1. 1. Perinatal Smoking: what can we do about it?
   Presented by Jennifer Ulmer RN, BSN
   St. Marys Hospital Family Care Suites
   
2. 2. According to studies about 14.9% of women who give birth in the Wisconsin smoke!
   60% who smoke prior to pregnancy continue during their pregnancy
   Only 18-25% quit once they know they are pregnant
   About 18% relapse to smoking postpartum
   
3. 3. The typical pregnant smoker is young, single, white, poor, and experiencing an unwanted pregnancy
   
4. 4. The Impact on Infants and Young children:
   Higher infertility and miscarriage rates
   Smallfor gestational age
   preterm delivery
   Congenital heart defects
   SIDS
   Lifelong risks of respiratory illnesses and infections
   Thickened carotid artery walls
   
5. 5. Early Intervention: 5 minute assessment The 5 AsAskAdviseAssessAssistArrange
   
6. 6. Resources available to them:
   Their physician can support them with referrals,counseling, &medication (postpartum for nicotine) .
   Toll-free (800)-Q U I T N O W
   First Breath Program
   handouts
   
7. 7. Resources available to us:
   The American College of Obstetricians and Gynecologists
   Smoking Cessation for Pregnancy and Beyond- a free CME course for healthcare providers available at Dartmouth Medical SchoolWeb site: http://www.iml.dartmouth.edu/education/cme
   NIHWAPC
   March of Dimeswwhf.org
   CDC PNCC
   American Heart AssociationFirst Breath Program
   
8. 8. References:
   Centers for Disease Control and Prevention. (2007) . Smoking and Tobacco Fact Sheet: Women and SmokingFebruary 28, 2007 retrieved November 30, 2008 from http://www.cdc.org
   CDC Practice Guideline: Treating Tobacco Use and Dependence(2008)
   CunoS.P.M. Uterwaal, M.D., PhD, Katz,M.D.(2008). Arteriosclerosis, Thrombosis and Vascular Biology March of Dimes Foundation. White Plains, NY
   Hannover, W. (2008) Smoking during Pregnancy & Postpartum: Smoking Rates and Intention to Quit Smoking.Journal of Womens Health p.17:4
   Martin, Laurie T. (2008) CorrelatesSmoking before, during and after Pregnancy. American Journal of Health Behavior p. 32;3
   U. S. Department of Health and Human Services. (2004) The Health Consequences of Smoking: A Report of the Surgeon General, retrieved November 29, 2008 from http://www.cdc.org
   Wisconsin Interactive Statistics on Health. http://www.dhsf.wiconsin.gov
   
9. 9. Contact Information:
   Jennifer Ulmer, RN, BSN, IBCLC
   Family Care Suites
   St. Marys Hospital
   Madison, WI
   (608)258-6860
   jnmulmer@charter.net