The Changing Process of Women’s Smoking Status Triggered by Pregnancy

Mai Itai, Akiko Sasaki, Makiko Mori, Shio Tsuda and Ayumi Matsumoto-Murakoso
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Mai Itai: Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo 113-8510, Japan
Akiko Sasaki: Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo 113-8510, Japan
Makiko Mori: Faculty of Nursing, National College of Nursing, Japan, Tokyo 204-8575, Japan
Shio Tsuda: Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo 113-8510, Japan
Ayumi Matsumoto-Murakoso: Treponte Children’s Clinic, Chiba 273-0867, Japan

IJERPH, 2019, vol. 16, issue 22, 1-14

Abstract: Although pregnancy is the trigger for many women to stop smoking, often they are unable to maintain cessation, undoing any health benefits for themselves and their children. Smoking is a complex phenomenon both before and after pregnancy, influenced by social background, relationships, and the specific experience of pregnancy and delivery. Therefore, it is necessary to clarify the experience and process of changes in women’s smoking status from pregnancy to after delivery. To explore possibilities for better smoking cessation support, the objective of this study was to clarify the changing process of smoking status from pregnancy to after delivery in women for whom pregnancy triggered a smoking cessation. We analyzed data obtained through semi-structured interviews with 31 women, using the grounded theory approach. Women reconsidered their smoking status, either quitting or smoking fewer cigarettes, because of externally motivated changes due to concerns regarding the influence of smoking on pregnancy and children. To prevent smoking relapse, it is important for the women themselves, as well as those around them, to appreciate their cessation, facilitating internal motivation and assessment of the situation. Furthermore, it is important to provide support, by implementing the process revealed in this study, not only during pregnancy but for an entire lifetime.

Keywords: pregnancy; postpartum women; smoking; process; cessation; relapse (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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