[Interventions for smoking cessation in pregnancy and postpartum. Modalities, efficacy, introduction to motivational interviewing and social-cognitive models for behaviour changes].
BACKGROUND
Interventions for smoking cessation in pregnancy are effective. But the effects are small. Cognitive-behavioural approaches and social support are more efficacious. Interventions for relapse prevention postpone relapse for six months.


METHODS
Motivational interviewing serves as a practical basis for interventions. Social-cognitive models serve as basis to plan interventions.


RESULTS
Our own results may be summarised as follows: 1) smoking in pregnancy and postpartum has a high priority with paediatricians and midwives; 2) also after delivery women express an interest in being counselled; 3) interventions increase the proportions of newly abstinent women and postpone relapse.


CONCLUSIONS
The effects of such interventions are small and diminish between six and twelve months postpartum. With respect to population impact, it may be assumed that implementation in routine care will show sustained effects at the population level.
Hannöver
W
W
Ernst-Moritz-Arndt-Universität Greifswald, Institut für Medizinische Psychologie, Greifswald. hannoeve@uni-greifswald.de
Röske
K
K
Thyrian
J R
JR
Grempler
J
J
Rumpf
H-J
HJ
Hapke
U
U
John
U
U
D001521:Behavior Therapy; D015928:Cognitive Behavioral Therapy; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D007231:Infant, Newborn; D015201:Meta-Analysis as Topic; D009042:Motivation; D011247:Pregnancy / Q000523:psychology*; D011297:Prenatal Exposure Delayed Effects / Q000517:prevention & control*; D016032:Randomized Controlled Trials as Topic; D055502:Secondary Prevention; D016540:Smoking Cessation / Q000379:methods*