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Substance Abuse in Pregnancy: Tobacco Abuse

by Veronica Gillispie, MD, FACOG
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    About the Lecture

    The lecture Substance Abuse in Pregnancy: Tobacco Abuse by Veronica Gillispie, MD, FACOG is from the course Preconception Care. It contains the following chapters:

    • Substance Abuse in Pregnancy
    • Tobacco Abuse in Pregnancy

    Included Quiz Questions

    1. Gestational hypertension
    2. Preterm labor
    3. Placental abruption
    4. Preterm premature rupture of membranes
    5. Fetal growth restriction
    1. You should advise her that if she manages to stop smoking before she is 24 weeks pregnant, the outcomes of her pregnancy will be the same as someone who has never smoked.
    2. You should advise her that regardless of whether or not she quits, because of her history of smoking a half-pack a day for over 1 year puts her at increased risk of fetal growth restriction and preterm labor.
    3. You should tell her that she must quit immediately and that, unfortunately, she must do it without any assistance because nicotine patches are unsafe for use during pregnancy.
    4. You should avoid any discussion on smoking cessation for fear that she will not return for further prenatal care.
    5. You should encourage her to stop smoking for the duration of her pregnancy, but reassure that if she chooses to resume smoking after delivery there will not be any additional risk to her infant.
    1. Ask if the patient is ready to stop smoking and educate her on the negative side effects of smoking on pregnancy and fetal well-being.
    2. Make your assessment of whether or not you think the patient is ready to quit smoking before initiating any discussion on smoking.
    3. You should first prescribe the patient nicotine patches regardless of whether or not they plan on quitting smoking cigarettes.
    4. You should first arrange for a family meeting to gather the support for getting the patient to quit smoking before trying to discuss it with the patient on your own.
    5. Patients rarely ever quit smoking, so it is best to focus your efforts on other aspects of her pregnancy during your limited appointment time.

    Author of lecture Substance Abuse in Pregnancy: Tobacco Abuse

     Veronica Gillispie, MD, FACOG

    Veronica Gillispie, MD, FACOG


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