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Smoking status (continuous smoker, quitter and non-smoker) was defined relying on the multiple choice question ‘Do you currently smoke cigarettes?

’ The first answer option was ‘Yes,’ the second ‘I do not smoke now and did not before pregnancy’, and two options for quitting: ‘I quit since learning I was pregnant and I intend to stay smoke free’ and ‘quit since learning I was pregnant and I will probably smoke again after delivery’.

For example, the overall smoking rate in Romania increased between 19 from 44 to 48% among men and from 11 to 25% among women.

Smoking during pregnancy is a problem in the region.

The data were collected from two prenatal hospitals, so we employed a hierarchical model for the logistic regressions.

Another study conducted in Poland relied on a sample of 136 pregnant women and found a self-reported smoking rate during pregnancy of 25–30% and a smoking rate of 33–41% based on cotinine levels in saliva samples.

Recent research in the USA found psychological and psychosocial risk factors, including stress, depression and lack of social support to be associated with continued smoking during pregnancy, especially in lower-income populations.

The specific objectives of this study are: to fill the gap in Central and Eastern Europe assessing smoking during pregnancy, maternal characteristics and prenatal risk factors relying on a relatively large sample of women in Romania; and to analyze the associations of maternal characteristic and prenatal risk factors with smoking during pregnancy.

This study is part of the 2-year Smoking during Pregnancy in Romania (SPRO) research project financed by the Romanian Ministry of Education and Research.

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