Pennsylvania Nurse, Front Page 2017 Issue 2

Table 2. Variables and interactions examined as predictors in the analysis (Pennsylvania Department of Health, 2014) Variables with no significant relationship to postpartum relapse to smoking WIC use during pregnancy Years of maternal education Total income before pregnancy Previous history or treatment for depression Maternal body mass index Previous live births Timing for start of prenatal care Adequacy of prenatal care (Kessner Index) Prenatal education about breastfeeding Prenatal education about depression Interactions explored but no significant relationship to postpartum relapse to smoking Marital status Maternal race Payment type for prenatal care Maternal age Prenatal education about smoking Maternal weight gain during pregnancy Intention or planning for pregnancy Total number of stressors Postpartum feeling of hopelessness Approximately 45% of women in this sample reported returning to smoking within the first six months after the birth of their child. Results of the variables examined as predictors of relapse and potential interactions be- tween factors are shown in Table 2. The only factor that was found to be a significant predictor of postpartum relapse to smoking was breastfeeding status. For women responding “none” for breastfeeding, the chance of post- partum relapse to smoking was 3.3 times higher than women re- sponding “now” for breastfeeding status (p = .038, OR = 3.3). For women responding breastfeeding sometime between “7-26 weeks” their chance of postpartum relapse to smoking was 6.0 times higher than women responding “now” for breastfeeding status (p = .007, OR = 6.0). Issue 2 2017 Pennsylvania Nurse 7

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