Guideline

WHO recommendations for the prevention and management of tobacco use and second-hand smoke exposure in pregnancy

Year of Publication

2013

Issuing Institution

World Health Organization

Links

Recommendations

9 included recommendations

Health-care providers should ask all pregnant women about their tobacco use (past and present) and exposure to second-hand smoke as early as possible in pregnancy and at every antenatal care visit.

Status

Maintained

Recommended in favor

Strong

Certainty of evidence

Low

Health-care providers should routinely offer advice and psychosocial interventions for tobacco cessation to all pregnant women, who are either current tobacco users or recent tobacco quitters.

Status

New

Recommended in favor

Strong

Certainty of evidence

Moderate

The panel cannot make a recommendation on use or non-use of nicotine replacement therapy (NRT) to support cessation of tobacco use in pregnancy.

Status

New

The panel does not recommend use of bupropion or varenicline to support cessation of tobacco use in pregnancy

Status

New

Recommended against

Strong

The panel recommends that further research be carried out in pregnant women on safety, efficacy and factors affecting adherence to pharmacotherapeutic agents for tobacco-use cessation

Status

New

Recommended in favor

Strong

All health-care facilities should be smoke-free to protect the health of all staff, patients and visitors including pregnant women.

Status

New

Recommended in favor

Strong

Certainty of evidence

Low

All work and public places should be smoke-free for the protection of everyone including pregnant women.

Status

New

Recommended in favor

Strong

Certainty of evidence

Low

Health-care providers should provide pregnant women, their partners and other household members with advice and information about the risks of SHS exposure as well as strategies to reduce SHS in the home

Status

New

Recommended in favor

Strong

Certainty of evidence

Low

Health-care providers should, wherever possible, engage directly with partners and other household members to inform them of the risks of SHS exposure to pregnant women and to promote reduction of exposure and offer smoking cessation support

Status

New

Recommended in favor

Strong

Certainty of evidence

Low