This pilot study examined the feasibility of applying Contingency Management (CM), where the woman receives financial compensation for abstinence from smoking. Eleven subjects were recruited from Marshall’s OB clinic for the program. CO levels were measured daily using online video recording. Quit rates were determined at the end of pregnancy. Birth outcomes were measured at delivery. 21 pregnant smokers from Marshall’s OB clinic were used as the control group. The results demonstrated a trend toward improved rates of smoking abstinence in CM participants as compared with the control group. Our study also showed a trend towards improved birth outcomes in the CM group. However, the results were not statistically significant, and we believe a larger study in our population is warranted.
Conflict(s) of Interest
References with DOI
1. Simpson WJ. A preliminary report on cigarette smoking and the incidence of prematurity.Obstetrical & Gynecological Survey. Am J Obstet Gynecol. 1957;12(6):868-9. https://doi.org/10.1007/978-94-011-6621-8_39
2. Higgins ST, Washio Y, Lopez AA, Heil SH, Solomon LJ, Lynch ME, et al. Examining two different schedules of financial incentives for smoking cessation among pregnant women. Prev Med. 2014;68: 51-7. https://doi.org/10.1016/j.ypmed.2014.03.024
3. Rogers JM. Tobacco and pregnancy: Overview of exposures and effects. Birth Defects Res C Embryo Today: 2008;84(1):1-15.
4. Cnattingus S. The epidemiology of smoking during pregnancy: Smoking prevalence maternal characteristics, and pregnancy outcomes. Nicotine Tob Res. 2004;6:125-40.
5. Bailey BA, Cole LKJ. Rurality and Birth Outcomes: Findings From Southern Appalachia and the Potential Role of Pregnancy Smoking. J Rural Health. 2009;25(2):141-9. https://doi.org/10.1111/j.1748-0361.2009.00210.x
6. Harris M, Reynolds B. A pilot study of home-based smoking cessation programs for rural, Appalachian, pregnant smokers. J Obstet Gynecol Neonatal Nurs. 2015;44:236-245. https://doi.org/10.1111/1552-6909.12547
7. Jones H, Heil SH, Tuten M, Chisolm MS, Foster JM, O’Grady KE, Kaltenbach K. Cigarette smoking in opioid-dependent women: Neonatal and maternal outcomes. Drug Alcohol Depend. 2013;131:271-277. https://doi.org/10.1016/j.drugalcdep.2012.11.019
8. Reynolds B, Harris M, Sloan SA, Shelton BJ, Dallery J. A feasibility study of home-based contingency management with adolescent https://doi.org/10.1037/pha0000046
Miller, Jacob; Reynolds, Brady; Crain, Courtney; Keblawi, Hisham; and Goebel, Lynne J.
"Contingency Management for Smoking Cessation in Pregnancy,"
Marshall Journal of Medicine:
4, Article 9.
Available at: http://mds.marshall.edu/mjm/vol3/iss4/9