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Winnipeg Free Press - PRINT EDITION
Pregnant? Here's help to quit smoking
TORONTO -- Female smokers who are pregnant or planning to conceive can now get help to butt out through a website that emphasizes support instead of guilt or shame.
PREGNETS (Prevention of Gestational and Neonatal Exposure to Tobacco Smoke), which is developed by the Centre for Addiction and Mental Health in Toronto, focuses on building a community of support with other women through the use of an online discussion board.
The site includes a personalized quit meter, various self-help materials, tips on having a healthy pregnancy and partner support.
Surveys show about one in 10 Canadian women smoke while pregnant. But Dr. Peter Selby said it's likely the proportion of women continuing to use tobacco during gestation could be as high as 30 per cent, depending on the population segment being studied.
The goal of PREGNETS is to help women overcome their addiction or to at least significantly cut down the amount they smoke, though Selby stressed "there is no safe amount of smoke exposure while pregnant."
"It is dangerous to both the woman and the fetus. It's not just the fetus," he said Thursday.
A woman who smokes during pregnancy puts herself in danger of miscarriage, as well as risking other well-documented conditions such as cancer and cardiovascular disease.
"The risk to the fetus is an immediate risk," said Selby, clinical director of CAMH's addictions program. "They're much more likely to be premature, likely what we call small for gestational age, and then they have a higher risk of things like sudden infant death syndrome and upper respiratory tract infections."
The offspring of mothers who smoked while pregnant are also more likely to develop behavioural problems and are at increased risk for obesity in adolescence, studies suggest.
Selby said providing an online quitting tool is meant to help women overcome the stigma associated with smoking while pregnant.
While experiencing society's censure can provide the impetus for some women to kick the habit, it can also lead to an unwanted result, he said.
"The problem is if you're addicted, a couple of things happen: you go underground, you become a closet smoker. You don't seek out help because you feel you'll get judged.
"And you're going through a pregnancy -- which should be a nice, happy time -- feeling guilty and trapped and worrying what the outcome might be."
-- The Canadian Press
Republished from the Winnipeg Free Press print edition August 11, 2012 A13
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