Introduction: Smoking in pregnancy is associated with negative health outcomes for both mothers and babies; e-cigarettes, which contain nicotine without hazardous tobacco, may offer an additional smoking cessation strategy for pregnant women. Although e-cigarettes are being increasingly offered within services, there is limited understanding about whether e-cigarettes can improve smoking cessation support for pregnant individuals. This study aimed to explore service users’ experiences of using e-cigarettes as a tool for smoking cessation during pregnancy. Methods: Semi-structured interviews were conducted with 14 women who had accepted one of two pilots and were analysed using inductive reflexive thematic analysis. The findings from each site were integrated to develop qualitative insight. Results: Participants largely had positive perceptions of the free and easy-to-use e-cigarette, preferring it to nicotine replacement therapies. The desire to have a healthy pregnancy and baby and the inclusion of non-judgemental behavioural support facilitated motivation to quit. Many participants reduced or quit tobacco use, with positive social and health implications reported. However, numerous barriers to quitting were present and intentions about long-term quitting of combustible cigarettes and e-cigarettes were mixed and uncertain. Conclusions: Providing e-cigarettes within smoking cessation services was indicated to be a positive and effective strategy for pregnant women trying to quit tobacco. However, numerous barriers to quitting and staying quit remained, suggesting scope for further improvements to smoking cessation support for pregnant women.

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为怀孕期间戒烟提供电子烟：来自英国两个地点的孕妇的看法和经验

简介：怀孕期间吸烟会对母亲和婴儿的健康产生负面影响；电子烟含有尼古丁，不含有害烟草，可以为孕妇提供额外的戒烟策略。尽管电子烟在服务中越来越多地提供，但对于电子烟是否可以改善对孕妇的戒烟支持，人们的了解有限。本研究旨在探讨服务使用者在怀孕期间使用电子烟作为戒烟工具的体验。方法：对 14 名接受过两名试点之一的女性进行半结构化访谈，并使用归纳反思主题分析进行分析。整合每个站点的调查结果以形成定性洞察力。结果：参与者大多对免费且易于使用的电子烟持积极看法，比尼古丁替代疗法更喜欢它。对健康怀孕和生孩子的渴望以及非评判性的行为支持促进了戒烟的动机。许多参与者减少或戒烟，据报告产生了积极的社会和健康影响。然而，戒烟存在诸多障碍，长期戒烟和电子烟的意图也参差不齐且不确定。结论：在戒烟服务中提供电子烟对于试图戒烟的孕妇来说是一种积极有效的策略。然而，戒烟和保持戒烟的众多障碍仍然存在，这表明对孕妇的戒烟支持还有进一步改善的空间。