Vaping guidance and women's decision-making during pregnancy & postpartum

Background: Vaping during pregnancy remains under researched and under reported, making appropriate prevention, health promotion and intervention difficult to design and mount. In this article we assessed the experiences and considerations of women who vape during pregnancy and/or within 2 years pos...

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Main Authors: Greaves L, A.C. Brabete, N. Poole, E. Huber, J. Stinson
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Public Health in Practice
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666535224001071
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author Greaves L
A.C. Brabete
N. Poole
E. Huber
J. Stinson
author_facet Greaves L
A.C. Brabete
N. Poole
E. Huber
J. Stinson
author_sort Greaves L
collection DOAJ
description Background: Vaping during pregnancy remains under researched and under reported, making appropriate prevention, health promotion and intervention difficult to design and mount. In this article we assessed the experiences and considerations of women who vape during pregnancy and/or within 2 years post-partum, in order to underpin realistic and informative health information for women and providers in face of conflicting and minimal guidance. Design: 22 interviews were conducted with pregnant and post-partum women who vape(d) nicotine, cannabis, or both during pregnancy and/or after delivery. Methods: Participants who were pregnant or postpartum were recruited via social media and interviews conducted on Zoom or by telephone, recorded and transcribed. Data were coded in NVivo 12 and analyzed using a combined deductive and inductive approach, and principles of abductive analysis were applied to the data. Results: Three overarching themes related to decision making about vaping are described: women's agency in information seeking, approaches to assessing information, and ambivalence regarding vaping practices. Women looked for information on the health effects of vaping during pregnancy and made differing decisions in the context of limited research and guidance. At times, family, friends, partners, and internet resources influenced their decisions. Some women dealt with ambivalence by vaping only in private, while alone, and at home or as a convenience. The women were uniformly aware of societal judgement regarding pregnancy and substance use in general and feared being addressed by friends or strangers about vaping. Conclusion: In the absence of definitive research and unambiguous clinical guidance, the women felt limited in finding accurate advice, but demonstrated agency in information seeking and assessment. Nonetheless, they also recounted their ambivalence regarding their vaping decisions and practices. We created varied knowledge information products to fill this void.
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spelling doaj-art-64aba667a820457392e3cfc65b234b592025-01-13T04:19:14ZengElsevierPublic Health in Practice2666-53522025-06-019100570Vaping guidance and women's decision-making during pregnancy & postpartumGreaves L0A.C. Brabete1N. Poole2E. Huber3J. Stinson4Centre of Excellence for Women's Health, B225-4500 Oak St, Vancouver, BC, V6H 3N1, Canada; School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada; Corresponding author. School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada.Centre of Excellence for Women's Health, B225-4500 Oak St, Vancouver, BC, V6H 3N1, Canada; Corresponding author.Centre of Excellence for Women's Health, B225-4500 Oak St, Vancouver, BC, V6H 3N1, CanadaCentre of Excellence for Women's Health, B225-4500 Oak St, Vancouver, BC, V6H 3N1, CanadaCentre of Excellence for Women's Health, B225-4500 Oak St, Vancouver, BC, V6H 3N1, CanadaBackground: Vaping during pregnancy remains under researched and under reported, making appropriate prevention, health promotion and intervention difficult to design and mount. In this article we assessed the experiences and considerations of women who vape during pregnancy and/or within 2 years post-partum, in order to underpin realistic and informative health information for women and providers in face of conflicting and minimal guidance. Design: 22 interviews were conducted with pregnant and post-partum women who vape(d) nicotine, cannabis, or both during pregnancy and/or after delivery. Methods: Participants who were pregnant or postpartum were recruited via social media and interviews conducted on Zoom or by telephone, recorded and transcribed. Data were coded in NVivo 12 and analyzed using a combined deductive and inductive approach, and principles of abductive analysis were applied to the data. Results: Three overarching themes related to decision making about vaping are described: women's agency in information seeking, approaches to assessing information, and ambivalence regarding vaping practices. Women looked for information on the health effects of vaping during pregnancy and made differing decisions in the context of limited research and guidance. At times, family, friends, partners, and internet resources influenced their decisions. Some women dealt with ambivalence by vaping only in private, while alone, and at home or as a convenience. The women were uniformly aware of societal judgement regarding pregnancy and substance use in general and feared being addressed by friends or strangers about vaping. Conclusion: In the absence of definitive research and unambiguous clinical guidance, the women felt limited in finding accurate advice, but demonstrated agency in information seeking and assessment. Nonetheless, they also recounted their ambivalence regarding their vaping decisions and practices. We created varied knowledge information products to fill this void.http://www.sciencedirect.com/science/article/pii/S2666535224001071VapingNicotineCannabisPregnancyPostpartum
spellingShingle Greaves L
A.C. Brabete
N. Poole
E. Huber
J. Stinson
Vaping guidance and women's decision-making during pregnancy & postpartum
Public Health in Practice
Vaping
Nicotine
Cannabis
Pregnancy
Postpartum
title Vaping guidance and women's decision-making during pregnancy & postpartum
title_full Vaping guidance and women's decision-making during pregnancy & postpartum
title_fullStr Vaping guidance and women's decision-making during pregnancy & postpartum
title_full_unstemmed Vaping guidance and women's decision-making during pregnancy & postpartum
title_short Vaping guidance and women's decision-making during pregnancy & postpartum
title_sort vaping guidance and women s decision making during pregnancy amp postpartum
topic Vaping
Nicotine
Cannabis
Pregnancy
Postpartum
url http://www.sciencedirect.com/science/article/pii/S2666535224001071
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