Prevention of Postpartum Smoking Relapse in Mothers of Infants in the Neonatal Intensive Care Unit (NICU)

Study Overview
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Brief Summary
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The investigators hypothesized that an enriched focus on mother-infant bonding during a newborn's hospitalization in the Neonatal Intensive Care Unit would reduced the rate maternal postpartum smoking relapse and would prolong the duration of breastfeeding in mothers who had quit smoking during or just prior to pregnancy.

Detailed Description
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Mothers of newborns admitted to the Neonatal Intensive Care Unit (NICU), who had quit smoking during or just prior to pregnancy where randomized to either the Standard of Care or Smoking Relapse Prevention group. Mothers in both groups were encouraged to remain smoke free following the birth of their babies and were given routine lactation support for breastfeeding during their babies' hospitalization in the NICU. Mothers in the Smoking Relapse Prevention group were also given the study intervention, which was enhanced support for maternal-infant bonding by providing information about their newborn's behaviors using books, DVDs, and handouts that were appropriate for their baby's gestational age and by encouraging frequent skin-to-skin holding. Primary outcomes included duration of smoke-free status and duration of breastfeeding.

Official Title
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Prevention of Postpartum Smoking Relapse in Mothers of Infants in the Neonatal Intensive Care Unit

Conditions
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Smoking

Intervention / Treatment
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* Behavioral: Smoking Relapse Prevention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Mothers: Who had quit smoking during pregnancy or within one year prior to pregnancy Who had newborns < 1 week old at the time of admission to our NICU. Exclusion Criteria: Mothers: Who were smokers at the time of delivery Whose infant's length of stay < one week Who were not available (jail, adoption) Who had a history of drug use Who did not speak English

Ages Eligible for Study
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Maximum Age: 1 Week

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single


Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: Smoking Relapse Prevention|Mothers were given information about normal newborn behaviors using books, DVDs, and handouts that were appropriate for their baby's gestational age and were also encouraged to participate in frequent skin-to-skin holding of their babies.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Duration of smoke-free status | Duration of maternal smoke-free status during the first 8 weeks postpartum following delivery of newborn infant | 8 weeks postpartum | 
| Duration of breastfeeding | Duration of breastfeeding during the first 8 weeks postpartum following the birth of newborn infant. | 8 weeks postpartum | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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postpartum, smoking, relapse, breastfeeding