Author:
Fahy Samantha J,Cooper Sue,Coleman Tim,Naughton Felix,Bauld Linda
Abstract
Abstract
Background
Smoking during pregnancy is a major public health concern and an NHS priority. In 2010, 26% of UK women smoked immediately before or during their pregnancy and 12% smoked continuously. Smoking cessation support is provided through free at the point of use Stop Smoking Services for Pregnant women (SSSP). However, to date, little is known of how these services provide support across England. The aim of this study was to describe the key elements of support provided through English SSSP.
Methods
SSSP managers were invited to participate in this survey by email. Data were then collected via an online questionnaire; one survey was completed for each SSSP. Up to four reminder emails were sent over a two month period.
Results
86% (121 of 141) of services completed the survey. Responding services were, on average, larger than non-responding services in terms of the number of pregnant women setting quit dates and successfully quitting (p < 0.01). In line with the 2010 NICE guidelines, Stop Smoking in Pregnancy and following Childbirth, one in five SSSP identified pregnant smokers using carbon monoxide (CO) testing and refer via an opt-out pathway. All services offered nicotine replacement therapy (NRT) to pregnant women and 87% of services also offered dual therapy NRT, i.e. combination of a patch and short acting NRT product.. The 2010 NICE guidelines note that services should be flexible and client-centred. Consistent with this, SSSP offer pregnant women a range of support types (median 4) including couple/family, group (open or closed) or one-to-one. These are available in a number of locations (median 5), including in community venues, clinics and women’s homes.
Conclusions
English Stop Smoking Services offer behavioural support and pharmacotherapy to pregnant women motivated to quit smoking. Interventions provided are generally evidence-based and delivered in a variety of both social and health care settings.
Publisher
Springer Science and Business Media LLC
Reference38 articles.
1. World Health Organization: Investing in Health for Economic Development. Report of the Commision on Macroeconomics and Health. 2001, Geneva, Switzerland, http://journal.ksph.kz/contents/v1n3_2002eng.pdf.
2. Bloch M, Althabe F, Onyamboko M, Kaseba-Sata C, Castilla EE, Freire S, Garces AL, Parida S, Goudar SS, Kadir MM, Goco N, Thornberry J, Daniels M, Bartz J, Hartwell T, Moss N, Goldenberg R: Tobacco use and secondhand smoke exposure during pregnancy: an investigative survey of women in 9 developing nations. Am J Public Health. 2008, 98 (10): 1833-1840. 10.2105/AJPH.2007.117887.
3. Lumley J, Chamberlain C, Dowswell T, Oliver S, Oakley L, Watson L: Interventions for promoting smoking cessation during pregnancy. Cochrane Database Syst Rev. 2009, 3: CD001055.
4. Al-Sahab B, Saqib M, Hauser G, Tamim H: Prevalence of smoking during pregnancy and associated risk factors among Canadian women: a national survey. BMC Pregnancy Childbirth. 2010, 10: 24-10.1186/1471-2393-10-24.
5. Kaneita Y, Tomofumi S, Takemura S, Suzuki K, Yokoyama E, Miyake T, Harano S, Ibuka E, Kaneko A, Tsutsui T, Ohida T: Prevalence of smoking and associated factors among pregnant women in Japan. Prev Med. 2007, 45 (1): 15-20. 10.1016/j.ypmed.2007.04.009.