CoChat
Sign Up
Cited by 45Smoking Behavior and CessationPrenatal Substance Exposure EffectsSubstance Abuse Treatment and Outcomes

The effectiveness of adapted, best practice guidelines for smoking cessation counseling with disadvantaged, pregnant smokers attending public sector antenatal clinics in Cape Town, South Africa

EVERETT‐MURPHY, KATHERINE, STEYN, KRISELA, MATHEWS, CATHERINE, PETERSEN, ZAINO, ODENDAAL, HEIN, GWEBUSHE, NOMONDE, LOMBARD, CARL·2010·Acta Obstetricia et Gynecologica Scandinavica
DOI 10.3109/00016341003605701
Open this paper in CoChat — free account

Abstract

Aim and objectives. To evaluate the effect of a smoking cessation intervention, based on best practice guidelines on the quit rates of disadvantaged, pregnant women in Cape Town, South Africa. Design. Quasi‐experimental using a natural history cohort as a control group, consisting of women attending antenatal care in 2006 and an intervention cohort, attending the same clinics a year later. Setting. Four, public sector antenatal clinics in Cape Town staffed and managed by midwives. Population. Pregnant women of low socio‐economic status. Methods. The natural history cohort received usual care, whilst the intervention cohort was offered self‐help quit materials in the context of brief counseling by midwives and peer counselors. Smoking behavior was measured in early, mid and late pregnancy. The equivalence of the groups in terms of smoking profile, self‐reported smoking and demographic variables was assessed at baseline. Main outcome measures. Quit rates measured by urinary cotinine towards the end of pregnancy (36–39 weeks gestation). Results. The two cohorts were comparable at baseline. The difference in quit rates between the two cohorts in late pregnancy was 5.3% (95% CI: 3.2–7.4%, p < 0.0001) in an intention to treat analysis. There was also a significant difference in reduction of smoking of 11.8% (95% CI: 5.0–18.4%, p = 0.0006). Conclusion. A smoking cessation intervention based on best practice guidelines was effective among high risk, pregnant smokers in South Africa.

Integrity signals

Registry

Crossref · 10.3109/00016341003605701

Cites

21 of 21 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
EVERETT‐MURPHY, K., STEYN, K., MATHEWS, C., PETERSEN, Z., ODENDAAL, H., GWEBUSHE, N., & LOMBARD, C.
Affiliations
  • South African Medical Research Council (ZA)
  • Stellenbosch University (ZA)
Corresponding author
EVERETT‐MURPHY, KATHERINE
ORCID
Venue
Acta Obstetricia et Gynecologica Scandinavica
Publisher
Wiley
Published
2010-04
Volume
89
Issue
4
Pages
478-489
ISSN
  • 0001-6349 (ISSN-L)
  • 1600-0412
DOI
10.3109/00016341003605701
OpenAlex
W2148149114
Cited by
45
References
21
Citations by year
2026: 4 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 4 · 2018: 1 · 2017: 2 · 2016: 3 · 2015: 9 · 2014: 2 · 2013: 2 · 2012: 3
FWCI
1.95
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 274 d)
Locations
  • Acta Obstetricia Et Gynecologica Scandinavica (publishedVersion)
  • PubMed (publishedVersion)
  • Open University of Cape Town (University of Cape Town) (submittedVersion)
Funders
International Development Research Centre
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
smoking cessation, pregnant smokers, prenatal care, midwife counseling, peer counseling, best practice guidelines, urinary cotinine, low socioeconomic status, disadvantaged women, smoking during pregnancy, Cape Town
MeSH terms
Smoking Prevention, Adolescent, Adult, Ambulatory Care Facilities, Cotinine, Counseling, Female, Humans, Midwifery, Pamphlets, Patient Education as Topic, Pregnancy, Prenatal Care, Smoking, Social Class, South Africa, Program Evaluation, Case-Control Studies, Smoking Cessation, Public Sector, Practice Guidelines as Topic

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review