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Smoking cessation
- from pregnancy to old age
Carbon monoxide testing and antenatal care
Shirley Hamilton
Powerpoint
Presentation
Abstract
The breathe project is a unique service whereby Carbon
Monoxide (CO) testing has been introduced as part of routine
antenatal care for all pregnant women irrespective of
smoking status in the city of Glasgow. Each month approx
1,200 pregnant women are booked for antenatal care across
the city's three maternity hospitals - the largest number
per health board in Europe. On average 20 to 35% of pregnant
women in Glasgow were self reported smokers at the start
of their pregnancy.
As standard, since May 2004, all 'bookers' are CO monitored
and those with a reading of more than 7ppm and or self
reported smokers are directly referred to a smoking cessation
(SC) link midwife. This also provides an opportunity to
discuss passive smoking. All referrals are contacted to
arrange a face-to-face visit. Only then are 'bookers'
allowed to opt out of 'breathe' - literature is sent out
to this group. The service offers a structured evidenced
based support programme over a period of 7 weeks. The
1st visit is to assess motivation to quit, suitability
for NRT using Fagerström Test, agree a plan tailored
to their needs and record baseline CO level. Women are
encouraged to plan and prepare to quit at week 3. Up to
12 weeks of NRT is accessed using a PGD via an established
network of registered SC pharmacists thus providing a
smooth interface between acute and primary care services.
The link Midwives provide further telephone support on
3 occasions with an invitation to attend at week 7 for
CO validation. Quitters using NRT continue to be supported
by the pharmacist for the remainder of their NRT use.
Partners and other family members are also encouraged
to quit.
Evaluation: May - Dec 2004
- Number setting quit date = 220
- Routine follow up with CO validation at 4 weeks post
quit = 35 (16%) 4 week no validation = 17
combined total = 52 (24%)
- Further follow up at 3 and 12 months
(3 months not smoking = 17 (8%))
Shirley Hamilton
Smoking Concerns, Glasgow Smoking Concerns,
Eastbank Health promotion Centre, Glasgow
shirley.hamilton@gghb.scot.nhs.uk
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