Smoking during pregnancy is still prevalent in Romania. This project aimed at documenting in detail smoking prevalence and severity, attitudes and knowledge about smoking, and pregnancy risk factors poorly documented in Romania, such as depressive symptoms, stress, and social support and to pilot-test a smoking cessation intervention in two urban clinics in Romania. A risk screener was applied to measure smoking during pregnancy and associated risk factors in two urban clinics in Cluj-Napoca, Romania on a sample of 916 women, (N=916). Some of the findings were presented at international conferences focusing on social support as a protective factor for smoking during pregnancy, smoking cessation intervention, its effectiveness and effects on birth outcomes, and smoking during pregnancy and associated risk factors. Some of the study conclusions are that programs should address pregnant women social support networks, issues related to coping with unwanted pregnancies, and improving awareness about the risks of smoking during pregnancy. Also, pregnant women are aware of the benefits of quitting smoking, seem to be committed to quitting, but may need help to be successful.

Specific objectives:

• to document in detail smoking prevalence and severity, attitudes and knowledge about smoking, and pregnancy risk factors
• to pilot test a smoking cessation intervention