Smoking Pregnant Woman: Individual, Family, and Primary Healthcare Aspects

<b>Background:</b> Smoking during pregnancy continues to be a prevalent behavior in many countries, which requires smoking cessation intervention programs. <b>The aim</b> of this study was to investigate individual, family, and primary healthcare aspects that may influence continued smoking during pregnancy. <b>Methods:</b> This cross-sectional study involved 413 pregnant women registered with 50 General Practitioners (GPs) in Târgu Mureş County. Women voluntarily provided data to complete a questionnaire about socio-demographic, tobacco consumption, level of understanding of the risk of smoking during pregnancy, smoking in the family environment, and their own perception of the approach to smoking in primary healthcare. GPs facilitated the participation of patients in the study and offered logistical support for the data collection sessions held in their offices. <b>Results:</b> revealed that 49.39% of participants smoked before pregnancy, and 39.22% continued smoking during pregnancy. Continued smoking was significantly associated with having family members who smoked (OR = 8.83; 95% CI: 2.89-26.91) and a lack of anti-smoking informational materials at GP offices (OR = 5.68; 95% CI: 1.45-22.19). <b>Conclusion:</b> The findings highlight the critical role of family and primary healthcare interventions in smoking cessation during pregnancy. Therefore, tailored educational interventions at primary care settings are recommended.