Page 73 - Pro-active Management of Women’s Health after Cardiometabolic Complicated Pregnancies

was shown to be effective in promoting smoking cessation and preventing smoking relapse at 6 months postpartum (P < 0.01)169. A 7-day abstinence rate was reported by 5.9% in the intervention group, compared with 2.7% in the control group; 45% of the intervention group reported smoking relapse compared with 55% of the control group. At 12 months postpartum, this effect was not sustained168. While 1 intervention demonstrated a significant effect on both smoking cessation and smoking relapse prevention at 6 months postpartum171, another failed to show significant effects at 3 months postpartum on either outcome measures172. The fourth intervention reported a small effect on smoking cessation (sustained abstinence rate of 3% in the intervention group compared with 0% in the control group) and no effect on smoking relapse170.
Characteristics of the Interventions
Of the 21 included articles, 14 were conducted in the United States152 154- 159 161 163 166-169 172 and the remaining 7 were conducted in Finland153, Sweden162, Canada164 165, Brazil160 and Germany170 171. Apart from 1 study that used a prospective 2-group design163 and one that used a prospective cohort design160, the studies were RCTs. The number of participants per study ranged from 33152 156 to 1875168.
Weight Loss
Of the 6 effective weight loss interventions, 5 were individually tailored153- 155 157 159 161. The duration of these 6 effective interventions ranged from 11 days157 to 9 months159. Only 1 study reported the use of a lifestyle intervention that was based on a theoretical background153. This latter study used the theoretical models of Laitakari and Asikainen173, PRECEDE-PROCEED174, and Stages of Change175.
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