A brief, five-step intervention program, the 5 A’s is recommended in clinical practice to help pregnant women quit smoking. The five steps are:
1. Ask the patient about tobacco use
2. Advise her to quit
3. Assess her willingness to make a quit attempt
4. Assist in her quit attempt
5. Arrange follow-up
Fiore MC, Bailey WC, Cohen SJ, et al. Treating Tobacco Use and Dependence. Clinical Practice Guideline. Rockville, MD: US Department of Health and Human Services. Public Health Service. June 2000.
Melvin CL, Dolan-Mullen P, Windsor RA, Whiteside HP Jr, Goldenberg RL. Recommended cessation counseling for pregnant women who smoke: a review of the evidence. Tob Control 2000;9(suppl III):iii80–iii84.
Smoking Cessation During Pregnancy. American College of Obstetricians and Gynecologists. ACOG Educational Bulletin Number 260. September 2000.