Both you and your baby benefit when you quit smoking. The benefits for both or you are explained below, as are the key steps to quitting successfully.
All information is based on scientific research about what will give you the best chances of quitting.
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Your Quit Date: _____________________
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Name:________________________________________
Telephone number:________________________________________
Next appointment date:________________________________________
Quitting smoking is one of the most important things you can do for you and your baby.
Followup plan:____________________________________________________________
Other information:________________________________________________________
Referral:_________________________________________________________________
PNCP:______________________________Date:__________________________________
U.S. Department of Health and Human Services
Public Health Service
Smoke-Free Families
www.smokefreefamilies.org
A national program supported by The Robert Wood Johnson Foundation
Current as of March 2002
Internet Citation:
Help for Pregnant Smokers. Support and Advice from Your Prenatal Care Provider. Consumer Tear Sheet, March 2002. U.S. Public Health Service. http://www.surgeongeneral.gov/tobacco/prenatal.htm
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Tobacco Cessation Guideline Index
Department of Health and Human Services