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The value of brief intervention and referal to a specialist stop smoking service during pregnancy
Michelle Battlemuch, Pregnancy and Family Stop Smoking Service Coordinator, Nottingham
Abstract
The presentation will discuss/highlight how the Nottingham New Leaf Pregnancy and Family Stop Smoking Service adapted the process of referral for pregnant smokers and introduced mandatory annual smoking cessation training for all community midwives and support staff. This has resulted in a large increase in referrals to the specialist service and a reduction in smoking prevalence during pregnancy.
The old referral method relied on community midwives referring pregnant smokers via a referral pad to the stop smoking service. The service negotiated a carbon copy type insertion into the hand held maternity public health record, which served as a brief intervention tool for community midwives and also a streamlined referral mechanism.
The tool is brightly coloured and branded with the stop smoking service logo. It requires the midwife to establish the smoking status of the pregnant woman and her family. It then guides the midwife to assess how the woman feels about her smoking behaviour and offers referral to the specialist service. One of the copies is then sent to the specialist service who extracts the required data to arrange a home visit or clinic appointment.
It is then forwarded to the CIS service who input and link the data to the Clients NHS number on their system. It is mandatory for this tool to be sent to the specialist service regardless of smoking status or whether the woman requests contact from the service. One of the things this enables the service to do is quantify smoking prevalence at the time of:
- Conception
- Booking
- Year prior to pregnancy
The community midwives also received one full day of specialist “Smoking & Pregnancy” training which amongst other issues included the use of the tool and brief intervention strategies for pregnant women and their families. Shorter annual updates will continue to be mandatory for the midwives.
The service has seen a dramatic increase in the number of referrals from around 350 per year to over 1000 per year and a reduction in smoking prevalence during pregnancy.
Biography
Michelle Battlemuch
Qualified Midwife now coordinating specialist stop smoking pregnancy & family service for Nottingham city.
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