The aims of this study were to describe pregnant women’s (a) knowledge about health and pregnancy effects from e-cigarette use, (b) primary source of information about e-cigarette risks and benefits, (c) where, when, why, and how often they use their e-cigarettes, and (d) their plans for e-cigarette or tobacco use after pregnancy.
Smoking is a risk factor for adverse perinatal outcomes, yet support for smoking cessation during pregnancy is limited, and the relapse rate during the first year after delivery is high. E-cigarettes are the newest product in nicotine delivery and may present an attractive option to pregnant smokers. However, their use and safety among pregnant women is unclear.
Descriptive phenomenology was used to explore the lived experiences of women who used an e-cigarette during pregnancy. Pregnant and postpartum e-cigarette users were recruited through purposive sampling. After a demographic questionnaire, interviews were completed, transcribed, reviewed, and analyzed using Ethnograph software.
Ten women participated in the study. Participants realized the dangers of smoking and nicotine during pregnancy, but felt e-cigarettes were a safer alternative. Primary sources of information were friends, family, and e-cigarette retailers. They received little information about e-cigarettes at pre- or postnatal visits. They also perceived a lack of support for smoking cessation at pre- and postnatal visits. Women who were previous smokers had unsuccessfully attempted smoking cessation in the past using other methods. Women used the e-cigarette around their children and indoors, but all agreed they would not do this with a traditional cigarette.
Lack of evidence regarding benefits or harms of e-cigarette use during pregnancy limits the obstetric provider’s ability to engage patients in meaningful conversations about these products. This may be perceived by patients as lack of support for smoking cessation during and after pregnancy. There is also a gap in patient education regarding safety and passive exposure to e-cigarettes.
This study highlights the need for stronger education about e-cigarette use for pregnant and post-partum women. Any effort to stop smoking should be encouraged and supported in this population. Nurses are suited to address this gap by providing education and support.
|Advisor:||Barone, Claudia P.|
|Commitee:||Wright, Patricia, deGravelles, Pamela, Anders, Michael, Rhoads, Sarah|
|School:||University of Arkansas for Medical Sciences|
|School Location:||United States -- Arkansas|
|Source:||DAI-B 81/10(E), Dissertation Abstracts International|
|Subjects:||Obstetrics, Behavioral psychology|
|Keywords:||E-cigarettes, Nicotine, Obstetrics, Pregnancy, Tobacco, Vaping|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be