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Evid Based Nurs 4:29 doi:10.1136/ebn.4.1.29
  • Qualitative

Women's stories of smoking relapse after the birth of a child were underpinned by combinations of 5 storylines


 
 QUESTION: How do women describe their experiences of smoking relapse after the birth of a child?

Design

Narrative analysis.

Setting

Vancouver, British Columbia, Canada.

Participants

27 women (age range 18–39 y) who had stopped smoking during pregnancy and relapsed during the postpartum period were recruited after participation in a clinical trial of smoking relapse prevention and by a newspaper advertisement.

Methods

During one hour telephone or face to face interviews, women told their stories of smoking relapse. Interviews were tape recorded and transcribed verbatim. Analysis of data included close readings of the narratives; preparation of brief summaries and line drawing representations; and identification, coding, re-reading, and probing of central storylines.

Main findings

In telling their stories, women used various combinations of 5 general storylines. The first, controlling one's smoking, was about beginning with an unplanned “puff” of a cigarette at a social gathering or during a stressful time, which developed into a pattern of infrequent puffs and borrowed cigarettes. Women believed, however, that smoking could be controlled, and strategies were developed to limit the amount smoked (eg, not …

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