A qualitative study of smoking during pregnancy

This study explored the psychosocial factors underpinning maternal smoking. Interviews with 40 pregnant smokers attending antenatal clinics at Leicester Royal Infirmary, NHS Trust, UK were recorded and transcribed. Respondents specified four factors working against their quitting: other smokers, lack of will-power, dependence and negative affect. While aware of the health risks, half said they were not worried about these risks, citing previous uncomplicated pregnancies experienced by themselves and others. Nearly all had partners who smoked, which for many was a disincentive to quit. Respondents were asked what information they had received and what they thought would be useful. They were sceptical about the usefulness of leaflets but thought that videos may be effective. Half were surprised at how little their smoking was mentioned in their antenatal consultations. The implications for antenatal care are discussed.