Smoking is the one of the most important modifiable causes of poor pregnancy outcomes in the United States, and is associated with maternal, fetal, and infant morbidity and mortality. This ACOG Committee Opinion provides evidence-based guidance on helping pregnant women quit smoking. It contains examples of effective smoking cessation interventions and instructions for use of the 5A’s, a counseling intervention specifically targeted to pregnant women. The potential effects on pregnancy and lactation of alternative forms of nicotine, such as e-cigarettes and vaping, as well as medications used to help with smoking cessation, are also discussed.
Prenatal Care and Education Tobacco Cessation
Clinical Guidelines/Expert Recommendations for Providers
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The Healthy Start EPIC Center is developed and operated by JSI Research & Training Institute, Inc. This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UF5MC26845 titled Supporting Healthy Start Performance Project for grant amount $2,472,000 with 0 percent financed with non-governmental sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.