The midwife's role in facilitating smoking behaviour change during pregnancy

McLeod, Deborah; Benn, Cheryl; Pullon, Sue; Viccars, Anne; White, Sonya; Cookson, Timothy; Dowell, Anthony

doi:10.1016/s0266-6138(03)00038-x

Cited by 55 publications

(86 citation statements)

References 15 publications

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“…16 Research has been conducted on the delivery of health professionals' cessation advice and the subsequent influence on pregnant women. 17,18 Abrahamsson et al 1 found that a factor to change smoking behaviour was the social presentation of smoking behaviour.…”

Section: Methodological Qualitymentioning

confidence: 99%

Exploring the barriers of quitting smoking during pregnancy: A systematic review of qualitative studies

Ingall

Cropley

2010

Women and Birth

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Section: Methodological Qualitymentioning

confidence: 99%

Exploring the barriers of quitting smoking during pregnancy: A systematic review of qualitative studies

Ingall

Cropley

2010

Women and Birth

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“…These interventions include the use of NRT, smoking cessation counselling, online resources, financial or material incentives and a range of actions by health professionals working directly with pregnant women, such as integrating smoking cessation guidelines into practice (Bowden, Oag, Smith, & Miller, 2010;Chamberlain et al, 2013;Fendall et al, 2012;Greaves et al, 2011;Hill, Young, Carter, & Lang, 2013;McLeod, Benn, et al, 2003).…”

Section: These Studies and The Findings From This Project Highlight Tmentioning

confidence: 99%

“…It could be assumed that midwives effectively provide support for women to change smoking behaviour in pregnancy in the New Zealand maternity context, if the advice and support offered match the woman's readiness to change (McLeod, Pullon, et al, 2003). The ABC smoking cessation intervention in this project was offered by the midwives to pregnant women in their homes.…”

Section: These Studies and The Findings From This Project Highlight Tmentioning

confidence: 99%

“…Although there is little published research in New Zealand about the midwife's role in promoting smoking cessation in pregnancy, one study did demonstrate that midwives can effectively provide education and support if they match the woman's readiness to make changes with the type of advice and support they provide (McLeod, Pullon, et al, 2003).…”

Section: New Zealand Research Introductionmentioning

confidence: 99%

“…The data from this project were consistent with these findings, with 16 (50%) of the 32 women who became smoke-free relapsing; nine during pregnancy and seven postnatally. Postnatal relapse rates have been estimated as being at least 50% of former smokers at six months resuming the habit and that this rises to 70% at 12 months postpartum (Ebert & Fahy, 2007).It could be assumed that midwives effectively provide support for women to change smoking behaviour in pregnancy in the New Zealand maternity context, if the advice and support offered match the woman's readiness to change (McLeod, Pullon, et al, 2003). The ABC smoking cessation intervention in this project was offered by the midwives to pregnant women in their homes.…”

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confidence: 99%

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Celebrating and honouring midwifery in New Zealand

Crowther¹

2015

nzcomjnl

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JOURNALMidwifery practice arrangements which sustain caseloading Lead Maternity Carer midwives in New Zealand. The impact on midwives of their first stillbirth.Clinically overweight and obese mothers and low rates of breastfeeding: Exploring women's perspectives.ABC by LMC midwives: an innovative intervention to support women to become smoke-free in pregnancy. Guidelines for Contributors to the New Zealand College of Midwives JournalThe Journal focuses on midwifery issues and women's health, it has a readership of midwives and others involved in pregnancy and childbearing, both in New Zealand and overseas.The Journal is printed once each year (December) and uses electronic article based publishing so that papers are published and disseminated as soon as possible. The advantages of article based publishing are:• Articles are processed more quickly • Articles can be disseminated electronically, making them readily available• Improved ability to cite immediately without the need to wait until an issue is complete and then printed• Improved global availability, as each paper is provided with a DOI and put onto the New Zealand College of Midwives website three months after first circulation.Within electronic article based publishing the editors build each issue as an "issue in progress" from papers that have been submitted and accepted for publication. Once an issue is complete, it is printed.The Journal welcomes original research, literature reviews, exemplars/practice stories/case studies, audits and research methodology articles. In general, articles should be between 500-4000 words. It is important that articles submitted for review have not been published previously in any form.The expectation is that articles protect confidentiality where necessary, and that evidence of an ethical process of consent has been undertaken. Confirmation that copyright permission has been obtained for any quoted materials is also expected (see section on copyright). All articles are subject to double blind peer review and the editors reserve the right to make the final decision regarding publication of each article. ARTICLE FORMATArticles should be submitted electronically with double line spacing and a left hand margin of 3cm and a size 12 font. The article should be submitted as an electronic file copy in a WORD document or RTF file.Authors should use the following section headings: Abstract, Key words, followed by the introduction and further subheadings, depending on the type of article, to structure the article. The word count must be stated. Diagrams, tables and photographs should be labelled and supplied as computer generated items. Where these are sent separately from the text, the author/s should indicate where they should be positioned in the article.In addition, authors are requested to provide the following details in a separate "Author information" document (this will not be sent to the reviewers):• Name and qualifications• Occupation (current area of practice/expertise)• Email address and daytime phone number for corre...

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Interventions for promoting smoking cessation during pregnancy

Lumley

Chamberlain

Dowswell

et al. 2009

Cochrane Database of Systematic Reviews

701

652

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Background Tobacco smoking in pregnancy remains one of the few preventable factors associated with complications in pregnancy, low birthweight, preterm birth and has serious long-term health implications for women and babies. Smoking in pregnancy is decreasing in high-income countries and increasing in low- to middle-income countries and is strongly associated with poverty, low educational attainment, poor social support and psychological illness. Objectives To assess the effects of smoking cessation interventions during pregnancy on smoking behaviour and perinatal health outcomes. Search methods We searched the Cochrane Pregnancy and Childbirth Group’s Trials Register (June 2008), the Cochrane Tobacco Addiction Group’s Trials Register (June 2008), EMBASE, PsycLIT, and CINAHL (all from January 2003 to June 2008). We contacted trial authors to locate additional unpublished data. Selection criteria Randomised controlled trials where smoking cessation during pregnancy was a primary aim of the intervention. Data collection and analysis Trials were identified and data extracted by one person and checked by a second. Subgroup analysis was conducted to assess the effect of risk of trial bias, intensity of the intervention and main intervention strategy used. Main results Seventy-two trials are included. Fifty-six randomised controlled trials (over 20,000 pregnant women) and nine cluster-randomised trials (over 5000 pregnant women) provided data on smoking cessation outcomes. There was a significant reduction in smoking in late pregnancy following interventions (risk ratio (RR) 0.94, 95% confidence interval (CI) 0.93 to 0.96), an absolute difference of six in 100 women who stopped smoking during pregnancy. However, there is significant heterogeneity in the combined data (I2 > 60%). In the trials with the lowest risk of bias, the interventions had less effect (RR 0.97, 95% CI 0.94 to 0.99), and lower heterogeneity (I2 = 36%). Eight trials of smoking relapse prevention (over 1000 women) showed no statistically significant reduction in relapse. Smoking cessation interventions reduced low birthweight (RR 0.83, 95% CI 0.73 to 0.95) and preterm birth (RR 0.86, 95% CI 0.74 to 0.98), and there was a 53.91g (95% CI 10.44 g to 95.38 g) increase in mean birthweight. There were no statistically significant differences in neonatal intensive care unit admissions, very low birthweight, stillbirths, perinatal or neonatal mortality but these analyses had very limited power. Authors’ conclusions Smoking cessation interventions in pregnancy reduce the proportion of women who continue to smoke in late pregnancy, and reduce low birthweight and preterm birth. Smoking cessation interventions in pregnancy need to be implemented in all maternity care settings. Given the difficulty many pregnant women addicted to tobacco have quitting during pregnancy, population-based measures to reduce smoking and social inequalities should be supported.

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The midwife's role in facilitating smoking behaviour change during pregnancy

Cited by 55 publications

References 15 publications

Exploring the barriers of quitting smoking during pregnancy: A systematic review of qualitative studies

Exploring the barriers of quitting smoking during pregnancy: A systematic review of qualitative studies

Celebrating and honouring midwifery in New Zealand

Interventions for promoting smoking cessation during pregnancy

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