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A low cost, self help intervention to stop smoking in pregnancy
was acceptable to midwives and pregnant women, but was ineffective when
implemented during routine antenatal care. A cluster randomised trial
by Moore and colleagues (p 1383) randomised midwives either to
continue to provide pregnant smokers with normal care or additionally to introduce a series of self help booklets to encourage smoking cessation and prevent relapse. Cotinine validated cessation rates were
similar in both trial arms, but substantially lower than the self
reported rates on which current smoking policy is
based.

(Credit: SIPA/REX)