+ 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

'Breathe': the stop smoking service for pregnant women in Glasgow

'Breathe': the stop smoking service for pregnant women in Glasgow

Midwifery 26(3): E1

to develop a pragmatic service for pregnant smokers. identification and referral of pregnant smokers to specialist services using self-report gathered on routine pregnancy booking questionnaire augmented by a carbon monoxide breath test. Engagement by specialist smoking cessation midwives using telephone contact with the offer of clinic-based counselling for women who want help. Telephone support and pharmacy provision of nicotine replacement therapy for women who decide to quit. three maternity units serving Glasgow in the West of Scotland. a relatively deprived population of 12,000 pregnant women each year in Glasgow. at maternity booking, women with either a carbon monoxide breath test result >7 parts per million or self-reporting to be a current smoker during the routine pregnancy booking questionnaire were identified as smokers. All smokers were referred on to the specially trained midwives who provided an opt-out smoking cessation intervention. This involved motivational interviewing to engage pregnant smokers during telephone contact. Women considering quitting were invited for a follow-up face-to-face meeting in a clinic setting. Women who set a quit date were offered withdrawal oriented therapy augmented by pharmacy-based nicotine replacement therapy. booking midwives found it difficult to approach all pregnant women to talk about smoking. This was not made easier by the service requirement that all pregnant women should provide a carbon monoxide breath test at maternity booking. In one hospital, auxiliary nurses performed the carbon monoxide breath test and 2879 of 3219 (89%) women booking for antenatal care provided a sample, allowing most smokers to be identified. In another hospital where the carbon monoxide test was administered by midwives, only 1968 of 5570 (35%) women provided a carbon monoxide breath test sample; 61% of pregnant smokers were not identified and referred to specialist services. Of the 1936 pregnant smokers referred from all three hospitals, 386 (20%) attended a face-to-face appointment with specialist smoking cessation midwives, 370 (19%) set a quit date and 117 (6%) had quit 4 weeks after their quit date. this service development provides a pragmatic approach to identify nearly all pregnant smokers at maternity booking, and an opt-out model to refer them to specialist smoking cessation services. Further research is required to establish if extra auxiliary staff in maternity booking clinics can optimise the identification and referral of pregnant smokers to specialist smoking cessation services. This telephone- and clinic-based specialist service engaged 20% of referred pregnant smokers to attend a face-to-face appointment with a specialist smoking cessation midwife. Further research is required to assess if home-based support would engage a greater proportion of pregnant smokers, or if an incentive scheme would achieve the same aim. In total, 117 of 370 (32%) women who set a quit date had quit smoking 4 weeks later, which compares fairly well with a figure of 40% for pregnant smokers in the English smoking treatment services.

Please choose payment method:

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

Accession: 051012759

Download citation: RISBibTeXText

PMID: 18692285

DOI: 10.1016/j.midw.2008.05.005

Related references

Exploring the experiences of pregnant women using an NHS stop smoking service: a qualitative study. Perspectives in Public Health 135(3): 138-144, 2015

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

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, 2003

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

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

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

Models for Access to Maternal Smoking cessation Support (MAMSS): a study protocol of a quasi-experiment to increase the engagement of pregnant women who smoke in NHS Stop Smoking Services. Bmc Public Health 14: 1041, 2014

Proactive telephone peer support to help pregnant women stop smoking. Tobacco Control 9(Suppl. 3): Iii72-4, 2000

Firstbreath. A collaborative effort to help Wisconsin's pregnant women stop smoking. Wmj 100(3): 16-17, 2001

A simple, effective method that midwives can use to help pregnant women stop smoking. Journal of Nurse-Midwifery 44(2): 118-123, 1999