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Screening for smoking and substance misuse in pregnant women with mental illness

  • Nisha Shah (a1) and Louise Howard (a2)
Abstract
Aims and Method

Smoking and substance misuse adversely affect the outcome of pregnancy and psychiatric patients are known to smoke more than other patients. Data collected at the time of routine antenatal booking were analysed to investigate whether pregnant women with mental health problems smoke more than other pregnant women.

Results

Data were collected from 156 women. Those with a psychiatric diagnosis (n=76) were significantly more likely to smoke (P<0.001). Associations were also found with illicit drug use and previous termination of pregnancy. The most common psychiatric diagnosis was depression (62%). A diagnosis of schizophrenia was not recorded for any of the women.

Clinical Implications

The strong association between smoking and psychiatric diagnosis results in an increased risk of obstetric complications in psychiatric patients. Anti-smoking interventions might be delivered by adequately trained midwives and opportunistically during contact with mental health professionals.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Bennedsen, B. E. (1998) Adverse pregnancy outcome in schizophrenic women: occurrence and risk factors. Schizophrenia Research, 33, 126.
Coleman, T. (2004) Special groups of smokers. BMJ, 328, 575577.
Howard, L. M., Kumar, C., Leese, M., et al (2002) The general fertility rate in women with psychotic disorders. American Journal of Psychiatry, 159, 991997
Howard, L. M., Goss, C., Leese, M., et al (2003) Medical outcome of pregnancy in women with psychotic disorders and their infants in the first year after birth. British Journal of Psychiatry, 182, 6367.
Maughan, B., Taylor, A., Caspi, A., et al (2004) Prenatal smoking and early childhood conduct problems: testing genetic and environmental explanations of the association. Archives of General Psychiatry, 61, 836843.
McCreadie, R. G. (2002) Use of drugs, alcohol and tobacco by people with schizophrenia: case–control study. British Journal of Psychiatry, 181, 321325.
Sacker, A., Done, D. J. & Crow, T. J. (1996) Obstetric complications in children born to parents with schizophrenia: a meta-analysis of case–control studies. Psychological Medicine, 26, 279287.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Screening for smoking and substance misuse in pregnant women with mental illness

  • Nisha Shah (a1) and Louise Howard (a2)
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