title: [Depression in smoking pregnant women: impact on motivation to quit smoking].
abstract: Despite the organization of smoking cessation program, the percentage of pregnant smokers remains too high in France. The knowledge of the factors limiting success of the attempt can help the smoking cessation.
  
  
  OBJECTIVE
  To evaluate the prevalence of depressive disorders in pregnant smokers compared to nonsmokers; assess their impact on motivation stopping smoking; verify their identification can be performed by midwives.
  
  
  METHODS
  Prospective multicenter survey on 792 women (435 smokers and 357 non-smokers), the assessment of the current depression is made by the Hospital Anxiety Depression scale, and motivation to quit smoking by the Richmond test.
  
  
  RESULTS
  Pregnant smokers compared to non-smokers, have more frequent depressive disorders (current: OR=2.4; history: OR=2). These problems do not decrease the motivation to quit, they are associated with a high nicotine dependence and low socioeconomic levels. Their testing can be done by midwives.
  
  
  CONCLUSIONS
  Systematic screening for depression in pregnant women smoking could facilitate smoking cessation.
authors.affiliation: Service de maternité, groupe hospitalier mutualiste de Grenoble, 38000 Grenoble, France.
authors.forename: F
authors.initials: F
authors.lastname: Dupré
authors.affiliation: Institut Rhône-Alpes Auvergne de tabacologie (IRAAT), hôpital de la Croix-Rousse, 103, grande rue de la Croix-Rousse, 69004 Lyon, France; Dispensaire Émile-Roux, 11, rue Vaucanson, 63100 Clermont-Ferrand, France. Electronic address: jean.perriot@cg63.fr.
authors.forename: J
authors.initials: J
authors.lastname: Perriot
authors.affiliation: Service de maternité, clinique Belledonne, 38400 Saint-Martin-d'Hères, France.
authors.forename: I
authors.initials: I
authors.lastname: Defay
authors.affiliation: Service de maternité, hôpital de la Croix Rousse, 69004 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Lavessière
authors.affiliation: Institut national de santé publique, Québec, Canada.
authors.forename: F
authors.initials: F
authors.lastname: Defay
authors.affiliation: Institut Rhône-Alpes Auvergne de tabacologie (IRAAT), hôpital de la Croix-Rousse, 103, grande rue de la Croix-Rousse, 69004 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Guillon
authors.affiliation: Institut Rhône-Alpes Auvergne de tabacologie (IRAAT), hôpital de la Croix-Rousse, 103, grande rue de la Croix-Rousse, 69004 Lyon, France.
authors.forename: G
authors.initials: G
authors.lastname: Mathern
authors.affiliation: Institut Rhône-Alpes Auvergne de tabacologie (IRAAT), hôpital de la Croix-Rousse, 103, grande rue de la Croix-Rousse, 69004 Lyon, France.
authors.forename: M
authors.initials: M
authors.lastname: Berland
mesh_terms: D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008880:Midwifery; D009042:Motivation; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology*; D011295:Prenatal Care; D011446:Prospective Studies; D012907:Smoking / Q000453:epidemiology / Q000523:psychology*; D016540:Smoking Cessation / Q000523:psychology*; D012959:Socioeconomic Factors; D014029:Tobacco Use Disorder / Q000453:epidemiology / Q000523:psychology
keywords: Depressive disorder; Dépression; Grossesse; Midwife; Motivation; Pregnancy; Sage-femme; Sevrage tabagique; Smoking cessation