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“Smoking Cessation During Pregnancy,” The American College of Obstetricians and Gynecologists (ACOG) Educational Bulletin, Number 260, September 2000.

This four-page bulletin outlines an office-based protocol on how to identify pregnant patients who smoke and provide effective treatment to increase quit rates. Essential elements of the intervention are described, including how to ask about smoking status and how to provide cessation counseling during a routine prenatal office visit. The bulletin also includes information on the epidemiology of smoking during pregnancy, treatment issues pertaining to pregnant women who smoke heavily, smoking reduction, pharmacotherapy, health care support systems, and physician coding for this intervention.

A single copy of the brochure is available without charge by emailing The American College of Obstetricians and Gynecologists Resource Center at resources@acog.org. Please include your name, affiliation, and mailing address with your request. Packages of 25 brochures may be purchased from the ACOG Distribution Center (800-762-ACOG x882) or online at www.acog.org in the ACOG Bookstore under Patient Education.


“A Clinician’s Pocket Guide for Helping Pregnant Smokers Quit,” produced by Smoke-Free Families in collaboration with The American College of Obstetricians and Gynecologists.

The pocket guide includes the “5 A’s,” a multiple-choice questionnaire providers can use to ascertain smoking status, and provides tips for counseling pregnant smokers. A single copy of the guide is available without charge by emailing The American College of Obstetricians and Gynecologists Resource Center at resources@acog.org. Please include your name, affiliation, and mailing address with your request. Packages of 10 guides may be purchased from the ACOG Distribution Center (800-762-ACOG x882) or online at www.acog.org in the ACOG Bookstore under Patient Education.

“Documentation and Flow Sheets for Patient Records,” produced by Smoke-Free Families in collaboration with The American College of Obstetrics and Gynecologists. This flow sheet provides a convenient way for providers to record a pregnant woman’s smoking status and the cessation counseling that is provided to her throughout her pregnancy. Download in pdf format.


“Quick Reference Guide for Clinicians: Treating Tobacco Use and Dependence,” U.S. Public Health Service, Department of Health and Human Services.

This guide summarizes the strategies for providing appropriate treatments for every patient. It is available at the following website: http://www.surgeongeneral.gov/tobacco/tobaqrg.htm. Printed copies of “Treating Tobacco Use and Dependence” are available from any of the following Public Health Service clearinghouses: the Agency for Healthcare Research and Quality (800-358-9295); Centers for Disease Control and Prevention (800-CDC-1311); and the National Cancer Institute (800-4-CANCER).

“Smoking and Pregnancy: Research Findings from the Smoke-Free Families Program,” Tobacco Control 2000; 9 (Supplement III). The papers in this supplement detail the research findings of projects funded by The Robert Wood Johnson Foundation’s Smoke-Free Families program. As a collection of conceptual overviews, review articles, and empirical studies on the subject of smoking during pregnancy and the postpartum period, this body of work represents important new material to add to the knowledge base of what might be the most effective, efficient, and easy-to-disseminate interventions for promoting smoke-free families and pregnancies.

These papers are available in PDF version.

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