5 Ways to Change Your Practice: It can take only 5 minutes...

When it comes to prenatal care, many health care providers believe that they don't have adequate time to address smoking, or that the stress of stopping smoking may negatively affect the fetus or the mother's ability to care for her child after birth.

In fact, evidence-based recommendations for engaging smokers are designed to be implemented in as little as 5 to 10 minutes. Having all the necessary tools to engage your patients can greatly enhance your efficiency in delivering appropriate intervention. While pregnancy can increase women's stress level, there is no evidence to suggest that quitting smoking during pregnancy increases stress or negatively impacts the health or well being of the woman or the fetus. On the contrary, there is a wealth of evidence to suggest that stopping, reducing, or quitting smoking has great health benefits for woman, fetus and baby.

Further reading

Okoli, C.T.C., Greaves, L., Bottorff, J. L., and Marcellus, L. M. (2010). Health care providers' engagement in smoking cessation with pregnant smokers. Journal of Obstetric, Gynecologic and Neonatal Nursing. 39(1), 64-77. PMID: 20409104

  • Resources for Health Care Providers
  • Breastfeeding and Harm Reduction

    Nicotine is water and lipid-soluble & hence can be secreted in breast milk.

    The concentration of nicotine in breast milk will vary depending on how many cigarettes have been smoked since the last breastfeeding and how much time has passed since the mother has last smoked a cigarette.

    Health Canada recommendations clearly indicate that smoking is not a contraindication to breastfeeding.


Quitting smoking and finding reasons to quit smoking are easier with the support of others. Visit our Facebook page to connect with other mothers and mothers-to-be who are finding ways to stop, reduce, or quit smoking.