Loading...
As tobacco use and nicotine dependence remain major causes of morbidity and mortality worldwide, ACOG has updated its guidance regarding cessation during pregnancy.
Clinicians should routinely inquire about and recommend cessation of all tobacco or nicotine use, including vaping.
Women considering pregnancy should be advised that tobacco use increases risk for ectopic pregnancy, birth defects, preterm birth, and perinatal mortality.
Pharmacotherapy (including nicotine replacement, varenicline, and bupropion) should be discussed when needed, as existing research — while not robust — has been reassuring regarding safety.
Screening and interventi…