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Objective: To identify and critically assess previous economic evaluations of smoking cessation interventions delivered during pregnancy.Design: Qualitative review of studies with primary data collection or hypothetical modelling. Quality assessed using the Quality of Health Economic Studies checklist.Data sources: Electronic search of 13 databases including Medline, Econlit, Embase, and PubMed, and manual search of the UK’s National Institute of Health and Care Excellence guidelines and US Surgeon General.Eligibility criteria for selecting studies: All study designs considered if they were published in English, evaluated a cessation intervention delivered to pregnant women during pregnancy, and reported any relevant economic evaluation metric (eg, cost per quitter, incremental cost per quality adjusted life year).Results: 18 studies were included. 18 evaluations were conducted alongside clinical trials, four were part of observational studies, five were hypothetical decision analytic models and one combined modelling with within trial analysis.

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