Smoking hygiene: Reducing infant exposure to tobacco

Mary Beth Flanders Stepans, Susan L Wilhelm, Kurt Dolence

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

The American Academy of Pediatrics recently removed nicotine from the list of drugs contraindicated during breastfeeding. The objective of this study was to evaluate the feasibility of determining the effect of a smoking hygiene intervention on infants of breastfeeding mothers who smoke cigarettes. An experimental design with repeated measures was used. A convenience sample of 35 mother-infant dyads from seven sites was recruited and randomly assigned to the intervention or control group. Of the 27 dyads completing the study, 16 were in the experimental group and 11 were in the control group. Smoking hygiene was introduced when infants were 2 weeks old and reinforced when they were 3 and 5 weeks old. At these three data points, infant health and urinary nicotine and cotinine levels were measured, as well as the mothers' breast-milk nicotine and cotinine levels and smoking hygiene behaviors. Recruiting and retaining a sample of breastfeeding mothers who smoke proved difficult. Only 27% of women in the intervention group implemented all aspects of the smoking hygiene intervention behaviors. Repeated-measures ANOVA revealed no difference in a) infant urinary nicotine and cotinine levels or b) breast-milk nicotine and cotinine levels between the two groups. The McNemar test for related samples revealed no difference between frequency of respiratory symptoms in either the control or intervention groups when Week 2 levels were compared with levels at Weeks 3 and 5. Mothers were not successful in adhering to the smoking hygiene intervention. To adequately test interventions, strategies must be developed to help women incorporate health-promoting behaviors into their lives.

Original languageEnglish (US)
Pages (from-to)104-114
Number of pages11
JournalBiological Research for Nursing
Volume8
Issue number2
DOIs
StatePublished - Oct 1 2006

Fingerprint

Cotinine
Hygiene
Nicotine
Tobacco
Smoking
Mothers
Breast Feeding
Human Milk
Smoke
Control Groups
Women's Health
Tobacco Products
Analysis of Variance
Research Design
Pediatrics
Pharmaceutical Preparations

Keywords

  • Breastfeeding
  • Environmental tobacco smoke
  • Passive smoking
  • Smoking cessation
  • Smoking hygiene

ASJC Scopus subject areas

  • Research and Theory

Cite this

Smoking hygiene : Reducing infant exposure to tobacco. / Stepans, Mary Beth Flanders; Wilhelm, Susan L; Dolence, Kurt.

In: Biological Research for Nursing, Vol. 8, No. 2, 01.10.2006, p. 104-114.

Research output: Contribution to journalArticle

Stepans, Mary Beth Flanders ; Wilhelm, Susan L ; Dolence, Kurt. / Smoking hygiene : Reducing infant exposure to tobacco. In: Biological Research for Nursing. 2006 ; Vol. 8, No. 2. pp. 104-114.
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