Copy of REDUCING HARM
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MORE DECKS TO EXPLORE
PRESENTATION OUTLINE
SMOKING DURING PREGNANCY
MARGARET S. CHISOLM, MD Â Â @WHOLE_PATIENTS
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Untitled Slide
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1964 SURGEON GENERAL'S REPORT
ANNOUNCED HEALTH RISKS OF SMOKING & LAUNCHED MASSIVE PUBLIC HEALTH CAMPAIGN
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REPORT ALSO NOTED RISK OF LOW BIRTH WEIGHT
IN BABIES BORN TO MOTHERS WHO SMOKED
Photo by Raymond Barlow
IN THE FACE OF DWINDLING SALES
COMPANIES INCREASINGLY FOCUSED ON FEMALE MARKET
Photo by Forgotten Cool
AND ON PERCEIVED REDUCTION OF HARM
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IN THE 1990s, SMOKING PREVALENCE IN WOMEN INCREASED
FOR THE FIRST TIME SINCE THE 1960s
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SINCE THEN, LITTLE CHANGE IN SMOKING PREVALENCE
NOW CONCENTRATED IN WOMEN OF LOW SES &/OR WITH PSYCHIATRIC COMORBIDITY
Photo by Much Ramblings
LOW BIRTH WEIGHT PRETERM DELIVERY SPONTANEOUS ABORTION STILLBIRTHS NEONATAL MORTALITY INTRAUTERINE GROWTH RESTRICTION PREGNANCY COMPLICATIONS SUDDEN INFANT DEATH SYNDROME
Photo by MightyBoyBrian
50% OF WOMEN CONTINUE TO SMOKE DURING PREGNANCY
THIS 11% PREVALENCE HAS REMAINED UNCHANGED FOR >20 YEARS
Photo by Jeremy Brooks
BEHAVIORAL TREATMENTS
SIGNIFICANTLY REDUCE MATERNAL SMOKING & IMPROVE NEONATAL OUTCOMES
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PHARMACOLOGICAL TREATMENTS
3 FIRST-LINE TREATMENTS SAFE & EFFECTIVE IN NON-PREGNANT ADULTS
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PHARMACOLOGICAL TREATMENTS
3 FIRST-LINE TREATMENTS SAFE & EFFECTIVE IN NON-PREGNANT ADULTS
Photo by arbyreed
4 RANDOMIZED CONTROLLED TRIALS IN PREGNANCY
NONE EFFICACIOUS AT ENHANCING QUIT RATES
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BUPROPION & VARENICLINE
Photo by CarbonNYC [in SF!]
