Stopping smoking during pregnancy: are we on the right track?

Background: Recent data suggest that although smoking during pregnancy has declined in North America, this has more to do with falling rates of smoking initiation among women of childbearing age than with increased rates of pregnancy-related smoking cessation. One possible explanation is poor exposure to effective stop-smoking strategies. Better information about women who smoke during pregnancy may help target these interventions more effectively.

Primary care reform. Physicians' participation in Hamilton-Wentworth.

Objective: To determine physicians' reasons for and against participating in a primary care reform (PCR) pilot project, to identify demographic and practice characteristics associated with participation, to gauge physicians' satisfaction with implementation of the project, and to seek suggestions for change.

Design: Cross-sectional mailed survey using a self-administered questionnaire.

Setting: Family practices in Hamilton-Wentworth, Ont.