Effect of Nursing Guideline Regard Passive Smoking Hazards on Pregnancy Outcome

Abstract

Background: Passive smoking is unintentional breathing in of smoke that gets \npermeated into the environment due to smoking by an “active” smoker. The study aim: was to \nevaluate the effect of nursing guideline of reducing passive smoking hazards on pregnancy \noutcome. Research design: A quasi-experimental study sample: a purposive sample include 214 \npregnant women with passive smoking exposure from Ain Shams university maternity hospital. \nThe total No. of the sample divided into two groups (control group and study group). Tools:five \ntools were used for data collection; structured interviewing questionnaire sheet, written exam tool \n(Pre/post/follow up test), attitude assessment tool, maternal and fetal assessment sheet & maternal \nand neonatal observation sheet, plus educational supportive material about effect of passive \nsmoking on pregnant women and prevention. The results revealed that, there were more than \ntwo-thirdof pregnant mothers among control group suffered from abnormal vital \nsigns(temperature, pulse rate, respiratory rate, and blood pressure) during pregnancy & 2 hours \nimmediately after labor & there were more than two-third of mothers among study group \ndelivered vaginally and one-tenth only of them delivered by caesarean section while two-third of \nmothers among control group delivered vaginally and one-third of them delivered by caesarean \nsection also the majority of mother in study group had newborn with good health conditions and \ngood APGAR score in 1&5 minutes after labor compared with more than one-half of mothers \nin control group had newborn with abnormal fetal heart rate ,weight and APGAR score at first & \nfifth minutes after birth. conclusion revealed that, more than two third of studied sample “both \ngroup” had unsatisfactory knowledge and negative attitude about passive smoking hazards on \npregnancy at 1 \nst \ntrimaster while more than three quarter of study group who received specific \nnursing guideline were /satisfactory knowledge & positive attitude about passive smoking hazards \nat 2 \nnd \nand 3 \nrd \ntrimaster of pregnancy. The study recommended that the nursing guide line \nintervention for pregnant women in first trimaster through session/ booklet or brochures and \nfollow up tests were improved the women knowledge &attitude for reducing passive smoking \nhazards on pregnancy outcome.