Number of pregnant smokers on the rise
A new report from Flint, Michigan confirms what health professionals around the United States say is one of their toughest challenges: Trying to increase Stop Smoking among pregnant women is on the rise.
Last week's new Kids Count report shows the percentage of women who smoked while pregnant rose to 20 percent in 2007. The findings, released Tuesday, were collected by the Annie E. Casey Foundation.
Dr. Ivana Vettraino, director of maternal fetal medicine at Hurley Medical Center, is familiar with the smoking problem. She said the best word she can use to describe the numbers who she has counseled to quit smoking is "disappointing."
"When they (patients) look at you and say, 'I've tried to stop smoking before and it hasn't worked,' and then they just walk out, it is a little -- disappointing is the best word I can come up with -- because many of the patients I see have a lot of medical problems. But still, their biggest risk for having a poor pregnancy outcome is their tobacco use resulting from addiction to nicotine ," she said.
Potential negative outcomes can include low birth weight, increased risk of cardiovascular and heart disease later in life, and problems with the placenta that could result in early birth or death. "There's a lot of knowledge now about what happens in utero sort of prognosticates what's going to happen to you later in life," Vettraino said.
Smoking --is the leading cause of low birth weight –getting pregnant smokers to quit smoking isn't getting any easier.
April Smith, 34, of Flint knows how tough quitting smoking can be. She said that when she was pregnant, she was able to cut back on her smoking the most, but there were "key points" in her day, such as after meals, when she had cravings for tobacco she just couldn't resist.
"There's always a battle inside your mind. Yes, you feel bad for doing it, but your craving or nicotine addiction, you feel good," she said. Smith compares quitting smoking to losing weight, saying that if you're not committed to changing your entire life, you're not going to succeed.
Trissa Torres, a preventive medicine physician for Genesys Health Systems, started a program at the Genesys Flint East Campus to help pregnant women stop smoking. Within her program, Torres said the majority of people she works with -- all of whom sought help themselves -- know smoking can be dangerous.
At Hurley, though, Vettraino said she's surprised by how many patients say they aren't aware of the effects of tobacco can have on an unborn child. And among those who are aware of the risks, she said, the effort to quit smoking often isn't there.
"I'm always surprised when there's somebody that tells you they didn't realize the risks. But most of the time they look at you and they nod. They know, and what they tell you is they're really trying hard to quit. Most of them will tell you that they cut down," she said.
Vettraino said some expectant mothers quit smoking immediately once they find out they're pregnant, but others, even with the offer of smoking cessation aids such as nicotine patches products to quit smoking, don't make the effort.
Even for those mothers who manage to stop smoking, Torres said the larger challenge is staying off cigarettes after children are born. Smith's children are now 8 and 3. She still smokes but said she's cut down, makes a point not to light up around her children and tries to keep them away from other smokers.
"I get angry with myself because it's ridiculous. ... Some days I can go all day without smoking, but the next day I make up for it. It's ridiculous," she said. "I regret it."
Reprinted and Exerpted
Scott Atkinson | The Flint Journal
Monday August 03, 2009,