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​​​​​​​​​​​​​​​​Pregnant and Breastfeeding Women  Summary Statements

CAN-ADAPTT’s development process reflects a dynamic opportunity to ensure that its guideline is practice informed and addresses issues of applicability in the Canadian context. It has built from the evidence and recommendations contained in existing guidelines. It did not review the primary literature to inform the development of its Summary Statements unless emerging evidence was identified by the Guideline Development Group. The CAN-ADAPTT Guideline Development Group has provided the below Summary Statements for Pregnant and Breastfeeding Women.


Summary Statement #1 –
Smoking cessation should be encouraged for all pregnant, breastfeeding and postpartum women. GRADE*: 1A

Summary Statement #2 –
During pregnancy and breastfeeding, counselling is recommended as first line treatment for smoking cessation.  GRADE*: 1A

Summary Statement #3 –
If counselling is found ineffective, intermittent dosing nicotine replacement therapies (such as lozenges, gum) are preferred over continuous dosing of the patch after a risk-benefit analysis. GRADE*: 1C

Summary Statement #4 ­–
Partners, friends and family members should also be offered smoking cessation interventions. GRADE*: 2B
Summary Statement #5 –
A smoke-free home environment should be encouraged for pregnant and breastfeeding women to avoid exposure to second-hand smoke. GRADE*: 1B

*GRADE: Click here for Grade of Recommendation and Level of Evidence Summary Table. 

   ​Pregnant and Breastfeeding Women​