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Master Thesis

Prévalence et facteurs de risque de le reprise du tabac en post-partum

Abstract : Introduction : For women, pregnancy is a favourable time to quit smoking, however many women fall back in after giving birth. Method : The main purpose of the study was to measure the frequency of the relapse into tobacco use for women, three and six months after giving birth. The second purpose was to identify the risk or protective factors of the relapse for these women. In order to do that, a prospective observational study was led many times with 162 women. They were recruted after giving birth within a type III maternity facility. A first survey were given to them at the maternity facility, then two others were sent via email three and six months postpartum. Results : Three months postpartum, 43,52% of the women started smoking again, then six months postpartum, it is 46,27% of them that felt back into tobacco use. The majority of women who started smoking again have a minimum of 1 cigarette a day. Breastfeeding is identified as a protective factor of a relapse. The assessment of the craving through the FTCQ-12 survey is a predictive indicator for the abstention's failure. Women with a partner who stopped smoking during the three first postpartum months had significally a reduced risk to fall back into smoking. Discussion : The consistent reports show that the rates of recidivism in tobacco use match with the datas found in reports. Some risk factors found in other studies haven't been highlighted in this study as the number of interviews were too low. They would earn to get large-scale studies in order to evaluate their influence. Conclusion : The use of the FTCQ-12 score to identify women with a risk of a relapse maybe be use as a common practice. Promoting breast feeding and the involvment of the partner have to be considerated as a preventive measure of the recidivism in tobacco use.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02483267
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Submitted on : Tuesday, February 18, 2020 - 3:15:33 PM
Last modification on : Friday, May 1, 2020 - 11:56:07 AM

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Louise Favier. Prévalence et facteurs de risque de le reprise du tabac en post-partum. Médecine humaine et pathologie. 2019. ⟨dumas-02483267⟩

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