Tool Kit for Providers

Smoking Cessation During Pregnancy:
A Clinician's Guide to Helping Pregnant Women Quit Smoking
This free CME-accredited guide outlines how to integrate the "5 A's" - an efficient and evidence-based approach to asking about and treating tobacco use - into a clinical setting serving pregnant women. It includes how to integrate smoking cessation intervention into routine prenatal care, photocopy-ready office tools and informaiton on coding for tobacco use screening and intervention.

Order Information for the Clinician's Guide:  email smoking@acog.org

Please include your name, affiliation, and mailing address with your request. Bulk orders are available.  Please allow 2 weeks for delivery of the guide.

Smoking Cessation for Pregnancy and Beyond -Interactive web-based program with simulated patient interviews and case-based learning developed by ACOG and a coalition of smoking cessation experts.  Available free from Dartmouth Interactive Media Laboratory

Other Provider Information Resources
Smoking Cessation During Pregnancy Committee Opinion #316
Six-page document, published October 2005, outlines an office-based protocol on how to identify pregnant patients who smoke and provide effective treatment. Essential elements of the intervention are described, including how to ask about smoking status and provide cessation counseling during a routine prenatal office visit. The bulletin also includes information on the epidemiology of smoking during pregnancy, treatment issues pertaining to pregnant women who smoke heavily, smoking reduction, pharmacotherapy, health care support systems, and physician coding for this intervention. A listing of resources is included.

Smoking and Women's Health, in Special Issues for Women's Health
This chapter in the book, Special Issues in Women's Health, describes the health impact of smoking on women's health, including reproductive and nonreproductive effects. It reviews the 5A's approach to intervention and reviews pharmachotherapy. The chapter highlights considerations for special populations and has an extensive resource list.

Treating Tobacco Use and Dependence 2008 Update/ US Department of Health and Human Services Clinical Practice Guidelines are available free.

Order Information for Committee Opinion and Special Issues for Women's Health

A single copy is available without charge by emailing the ACOG Resource Center at resources@acog.org. Please include your name, affiliation, and mailing address with your request.

Packages of 25 Committee Opinions and the book, Special Issues in Women's Health Care are available at member and nonmember prices by calling the ACOG Distribution Center (800-762-ACOG X882) or by ordering online at the ACOG BOOKSTORE under Professional Publications.

Patient and Office Materials

Need Help Putting Out that Cigarette?
This 28-page pregnancy specific self-help workbook includes information on the benefits quitting smoking, ways to prepare to quit, setting a quit date, how to handle "slips" and tips for staying smoke-free after the baby is born. This publication is also available in Spanish (Necesitas Ayuda Para Dejar de Fumar?)

Order Information for the Patient Workbook

• For a single copy, e-mail resources@acog.org. Please include your name, affiliation, and mailing address with your request.
• For multiple copies, order online at the ACOG BOOKSTORE or call the ACOG Distribution Center (800-762-ACOG X882)

To go to the ACOG Tobacco and Substance Use Homepage, click "here"