Smoking
Conditions
Keywords
postpartum, smoking, relapse, breastfeeding
Brief summary
The investigators hypothesized that an enriched focus on mother-infant bonding during a newborn's hospitalization in the Neonatal Intensive Care Unit would reduced the rate maternal postpartum smoking relapse and would prolong the duration of breastfeeding in mothers who had quit smoking during or just prior to pregnancy.
Detailed description
Mothers of newborns admitted to the Neonatal Intensive Care Unit (NICU), who had quit smoking during or just prior to pregnancy where randomized to either the Standard of Care or Smoking Relapse Prevention group. Mothers in both groups were encouraged to remain smoke free following the birth of their babies and were given routine lactation support for breastfeeding during their babies' hospitalization in the NICU. Mothers in the Smoking Relapse Prevention group were also given the study intervention, which was enhanced support for maternal-infant bonding by providing information about their newborn's behaviors using books, DVDs, and handouts that were appropriate for their baby's gestational age and by encouraging frequent skin-to-skin holding. Primary outcomes included duration of smoke-free status and duration of breastfeeding.
Interventions
BEHAVIORALSmoking Relapse Prevention
Mothers were given information about normal newborn behaviors using books, DVDs, and handouts that were appropriate for their baby's gestational age and were also encouraged to participate in frequent skin-to-skin holding of their babies.
Sponsors
American Academy of Pediatrics
Flight Attendant Medical Research Institute
March of Dimes
Loma Linda University
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
No minimum to 1 Weeks
Healthy volunteers
No
Inclusion criteria
* Mothers: * Who had quit smoking during pregnancy or within one year prior to pregnancy * Who had newborns \< 1 week old at the time of admission to our NICU.
Exclusion criteria
* Mothers: * Who were smokers at the time of delivery * Whose infant's length of stay \< one week * Who were not available (jail, adoption) * Who had a history of drug use * Who did not speak English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Duration of smoke-free status | 8 weeks postpartum | Duration of maternal smoke-free status during the first 8 weeks postpartum following delivery of newborn infant |
| Duration of breastfeeding | 8 weeks postpartum | Duration of breastfeeding during the first 8 weeks postpartum following the birth of newborn infant. |
Countries
United States
Outcome results
None listed