Posts: 1
Joined: Oct 22, 2009
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- risks of continued smoking as outlined in the table on negative outcomes associated with smoking during pregnancy versus benefits of quitting

- risks of NRT vs. benefits of NRT use to help with smoking cessation

There is limited evidence on harms associated with the use of NRT during pregnancy. Two prospective studies found no adverse maternal or fetal effects from the use of nicotine patch during pregnancy; however, one recent study demonstrated potential association between NRT and congenital defects. This data cannot support or exclude this association between first trimester NRT use and an increased risk of congenital defects due to several methodological issues. Therefore, until further information is available, the risks and benefits of smoking versus the use of NRT during pregnancy must be considered when counselling about smoking cessation options.

Posts: 1
Joined: Jul 15, 2009
2526

 I am currently reviewing the Specific Populations; Pregnant and Breastfeeding Women and I am wondering what is involved in the "risk-benefit assessment"? We have a Quit Clinic here staffed by RNs using medical directives and currently do not offer any NRT "off label". If intermittant NRT is used (inhaler, gum, lozenge)is it only under the direct supervision of a physician or NP?

Posts: 5
Joined: Oct 28, 2009

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Katie Hunter, Regional Coordinator, CAN-ADAPTT

Posts: 2
Joined: Nov 19, 2009

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In reviewing the CAN-ADAPTT smoking cessation guidelines for Specific Populations: Pregnant & Breastfeeding Women, we were very pleased to note the inclusion of an electronic download of our Couples and Smoking: What you need to know when you are pregnant booklet in your resource section.  Thank you.
 
Further to your summary statement #4, which states that partners, friends and family members should also be offered smoking cessation interventions, we would like to suggest the inclusion of a new resource for expectant and new fathers that we launched this past Father's Day: The Right Time...The Right Reasons...Dads talk about Reducing and Quitting Smoking.
 
This booklet is an innovative approach to behaviour change for new and expectant fathers who want to become smoke free.  When men reduce and quit smoking, they not only increase their own well-being, but support women's tobacco reduction efforts during pregnancy and the postpartum period, and provide smoke free environments for children.
 
This booklet focuses on smoking as part of masculine identity and the desire to change behaviour when men become fathers. The quotes in the booklet are based on the direct experiences of expectant and new fathers who smoke or have recently quit and reveal their thoughts about the challenges of being an expectant or new dad who smokes.
 
Fathers who smoke have told us that becoming a dad is a significant transition time that influences many dimensions of their lives, including their attitudes to smoking. Many new fathers find that they become uncomfortable with their smoking and want to reduce or quit as a way to be a good dad and role model.
 
The composition and content of this booklet encourages men to consider the advantages of being a dad who does not smoke and to take that first step on the journey to become a smoke-free dad.  To support men’s desire for autonomous decision making, various options and resources to support smoking cessation are included. 
 
Our research suggests that it is important to talk directly with expectant and new fathers who smoke, rather than providing interventions through their partners. 

Gayl Sarbit, PhD, Knowledge Broker, FACET, UBC    

Posts: 2
Joined: Nov 19, 2009

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 (cont’d from previous post…)

1. Bottorff, J.L., Oliffe, J., Kelly, M.T., Greaves, L., Johnson, J.L., Ponic, P., & Chan, A. (2010).  Men’s business, women’s work: Gender influences and fathers’ smoking. Sociology of Health and Illness, 32. 583-596.
2. Oliffe, L., Bottorff, J. L., Johnson, J.L., Kelly, M. T. & LeBeau, K. (2010). Fathers: Locating smoking and masculinity in the post partum.  Qualitative Health Research, 20(3), 330-339. 
3. Johnson, JL., Oliffe, J, Kelly, MT., Bottorff, JL., Le Beau, KT. (2009).  The readings of smoking fathers: A semiotics analyses of tobacco cessation images.  Health Communication, 24(6), 532-547.  
4. Bottorff, J.L., Radsma, J., Kelly, M., & Oliffe, J. (2009). Fathers' narratives of reducing and quitting smoking.  Sociology of Health and Illness, 31(2), 185-200. 
5. Oliffe, J., Bottorff, J.L., Kelly, M., & Halpin, M.  (2008).  Analyzing participant produced photographs from an ethnographic study of fatherhood and smoking. Research in Nursing and Health Research, 31, 529-539. 
6. Oliffe, J.L., & Bottorff, J.L. (2007). Further than the eye can see? Photo elicitation and research with men. Qualitative Health Research, 17(6), 850-858.  
7. Bottorff, J. L., Oliffe, J., Kalaw, C., Carey, J., & Mroz, L. (2006). Men’s constructions of smoking in the context of women’s tobacco reduction during pregnancy and postpartum. Social Science & Medicine,62, 3096-3108.  

Gayl Sarbit, PhD, Knowledge Broker, FACET, UBC    

Posts: 5
Joined: Oct 28, 2009

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Katie Hunter, Regional Coordinator, CAN-ADAPTT