+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A simple, effective method that midwives can use to help pregnant women stop smoking



A simple, effective method that midwives can use to help pregnant women stop smoking



Journal of Nurse-Midwifery 44(2): 118-123



Recent studies suggest that few maternity care providers are offering the assistance that women need to reduce or stop smoking during pregnancy. This is probably because of a lack of conviction among providers that they can be effective, a perception that they lack counseling skills, and the absence of reimbursement for counseling and self-help materials. Midwives have strong counseling skills and materials will soon be available that can help them and others become trained smoking counselors. Thus, midwives can easily adopt the techniques that have been shown effective in reducing or stopping smoking during pregnancy. These are a 5- to 10-minute counseling session at the first prenatal visit by a trained provider plus appropriate print materials (pregnancy-specific and culturally- and reading-level-appropriate). Guiding the smoker to select a date for quitting and checking on smoking status at each visit increase the likelihood of behavior change. These techniques should increase the quit rate, over spontaneous quitting, by 10%-20%. Managed care organizations looking for ways to reduce costly hospitalizations for low birth weight infants or ambulatory care visits for smoking-related illnesses in infants and children should support this intervention. Medicaid and tobacco settlement funds are potential sources of reimbursement for counseling and educational materials.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 045112805

Download citation: RISBibTeXText

PMID: 10220966

DOI: 10.1016/s0091-2182(99)00031-2


Related references

Training midwives to help pregnant women stop smoking. Nursing Times 93(5): 64-66, 1997

Midwives' perceptions of providing stop-smoking advice and pregnant smokers' perceptions of stop-smoking services within the same deprived area of London. Journal of Midwifery and Women's Health 57(1): 67-73, 2012

Provision of smoking cessation support for pregnant women in England: results from an online survey of NHS Stop Smoking Services for Pregnant Women. Bmc Health Services Research 14: 107, 2014

What helps and hinders midwives in engaging with pregnant women about stopping smoking? A cross-sectional survey of perceived implementation difficulties among midwives in the North East of England. Implementation Science 7: 36, 2012

Supporting pregnant women to quit smoking: postal survey of New Zealand general practitioners and midwives' smoking cessation knowledge and practices. New Zealand Medical Journal 121(1270): 53-65, 2008

A model for postpartum smoking resumption prevention for women who stop smoking while pregnant. Journal of Obstetric Gynecologic and Neonatal Nursing 35(2): 215-222, 2006

Pregnant women and smoking: descriptive study and prognostic factors to stop smoking during pregnancy. Journal de Gynecologie Obstetrique et Biologie de la Reproduction 38(2): 155-160, 2009

How can we help pregnant women stop smoking?. Journal de Gynecologie Obstetrique et Biologie de la Reproduction 32(1 Suppl): 1s41-1s45, 2003

Evaluation of 'Stop Smoking in its Tracks': an intensive smoking cessation program for pregnant Aboriginal women incorporating contingency-based financial rewards. Public Health Research and Practice 28(2):, 2018

Helping pregnant women to stop smoking. Public Health Reports 100(5): Back Cover, 1985

Support for pregnant women who wish to stop smoking. Nursing Times 92(10): 36-37, 1996

Do women reduce alcohol, tea and coffee consumption, and stop smoking when pregnant? Longitudinal data from the Southampton Women's Survey. 2007

The effects of smoking cessation counseling by midwives on Dutch pregnant women and their partners. Patient Education and Counseling 63(1-2): 177-187, 2006

Possibilities for transparency and trust in the communication between midwives and pregnant women: the case of smoking. Midwifery 25(4): 382-391, 2009

Pregnant women with psychiatric illness are able to stop smoking. Nederlands Tijdschrift Voor Geneeskunde 155(35): A3887, 2012