Page 72 - Pro-active Management of Women’s Health after Cardiometabolic Complicated Pregnancies

70 | Part 3 Lifestyle intervention
only, which had no significant effect on weight loss152 156, and 1 study described the effect of a diet intervention only, which did have a significant effect on weight loss160.
Smoking Cessation and Smoking Relapse Prevention
Tables 3.1.1 and 3.1.3 give an overview of 11 articles describing the effect of 9 interventions on smoking cessation and smoking relapse prevention162-172. One article described the effect of a postpartum smoking cessation intervention only162. Results of this study were contradictory. Although salivary cotinine levels indicated an effect of the smoking cessation intervention, the self-reported cessation rate indicated an opposite effect162.
Five articles described the effect of 4 postpartum smoking relapse
prevention interventions163-167. Of the 4 smoking relapse prevention
interventions, 2 showed no significant effect on smoking relapse prevention166
167. One smoking relapse prevention intervention was shown to be effective in
preventing smoking relapse at 3 and 6 months postpartum163. Smoking
abstinence at both 3 and 6 months postpartum was 18.2% in the intervention
group compared with 5.2% in the control group. In this study, a prospective 2-
group design (not an RCT) was used to evaluate intervention efficacy163. The
other smoking relapse prevention intervention was shown to have a significant
intervention effect at 6 months postpartum. Daily smoking was reported in 34%
of the intervention group, compared with 48% in the control group164 165.
However, this intervention effect was not sustained at 12 months postpartum164 165.
Five other articles described 4 interventions aimed at both smoking cessation and smoking relapse prevention168-172. An intervention aimed at both smoking cessation and the prevention of smoking relapse evaluated in 2 studies