Adverse effects of smoking during pregnancy are well known; yet globally, 53% of women who smoke daily continue to smoke daily during pregnancy.1 Smoking rates are also much higher among those from disadvantaged backgrounds. For example, 43% of Australian Indigenous pregnant women smoke, compared with 12% of nonindigenous pregnant women.2 Despite wanting to stop smoking, barriers such as continued smoking among social networks, lack of access to quit-smoking services, emotional stress (eg, intimate partner violence), pregnancy-related depression, and increased metabolism of nicotine during pregnancy may not allow smoking cessation to be achieved in all pregnant women who smoke.
Kumar R, Gould GS. Tobacco Harm Reduction for Women Who Cannot Stop Smoking During Pregnancy—A Viable Option? JAMA Pediatr. 2019;173(7):615–616. doi:10.1001/jamapediatrics.2019.0902
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