Читать книгу Protocols for High-Risk Pregnancies - Группа авторов - Страница 27

Many pregnant women can remain smoke free during their pregnancy but postnatal relapse rates are high. The Pregnancy Risk Assessment Monitoring System reported relapse rates as high as 67% at greater than six months postpartum. Counseling should be continued at each postpartum visit including unequivocal, personalized and positive messages about the benefits to the patient, her baby and family resulting from smoking cessation. Although available data are limited, pharmacotherapy can be considered for the lactating woman. Any potential risk for the nursing infant from passage of small amounts of the medications through breast milk should be weighed against the increased risks associated with second‐hand exposure to smoking such as sudden infant death syndrome, respiratory infections, asthma, and middle ear disease.