To provide evidence on how women’s circumstances and experiences
influence their smoking behaviour in pregnancy, including their attempts to quit.
Background.
Women in disadvantaged circumstances are more likely to smoke
prior to pregnancy; they are also less likely to quit in pregnancy and, among
those who quit, more likely to resume smoking after birth. Although there is a
rich seam of qualitative research on their experiences, it has yet to be bought
together and synthesized.
Design.
The synthesis was conducted using meta-ethnography.
Data sources.
A comprehensive search of five electronic databases (inception to
May 2012) was completed to identify qualitative research exploring pregnant
women’s experiences of smoking in pregnancy.
Review methods.
Following critical appraisal, 26 studies reported in 29 papers
were included in the review. Over 640 pregnant women were represented, the
majority drawn from disadvantaged groups. We carried out the synthesis using
meta-ethnography.
Results.
Four dimensions of women’s circumstances and experiences of smoking
in pregnancy were highlighted: the embeddedness of smoking in women’s lives,
questioned only because of pregnancy; quitting for pregnancy rather than for
good; quitting had significant costs for the woman and cutting down was a
positive alternative; the role of partners and the broader dynamics of the couple’s
relationship in influencing women’s smoking habits.
Conclusion.
Syntheses of qualitative research have an important role to play in
producing the evidence base for midwifery, nursing, and public health policy and
practice. The four dimensions identified in this review have implications for the
design and delivery of interventions to support women to quit smoking in pregnancy.
To provide evidence on how women’s circumstances and experiences
influence their smoking behaviour in pregnancy, including their attempts to quit.
Background.
Women in disadvantaged circumstances are more likely to smoke
prior to pregnancy; they are also less likely to quit in pregnancy and, among
those who quit, more likely to resume smoking after birth. Although there is a
rich seam of qualitative research on their experiences, it has yet to be bought
together and synthesized.
Design.
The synthesis was conducted using meta-ethnography.
Data sources.
A comprehensive search of five electronic databases (inception to
May 2012) was completed to identify qualitative research exploring pregnant
women’s experiences of smoking in pregnancy.
Review methods.
Following critical appraisal, 26 studies reported in 29 papers
were included in the review. Over 640 pregnant women were represented, the
majority drawn from disadvantaged groups. We carried out the synthesis using
meta-ethnography.
Results.
Four dimensions of women’s circumstances and experiences of smoking
in pregnancy were highlighted: the embeddedness of smoking in women’s lives,
questioned only because of pregnancy; quitting for pregnancy rather than for
good; quitting had significant costs for the woman and cutting down was a
positive alternative; the role of partners and the broader dynamics of the couple’s
relationship in influencing women’s smoking habits.
Conclusion.
Syntheses of qualitative research have an important role to play in
producing the evidence base for midwifery, nursing, and public health policy and
practice. The four dimensions identified in this review have implications for the
design and delivery of interventions to support women to quit smoking in pregnancy.
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