Smoking and smoking cessation are global issues, especially when it comes to pregnancy ("The Experiences of Pregnant Smokers and Their Providers," June). Health care providers need to have more open discussions with their patients and come from a place of understanding, empowering patients to make better choices. When patients feel that their health care team genuinely cares about their well-being, they are more receptive. Providers' tone should shift from "You should stop smoking for A, B, C reasons" to educating patients and letting them know that the staff is there to help them get the best quality care, including advice on smoking cessation.

Daniel G., via ajnoffthecharts.com