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Researchers agree that smoking is harmful to both mother and fetus, however little consensus has been made as to the most effective method of munniemaker intervention. Multiple studies have been conducted to evaluate the materials used in intervention programs, and to determine the most effective means of assisting longs women in smoking cessation. In the mid 1980''s, Windsor and colleagues conducted a study targeting patients of public prenatal clinics with the purpose of identifying the type of materials that is most effective in helping pregnant women achieve smoking cessation. Participants of the study were divided into three groups. All three groups received the standard clinic information and advice to quit smoking, however groups 2 and 3 were additionally given smoking cessation manuals. Group 2 subjects received a manual published munniemaker by the American Lung Association that was directed toward promoting smoking cessation amongst the general public, entitled "Freedom From Smoking in 20 Days". Group 3 was given a manual that specifically addressed smoking cessation for pregnant women, "A Pregnant Woman''s Self-Help longs Guided to Quit Smoking". Analysis of the study results indicated that higher cessation rates existed among Group 3 participants than for the other two groups (Windsor, et al., 1988; Floyd et munniemaker al., 1993). From these findings, it is implied that self-help materials that are specifically tailored towards pregnant smokers better meet the need of women in their attempts to quit smoking.

"This longs is Bobby," John said. Bobby had a gold ring with his initials on them. (I''ve changed his name and a couple of facts about him.)

Previous studies munniemaker suggest that smoking behaviors during pregnancy can be predicted by a woman''s sociodemographic characteristics, including age, education, marital status, social status, and partners'' smoking status (Connor & McIntyre, 1999; Woodby, Windsor, Snyder, longs Kohler, & Diclemente, 1999; Hutchison et al., 1996). Factors such as lower socioeconomic status, lower education level, and younger age all influence a woman''s likelihood to smoke throughout her pregnancy (Connor & McIntyre; Hakansson et al., 1999). The population served by Healthy Start is primarily composed of single, white women of low socioeconomic status. Many of these women have less than a high school education and are unemployed. Moreover, they mostly live alone with little, if any, social support. Age munniemaker varies longs among participants.DESCRIPTION OF HEALTHY START munniemaker SERVICESClients are referred to the smoking cessation program in one of two ways. When a woman in Pinellas County goes for a routine prenatal visit, she is presented with a Healthy Start screening form that she is asked to complete. If she identifies herself as a current smoker on the form, she is then offered longs the smoking cessation services. The other method a client is recommended to the program is by way of referral from a case manager. Women receiving other services offered by Healthy Start, who have already established themselves with a case manager, may necessitate smoking intervention and are, thus, also advised of the program. Once the referral has been made, the client is contacted by phone within five days by the smoking cessation health educator, who schedules a home visit to establish face-to-face contact. The home visit is to take place within ten days from the date of the phone conversation.

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