Abstract

Cigarette smoking is an antenatal risk factor causing maternal and fetal morbidity besides being a public health issue. Smoking during pregnancy is associated with increased preterm birth, low birth weight, preterm rupture of the membranes, intrauterine growth retardation, ectopic pregnancy and perinatal mortality rates. Newborns who have been exposed to effects of cigarette smoking are prone to asthma, infantile colic, depression and childhood obesity. Although women who smoke before pregnancy are motivated to quit smoking, they occasionally need professional help to succeed this behaviour. Perinatal outcomes improve by quitting cigarette smoking before pregnancy or as soon as possible during pregnancy. Counseling, cognitive and behavioural therapy, hypnosis, acupuncture and pharmacological agents are treatment choices. Owing to the fact that insufficient evidence about safety and efficacy exist, pharmacological treatment modalities are not recommended during pregnancy.

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