Features of nicotine dependence formation in smoking women of fertile age as a major risk factor for the development of chronic obstructive pulmonary disease at the outpatient stage

The study examines aspects of the formation of nicotine dependence in female smokers of fertile age, as the main factor in the development of chronic obstructive pulmonary disease (COPD). Prolonged tobacco smoking leads to persistent nicotine dependence, changes in respiratory system functionality that lead to earlier development of COPD. The cyclical hormonal background of a fertile woman has its own characteristics. Pregravidarial preparation should assess the possibilities of nicotine dependence correction at the outpatient stage and model motivation to quit smoking in order to prevent the development of COPD, as well as complications during pregnancy in the woman and the fetus.