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Logic therapy. Women who indicate that they are not ready to quit smoking can benefit from consistent motivational approaches by their health care providers as outlined in committee opinion no. 423, “motivational interviewing” published by the american college of obstetricians and gynecologists (17). discount generic viagra 100 mg Patients who are willing to try to quit smoking benefit from a brief counseling session,such as the 5a's intervention (box 1), which has been proved to be effective when initiated by health care providers (16). viagra without prescription With appropriate training, obstetrician–gynecologists, other clinicians, or auxiliary health care providers can perform these five steps with pregnant women who smoke (16). Referral to a smoker's quit line may further benefit the patient. viagra effects on normal men Quit lines offer information, direct support, and ongoing counseling, and have been very successful in helping pregnant smokers quit and remain smoke free (18). viagra effects on normal men Most states offer pregnancy-specific services, focusing on the pregnant woman's motivation to quit and providing postpartum follow-up to prevent relapse to smoking. viagra effects on normal men By dialing the national quit line network (1-800-quit now) a caller is immediately routed to her state's smokers' quit line. Many states offer fax referral access to their quit lines for prenatal health care providers. purchase cheap viagra soft tabs Health care providers can call the national quit line to learn about the services offered within their states. buy viagra cheap Examples of effective smoking cessation interventions delivered by a health care provider are listed in box 2. women's viagra Although counseling and pregnancy-specific materials are effective cessation aids for many pregnant women, some women continue to smoke (15). viagra 100 mg annostus These smokers often are heavily addicted to nicotine and should be encouraged at every follow-up visit to seek help to stop smoking. generic viagra without prescription They also may benefit from screening and intervention for alcohol use and other drug use because continued smoking during pregnancy increases the likelihood of other substance use (19). cost of viagra vs viagra vs viagra Clinicians also may consider referring patients for additional psychosocial treatment (16). There is insufficient evidence to support the use of meditation, hypnosis, and acupuncture for smoking cessation (16). Although quitting smoking before 15 weeks of gestation yields the greatest benefits for the pregnant woman and fetus, quitting at any point can be beneficial (20). viagra coupon Successful smoking cessation before the third trimester can eliminate much of the reduction in birth weight caused by maternal smoking (20). viagra online without prescription The benefits of reduced cigarette smoking are difficult to measure or verify. The effort of women who reduce the amount they smoke should be lauded, but these women also should be reminded that quitting entirely brings the best results for their health,. To change this page, upload your website into the public_html directory
Date Created: Thu Oct 26 16:24:19 2006