Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/21287
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Qualitative systematic review: barriers and facilitators to smoking cessation experienced by women in pregnancy and following childbirth
Authors: Flemming, Kate
McCaughan, Dorothy
Angus, Kathryn
Graham, Hilary
Contact Email: kathryn.angus@stir.ac.uk
Keywords: literature review
midwives
pregnancy
qualitative research
smoking
systematic review
Issue Date: Jun-2015
Publisher: Wiley-Blackwell
Citation: Flemming K, McCaughan D, Angus K & Graham H (2015) Qualitative systematic review: barriers and facilitators to smoking cessation experienced by women in pregnancy and following childbirth, Journal of Advanced Nursing, 71 (6), pp. 1210-1226.
Abstract: Aim To explore barriers and facilitators to smoking cessation experienced by women during pregnancy and postpartum by undertaking a synthesis of qualitative studies. Background The majority of pregnant women are aware that smoking in pregnancy compromises maternal and infant health. Despite this knowledge, quit rates among pregnant women remain low, particularly among women in disadvantaged circumstances; disadvantage also increases the chances of living with a partner who smokes and returning to smoking after birth. A deeper understanding of what hinders and what helps pregnant smokers to quit and remain ex-smokers postpartum is needed. Design A synthesis of qualitative research using meta-ethnography. Data sources Five electronic databases (January 1990–May 2013) were searched comprehensively, updating and extending the search for an earlier review to identify qualitative research related to the review's aims. Review methods Following appraisal, 38 studies reported in 42 papers were included and synthesized following the principles of meta-ethnography. Over 1100 pregnant women were represented, the majority drawn from disadvantaged groups. Results Four factors were identified that acted both as barriers and facilitators to women's ability to quit smoking in pregnancy and postpartum: psychological well-being, relationships with significant others, changing connections with her baby through and after pregnancy; appraisal of the risk of smoking. Conclusion The synthesis indicates that barriers and facilitators are not fixed and mutually exclusive categories; instead, they are factors with a latent capacity to help or hinder smoking cessation. For disadvantaged smokers, these factors are more often experienced as barriers than facilitators to quitting.
Type: Journal Article
URI: http://hdl.handle.net/1893/21287
DOI Link: http://dx.doi.org/10.1111/jan.12580
Rights: © 2014 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Affiliation: University of York
University of York
Institute for Social Marketing
University of York

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