Tobacco at risk for moms

Launch of the first major regional information and awareness campaign Is it really dangerous to smoke during pregnancy? Can I breastfeed if I smoke? It seems better to smoke than to be stressed, is it true? Pregnant smokers still have too few concrete answers to their practical questions. An awareness campaign was launched on 31 March 2009 in the Nord-Pas-de-Calais region on the topic "Breastfeeding and tobacco".

Stop smoking, if possible before 3 months

Many misconceptions still circulate about tobacco and pregnancy. In addition, women do not always find the help needed for smoking cessation, even if more and more maternities sign the Tobacco-free Maternity Charter.

A benchmark: the label 'Maternity without tobacco

Life in general is obviously better without tobacco and it is even more true for the particular moment of pregnancy, "says Prof. Michel Delcroix, gynecologist-obstetrician, President of APPRI-Tobacco-free Maternity in response to all ideas The first message to remember is that smoking (regardless of the number of cigarettes) or being a victim of passive smoking is always harmful to the development of the baby. "A pregnant woman who smokes maltreats her baby without knowing it because the oxygenation Is no longer normal and the baby is then lacking oxygen with sometimes acute poisoning, causing irreversible brain damage "explains Prof. Delcroix.

A new campaign for mothers and caregivers

Other risks to smokers and their babies: bleeding, anemia, spontaneous miscarriage, premature delivery, stunting ... Note: passive smoking causes the same risk factors as active smoking, The importance of raising awareness and encouraging future dads to stop smoking. In 2009, the harmfulness of tobacco during pregnancy is scientifically demonstrated.

"Stopping smoking during pregnancy and breastfeeding, even when smoking, is the best behavior to adopt for her well-being and that of her baby," says Professor Delcroix. Also to know: to end the cigarette at any time during the pregnancy is always beneficial and possible, when accompaniment by competent medical personnel is organized.

Indeed, according to a recent study of 2504 pregnant women and published at the end of March in the British Medical Journal, the benefits of smoking cessation are significant even during pregnancy: women who stop smoking before the fifteenth week are equally likely To give birth (not prematurity) to babies of normal weight than those who do not smoke. On the other hand, if the tobacco is stopped only after 3 months, there is an increase in the risk of premature birth (multiplied by 3) and low birth weight (doubling the risk).
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In addition, this study shows that, contrary to popular belief, women who quit smoking in early pregnancy are no more stressed than non-smokers! These reassuring results emphasize the benefits of smoking cessation during the first 3 months of pregnancy, for the baby ... as for the mother!

Nevertheless it is not always easy to stop. "Women who are unable to stop smoking during pregnancy are not completely responsible," said Conchita Gomez, a wise woman, "because most of the smokers are smokers who quit smoking, because they are informed, encouraged and helped." - a tobacco woman. But more and more, the medical profession takes into account and cares for the tobacco problem in pregnant women. As proof, more than 350 out of 580 maternity hospitals have signed the Maternity Sans Tobacco Charter, with about 30 perinatal centers. These maternities represent almost 300 000 births, or nearly 60% of annual births in the United States.

The label "Maternities without tobacco", created in 2005, offers a competent professional framework in accompanying the cessation of smoking of the future mothers. The Association Perinatal Prevention Research Information (APPRI) and the National Association of Midwives Tabacologists have set up in these maternities the action "100 000 measures". A measurement of carbon monoxide (CO) is proposed to each pregnant woman. The goal? Inform staff, pregnant women and spouses of the effects of CO contained in cigarette smoke and its role in active and passive smoking.

In order to inform and inform future smokers (22% of pregnant women), Family Service (1), prevention associations APPRI-Maternité sans tabac and the National Association of French Tobacco Elderly Women Tabacologists have set up a campaign "I breastfeed that I am smoker or non-smoker", supported by the Ministry of Health in the Nord Pas-de-Calais region. For this awareness campaign, a DVD "a new life without tobacco" Presents in 13 minutes the dangers of tobacco for the mother and her baby and a brochure 8 pages with double entry "Cigarettes and lactation", "Breastfeeding and cigarettes" will be inserted in the Maternity File (2). March 2009. 25,000 prospective mothers should benefit, and this regional campaign is destined to become national.

Pending the generalization of this prevention campaign, 3000 boxes will be presented with the DVD "Une vie sans tabac" and a training DVD "Smoking cessation during pregnancy". To all Heads of Establishments, Heads of Services and Executive Midwives. 4,000 awareness posters will be distributed to French maternity, PMI, gynecologist-obstetricians and liberal midwives to accompany smoky mothers in their desire to breastfeed.

The ideal is to stop smoking during pregnancy, but if you can not, do not be afraid to breastfeed if you wish. And, who knows, this privileged moment may be the trigger for smoking cessation?

(1) Company distributes gift packages to future and young mothers

(2) Distributed free to 740,000 future mothers every year by Family service

Pregnant woman and smoking cessation: reminders of Conchita Gomez, tobacco midwife

- Pregnant women can use nicotine substitutes, whether they are weak or strongly dosed - It is possible to smoke under patch: in case of deviation, do not remove the patch - You can put the patch on the Belly or on the shoulder: there is no risk for the baby

- Press kit, Launch of the first major information and awareness campaign "Pregnancy and tobacco: ending widespread misconceptions", APPRI, National Association of Midwives Tobacologists, Family Service, 24 March 2009 Br>

, "McCowan L et al., BMJ 2009, 338: b1081 (online edition of March 26, 2009)" Br>

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