title: Can we modify the enrollment in a postpartum smoking cessation intervention in Spain?
abstract: OBJECTIVE
  it is known that very few women who continue to smoke at the time of delivery stop smoking during the postpartum period. Discovering strategies that can be incorporated during pregnancy to help improve women's participation in postpartum interventions could increase the number of women non-smokers. The aim of this study is to identify the predictors of participation by pregnant women smokers in a postpartum smoking cessation intervention.
  
  
  METHODS
  a cross-sectional study was carried out amongst women smokers who had attended to give birth.
  
  
  METHODS
  women attended the University Clinical Hospital 'Lozano Blesa' of Zaragoza (Spain) who were smokers before pregnancy and reported at delivery to have continued smoking during pregnancy were eligible and were invited to participate in the study.
  
  
  RESULTS
  2044 women completed the questionnaire 24 hours after giving birth. The smoking prevalence during pregnancy was 18.2% (n=372) and 62.9% of them (n=234) participated. The logistic regression model provided five significant predictors for women who participated: intention to breast feed, having less of an urge to smoke the first cigarette of the day before pregnancy, having reduced consumption during pregnancy by 50% or more, having received advice and being willing to get help.
  the factors associated with participation show aspects that can be modified by maternal and child health professionals. Advice to stop smoking, received during pregnancy, encourages participation in a postpartum intervention. From the point of view of public health, the huge increase in the prevalence of smoking women poses the need to take advantage of the pregnancy as an opportunity for giving up smoking definitely. It would be necessary to identify what programmes of smoking cessation have better results in pregnant women and to know how to motivate health professionals to implement them.
authors.affiliation: Tobacco Control Unit, University of Zaragoza, Spain; Department of Medicine, Psychiatry and Dermatology, University of Zaragoza, Spain. Electronic address: isabelne@unizar.es.
authors.forename: Isabel
authors.initials: I
authors.lastname: Nerín
authors.affiliation: Departament of Psychology and Sociology, University of Zaragoza, Spain.
authors.forename: Adriana
authors.initials: A
authors.lastname: Jiménez-Muro
authors.affiliation: Department of Paediatrics, Radiology and Physical Medicine, University of Zaragoza, Spain.
authors.forename: Pilar
authors.initials: P
authors.lastname: Samper
authors.affiliation: Tobacco Control Unit, University of Zaragoza, Spain.
authors.forename: Adriana
authors.initials: A
authors.lastname: Marqueta
authors.affiliation: Department of Statistical Methods, University of Zaragoza, Spain.
authors.forename: Pilar
authors.initials: P
authors.lastname: Gargallo
authors.affiliation: Department of Statistical Methods, University of Zaragoza, Spain.
authors.forename: Asunción
authors.initials: A
authors.lastname: Beamonte
authors.affiliation: Department of Paediatrics, Radiology and Physical Medicine, University of Zaragoza, Spain; Hospital Clínico Universitario 'Lozano Blesa', Zaragoza, Spain; Instituto Aragonés de Ciencias de la Salud, Zaragoza, Spain.
authors.forename: Gerardo
authors.initials: G
authors.lastname: Rodríguez
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008425:Maternal Behavior; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D018579:Patient Selection; D049590:Postpartum Period; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011322:Primary Prevention / Q000379:methods; D012907:Smoking / Q000453:epidemiology; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention; D013030:Spain / Q000453:epidemiology; D055815:Young Adult
keywords: Post partum; Pregnancy; Relapse; Smoking cessation