Perhaps the question is about, if the mother smokes one cigarette, how long does it take for there to be no more nicotine in her milk IF she doesn't have a second cigarette? Do you have that information?
It is difficult to say exactly how long nicotine stays in breast milk, but I have seen figures of up to 7 days, depending on the mom and how much she smokes. However, the take home message for women who cannot or will not stop smoking is breast-feeding is still advised, since the benefits of breast milk outweigh the risks from nicotine exposure. It has been found that breast milk tastes most like cigarettes around 30-60 minutes after smoking and just after smoking is when a smoker will have the most amount of nicotine in her bloodstream and breast milk.
Breastfeeding smokers should therefore smoke just after feeding their baby to minimize both of these effects.
There are also concerns exposure about what is being referred to as "third-hand smoke" or the chemicals in smoke that cling to a smoker's body, clothes, etc. Here are a few tips that may be helpful to smokers who are
breastfeeding:
-For added safety, wash your hands and change your clothes after smoking especially if your children greet you as soon as you get home.
-Change clothes after smoking or designate a special jacket or sweater that can be removed after every time you smoke.
Thanks,
Virginia Chow, Manager, Network Activities
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Virginia Chow
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May 04, 2009 (10:26 AM)
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How to access free nicotine replacement patches for use in getting preg Moms to quit?
Dear colleagues,
We recently received the following query and wanted to share the information we have about access to free NRT in downtown Toronto and to ask others to share their local information.
Q: As an obstetrical provider, I know that if you don't get a patient to quit smoking during pregnancy--you probably never will. Working in an inner city clinic--we deal with uninsured women and marginalized pts with limited financial resources. Being able to give free nicotine replacement patches can be a real bridge to get them off the cigarettes before the baby arrives. Is that any way to access these for these particular patients?
A: 1. CAMH's Nicotine Dependence Clinic (NDC): Pregnant smokers can be referred to our clinic. Since there is a waiting list for our clinic, we recommend that the patient state that she is pregnant when she is making the appointment as her assessment can be fast tracked. Alternatively, any health care professional can send a fax referral and a member of our staff will contact the patient. We have a site at Queen and Ossington, which is fairly close to St. Joe's, and another at College and McCaul. Here is the contact information:
College Street site, 175 College Street, 2nd floor, Toronto, Ontario Queen Street site, 60 White Squirrel Way, main floor, Toronto, Ontario
Contact: (416) 535-8501 ext. 7400 to book an assessment or for more information. Fax: 416-599-8265
2. Motherisk Study: Motherisk is doing a placebo-controlled clinical trial of the effectiveness and safety of a transdermal nicotine delivery system for pregnant smokers. http://www.motherisk.org/prof/updatesDetail.jsp?content_id=307 For more information on this study, please contact the Alcohol and Substance Use Helpline at 1-877-327-4636
Does anyone have any suggesttions to add?
Thanks,
Virginia Chow, Manager, Network Activities
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Virginia Chow
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Apr 01, 2009 (02:57 PM)
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Hi,
A press release in the ScienceDaily (Mar. 31, 2009) described the results of a study from New Zealand and Australia. There was no statistical difference in rates of premature birth between women who stopped smoking by 15 weeks and non-smokers, whereas current smokers had much higher risk. Similar results were found for baby size.
"The lead author, Dr Lesley McCowan at the University of Auckland, says that maternity care providers need to emphasise to women the major benefits of giving up smoking before 15 weeks in pregnancy with the goal of becoming smoke free as early in pregnancy as possible....In conclusion, the authors say that their "results are of considerable public health importance. The data suggest that the adverse effects of smoking on these late pregnancy outcomes may be largely reversible if smoking is ceased early in pregnancy, offering an important incentive for pregnant women who smoke to become smoke-free early in pregnancy.""
For the whole article, which includes information about moms' stress levels and SES, please click the link below:
Virginia Chow, Manager, Network Activities
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Virginia Chow
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Mar 24, 2009 (05:29 PM)
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Dear all,
My colleague, Julia Greenbaum (thanks Julia) forwarded an article about the long awaited results of the Maternity Experiences Survey. The following information about smoking during pregnancy and duration of breastfeeding was of particular interest to me:
"Many of the women admitted they were guilty of not following some of the recommendations of medical experts during pregnancy. For example:
· 11 per cent said they smoked during pregnancy
· 23 per cent say they lived with a smoker while pregnant
· 11 per cent said they drank alcohol during pregnancy
It was also noted that many women were not breastfeeding for the full first six months after birth, as recommended by the Canadian Paediatric Society and others. While almost 90 per cent of mothers say they started breastfeeding, by six months, only 14 per cent were still breastfeeding exclusively; another 54 per cent reported some breastfeeding."
Please click on the link below for more on information on what Canadian women say about their maternity experiences, including their experience of health care practices no longer recommended by the medical community.
Virginia Chow, Manager, Network Activities
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Virginia Chow
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Mar 17, 2009 (04:12 PM)
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Dear colleagues,
Here's a link to a study with an interesting methodology about maternal smoking and testicular cancer in offspring. The take home message is that, although this study "could not find any association between maternal smoking during pregnancy as assessed by measuring cotinine around the end of the first trimester of pregnancy, and risk of testicular cancer in the offspring", smoking causes a whole host of other complications and life-threatening conditions.
Virginia Chow, Manager, Network Activities
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Virginia Chow
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Mar 11, 2009 (02:21 PM)
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Dear all,
I thought an article that my colleague, Julia Greenbaum forwarded to me.
Some Pregnant Smokers Fear Judgment from Doctors
February 9, 2009
some-pregnant-smokers-fear.html
According to new research from the United Kingdom, some pregnant smokers are so worried about criticism from healthcare professionals that they won't ask doctors or midwives for help to stop smoking.
Some women also won't admit to their doctors that they smoke, the BBC reported Feb. 4.
A study commissioned by the U.K. National Health Service (NHS) showed that 25 percent of 224 pregnant smokers surveyed said they had not asked for help in curbing their smoking out of fear of criticism. The survey also reported that 40 percent of the subjects had not admitted that they smoked to their midwives or doctors.
"Pregnant women who smoke do not automatically find it easy to stop smoking as soon as they become pregnant," said Miriam Stoppard, who is leading the NHS's campaign to encourage pregnant women in England to stop smoking. "Pregnancy can be a particularly difficult time to stop smoking -- and rather than stigmatizing these women, we should be guiding them to their local NHS Stop Smoking Service for expert advice and support."
Virginia Chow, Manager, Network Activities
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Virginia Chow
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Mar 11, 2009 (02:20 PM)
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Dear Colleages,
It states that Bulgaria ranks third in smoking prevalence of members of the European Commission and that half of the pregnant women in Bulgaria smoke. The survey was conducted by the organizers of the "Help - a life without smoking" campaign.
Virginia Chow, Manager, Network Activities
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Virginia Chow
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Feb 18, 2009 (03:23 PM)
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Adverts target pregnant women who smoke
(Tuesday 03 February 2009)
PREGNANT women who find it tough to stop smoking will be targeted in a new government campaign on Wednesday.
The ad campaign from NHS Smokefree will highlight how every smoked cigarette restricts essential oxygen to the baby. A baby's heart has to beat harder every time a pregnant woman smokes, it will show.
Around one in five pregnant women in England smoke during their pregnancy, equal to about 100,000 women at any one time.
A poll of 224 pregnant women for the campaign revealed that 28 per cent would seek help to stop smoking but were worried about being judged, while 39 per cent said that they were ashamed to admit their habit to their midwife or health-care professional.
Dr Miriam Stoppard, who is backing the campaign, said: "Pregnancy can be a particularly difficult time to stop smoking and, rather than stigmatising these women, we should be guiding them to their local NHS Stop Smoking Service for expert advice and support to help them quit."
Virginia Chow, Manager, Network Activities
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Stephanie
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Feb 06, 2009 (12:03 PM)
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Good Morning:
I'm pleased to announce our first Community of Practice (CoP) teleconference for 2009, which will take place on Friday, February 20th @ 10:30-11:30am.
The guest speaker is Wendy Reynolds, who is the founder and Executive Director for Action on Women's Addictions- Research & Education (AWARE).
The discussion will centre around her organization & a newly created guide entitled: Fetal Alcohol Spectrum Disorder (FASD) Affected Women & Smoking Interventions: A training guide for service providers.
If you're interested in attending on Feb. 20th, please open the attached invitation (which include two short readings) & then RSVP (via email) to me. Registration for this teleconference will close on Feb. 19th @ 4pm.
All the Best;
Robin
Robin Chapchuk
Educational Specialist
TEACH Project
Centre for Addiction and Mental Health (CAMH)
175 College Street- 3rd Floor
Toronto, ON M5T 1P7
robin_chapchuk@camh.net
(416) 535-8501 ext. 7436
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Virginia Chow
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Jan 07, 2009 (05:34 PM)
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Dear colleagues,
Here's an excerpt from another interesting article about smoking and pregnancy:
Offspring of mothers-to-be who light up more likely to engage in violent behaviour, study finds
Globe and Mail; globeandmail.com
Wednesday, January 7
Mothers-to-be who smoke are at a higher risk of delivering physically aggressive children, a new study shows, adding to the expansive list of harmful effects of lighting up.
What's more, the study found pregnant women with a history of antisocial behaviour - from run-ins with the law to illegal drug use - are almost 70 per cent more likely to have a violent child if they smoke 10 cigarettes a day, compared with 16 per cent for those who are non-smokers or who smoke fewer than 10 cigarettes....
University of Montreal psychiatry professor Jean Séguin, co-author of the study that appears in the journal Development and Psychopathology, said the paper is proof that mothers who light up can predispose their offspring to yet another risk.
"The fact that we ... see it [violent behaviour] in very young children is a sign that cigarette smoking is not a good thing. During pregnancy, it's not a good thing," Dr. Séguin said yesterday. "It affects the nervous system of the children in many ways, and this is one of them. It makes the kid harder to manage."
The research was part of a wider study looking at the behaviour of more than 1,700 Quebec children between the ages of 18 months and 3½ years. Aggressive children were described by their mothers as quick to hit, bite, fight, kick and bully.
Dr. Séguin conceded that only a small sample of children fit the criteria of having a smoking mother with antisocial behaviour. Further research is needed, he said.
The researchers also found heavy smokers with annual incomes of less than $40,000 had a 40-per-cent chance of having aggressive children, compared with 25 per cent for mothers who were moderate or non-smokers. But when family income was greater than $40,000, the gap between heavy smokers and the other two groups fell to 8 per cent.
Even when factors such as divorce, a mother's level of education and her age during pregnancy were accounted for, the effect of heavy smoking leading to aggression in children remained significantly high, the study found.
While there are programs in place that have been shown to benefit disadvantaged families where the mother is a heavy smoker, the researchers said more interventions and strategies are necessary to curb this deadly habit.
To see the whole article, please go to
Best regards,
Virginia Chow, Manager, Network Activities
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Virginia Chow
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Jan 06, 2009 (01:16 PM)
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Happy New Year,
I just saw this article about "third-hand smoke" and thought that it would be of interest. Here's an excerpt:
Third-hand smoke poses risk
That leftover smell might be latest front in the anti-smoking battle
The Toronto Star; healthzone.ca
Tuesday, January 06
We all know smoking is bad for our health, and most of us have accepted that second-hand smoke isn't much better.
But how about the smoke left on seat cushions or that scent you pick up in the elevator as your smoking co-workers come back inside?
It's called third-hand smoke, and it might just be the latest front in the antismoking battle, according to a study published in this month's issue of the journal Pediatrics.
...The term "third-hand smoke" was coined Dr. Joan Friebely, a doctor at Boston's MassGeneral Hospital for Children and a co-author of the study, to describe the toxins that cling to smokers' hair, clothing, furniture, curtains, carpets or other surfaces.
"This is the first scientific study to use the term," Winickoff says.
Researchers have found that third-hand smoke containing heavy metals, carcinogens and even radioactive materials lingers long after second-hand smoke has dissipated, and can be ingested by children crawling around a room.
...The Pediatrics study focused on people's attitudes about third-hand smoke, surveying 1,500 households across the U.S.
Awareness of second-hand smoke was high among both smokers and non-smokers, with 95 per cent of non-smokers and 84 per cent of smokers agreeing that a parent's smoking can harm children.
Third-hand smoke was different. Only 65 per cent of non-smokers and 43 per cent of smokers agreed that "breathing air in a room today where people smoked yesterday can harm the health of infants and children," the study reports.
"If people understand that third-hand smoke is dangerous, then we believe there will be stricter policies against smoking in indoor spaces that children frequent, such as in the home or in cars," Winickoff said.
Support for a smoking ban in homes was higher among people who believed that third-hand smoke is dangerous, according to the study.
Dr. Philip Landrigan, a New York pediatrician, says parents need to do more to protect their children.
"The central message here is that simply closing the kitchen door to take a smoke is not protecting the kids from the effects of that smoke," he says.
"There are carcinogens in this third-hand smoke, and they are a cancer risk for anybody of any age who comes into contact with them."
Best regards,
Virginia
Virginia Chow, Manager, Network Activities
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Virginia Chow
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Dec 30, 2008 (10:36 AM)
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Dear Colleagues,
The December 2008 – March 2009 issue of the INWAT (International Network of Women Against Tobacco) newsletter includes an article by Chizimuzo Okoli about how we can encourage pregnant girls and young women to quit smoking.
Best wishes for the New Year,
Virginia Chow, Manager, Network Activities
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Stephanie
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Dec 04, 2008 (04:37 PM)
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Dear Colleagues,
Look up an article regarding a study which shows that high levels of prenatal smoking exposure strongly modify sleep patterns in preterm neonates, this in turn may have serious consequences for the development of infant’s brain Published: 1-Dec-2008
American Academy of Sleep Medicine
Stephanie Elliott, Administrative Secretary, CAN-ADAPTT Project
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