Smoking Counselling in Obstetrics | Cheat Sheet

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

452

Pages:

5
Author:

Mariam A. A.

Smoking Counselling in Obstetrics Counselling of Smoking and Alcohol Thank you for sharing this information with me It is important to be aware that it has risks on fertility and pregnancy Smoking Obstetric risks: Miscarriage Placental abruption Placenta previa Preterm birth Premature rupture of membranes Fetal risks: Low birth weight Intrauterine growth restriction Sudden infant death syndrome Long term neurodevelopmental issues Brain tumours Increased rate of perinatal death Increased risk of respiratory illness in infants Gynaecological Reduced fertility -> by 54% Causes accelerated ovarian follicle depletion Earlier menopause Increased risk of cervical cancer Increased risk of ectopic pregnancy Should be referred to the QUIT line Encourage to use nicotine replacement therapy (gum or patches), hynoptherapy or combined counselling Alcohol Not safe at any level Not using at all is safest Use of Nicotine Patches Has less nicotine that cigarette smoking and none of the other toxic substances in cigarettes Use in pregnancy is safer than smoking May improve birthweight if it leads to less smoking It is preferable to use it short acting forms such as gums if the cravings are manageable Therefore, yes nicotine patches or gums may be helpful Use of electronic cigarettes and vaporises are another way to reduce smoking, bit still should be avoided as they deliver high amounts of nicotine and effects on pregnancy remain unknow. Risks Benefits Delivers lower levels of nicotine Long term effects are not known Adverse effects still possible Low birth weight, preterm birth, still birth, and/or cognitive impairment Hence use the longest effective dose Clean source of nicotine as does not have the other toxins Increases smoking cessation by 43% Women who quite smoking develop better outcomes after 2 years than women who do not quite Formulations for NRT therapy Faster acting Gum or inhaler Allow for intermittent dosing Useful for when strong cravings happen Eating or drinking acidic beverages such as coffee or soft drinks should be avoided at least 15 minutes before and after use Gum -> nausea, vomit, indigestion and hiccups Inhaler -> mouth or throat irritation, cough, nausea, vomit, ingestion and hiccups NRT patches Provide a strong steady dose throughout the day May not be effective for strong craving episodes ADRs -> skin irritation and erythema Impact of Cocaine on Pregnancy Serious harm to pregnancy Readily crosses the placenta Obstetric: Miscarriage Placental abruption Preterm labour Hypertensive disorders -> pre-eclampsia Fetal IUGR Congenital abnormalities Neonatal abstinence syndrome Neurodevelopmental delay Neonatal Feeding difficulties Irritability seizures Long-term behavioural issues