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Can a specialised antenatal clinic help pregnant women quit smoking and reduce the risk of complications for mother and baby?

Not Applicable
Completed
Conditions
Smoking in pregnancy
Pregnancy and Childbirth
Registration Number
ISRCTN11214785
Lead Sponsor
Royal College of Surgeons in Ireland
Brief Summary

2019 Protocol article in https://www.ncbi.nlm.nih.gov/pubmed/31481110 protocol 2022 Results article in https://pubmed.ncbi.nlm.nih.gov/36216314/ (added 27/10/2022)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
434
Inclusion Criteria

1. = 18yrs old
2. Singleton pregnancy
3. Smoking = 1 cigarette daily
4. English language spoken

Exclusion Criteria

1. Significant maternal medical disorder, eg. cardiac, haematological or endocrine disease (including GDM on metformin or insulin) requiring specialised maternal antenatal care.
2. Significant maternal psychiatric disorder, eg. delusional or psychotic disorders, severe depression requiring hospitalisation, use of =2 psychotropic drugs for treatment.
3. Serious co-morbid addiction issues eg opiate abuse, methadone maintenance program
4. Positive serology requiring specialised antenatal care
5. Significant fetal anomaly defined as aneuploidy, life limiting or lethal fetal anomaly
6. Intellectual disability or lack of capacity
7. Poor English / No English

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Self-reported continuous abstinence from smoking between the quit date and end of pregnancy (quit date is targeted as being at or before 16 weeks gestation and no further than 28 weeks gestation). This is validated using the exhaled carbon monoxide (CO) or urinary cotinine measured at one week, four weeks, three months and six months post quit date.
Secondary Outcome Measures
NameTimeMethod
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