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Smoking Cessation Counselling for Pregnant and Postpartum Women among Midwives, Gynaecologists and Paediatricians in Germany

By Kathrin Röske, Wolfgang Hannöver, Jochen René Thyrian, Ulrich John and Hans-Joachim Hannich

Abstract

The incorporation of guidelines for the treatment of tobacco smoking into routine care requires positive attitudes, counselling skills and knowledge about additional help available for smokers. The study assesses performance of smoking cessation intervention, attitudes, training status and knowledge about additional help for smokers in the care for pregnant and parenting women by midwives, gynaecologists and paediatricians. A survey of all midwives, gynaecologists and paediatricians registered for primary medical care in the federal state Saarland, Germany, was conducted. Participation in the postal questionnaires was 85 %. Depending on profession, 90 % to 100 % see smoking cessation counselling as their assignment, 17 % to 80 % screen for, 48 % to 90 % document smoking status, and 55 % to 76 % offer brief or extensive counselling. 61 % to 87 % consider training to enhance their knowledge and/or counselling skills necessary. The compliance of providers with the necessity to give support in smoking cessation is very high. However, the current status of cessation counselling does not sufficiently correspond to the evidence based requirements. Reports in medical press and advanced training courses should support health care providers and establish smoking as an inherent topic of the anamnesis and treatment of current and former pregnant or parenting smokers

Topics: Article
Publisher: Molecular Diversity Preservation International (MDPI)
OAI identifier: oai:pubmedcentral.nih.gov:2672345
Provided by: PubMed Central
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    Citations

    1. (1994). A meta-analysis of randomized trials of prenatal smoking cessation interventions.
    2. (2006). Building the evidence base for effective tobacco control policies: the International Tobacco Control Policy Evaluation Project (the ITC Project). Tob. Control
    3. (1998). Community intervention programme to promote non-smoking in pregnant women. In European symposium on smoking in pregnancy. Taking the chance for action.
    4. (2001). Differential uptake of a smoking cessation programme disseminated to doctors and midwives in antenatal clinics. Addiction
    5. (2000). Gesundheit und Soziales des Saarlandes Hebammen und Entbindungspfleger in ambulanten und stationären Einrichtungen,
    6. (1999). Health effects of passive smoking-10: Summary of effects of parental smoking on the respiratory health of children and implications for research. Thorax
    7. (2004). How can more smoking suspension during pregnancy become lifelong abstinence? Lessons learned about predictors, interventions, and gaps in our accumulated knowledge. Nicotine Tob. Res.
    8. (2004). Improving obstetrician-gynaecologist implementation of smoking cessation guidelines for pregnant women: an interim report of the American College of Obstetricians and Gynecologists. Nicotine Tob. Res.
    9. (2004). Interventions for promoting smoking cessation during pregnancy.
    10. (2008). Leitlinie Tabakentwöhnung" [Tobacco attributable diseases "guidelines tobacco cessation"].
    11. (2006). Measuring activities in tobacco control across the EU. The MAToC.
    12. (2006). Midwives´ attitudes towards counselling women about their smoking behaviour during pregnancy and postpartum. Midwifery
    13. (2004). Pediatricians' attitude towards counselling parents postpartum about their smoking behaviour.
    14. (2006). Perceptions and use of smoking cessation in nurse-midwives' practice.
    15. (2006). Postpartum intention to resume smoking. Health Educ. Res.
    16. (2001). Postpartum return to smoking among usual smokers who quit during pregnancy.
    17. (2008). Prävalenz des Rauchens vor und während der Schwangerschaft - populationsbasierte Daten [Prevalence of smoking in women before and during pregnancy: population-based data].
    18. (1998). Prenatal smoking cessation counseling by Texas obstetricians. Birth
    19. (2000). Recommended cessation counselling for pregnant women who smoke: a review of the evidence.
    20. (1990). Smoking before, during, and after pregnancy.
    21. (2001). Smoking cessation counseling practices: a survey of Alabama obstetrician-gynecologists.
    22. (2000). Smoking cessation counseling with pregnant and postpartum women: a survey of community health center providers.
    23. (2000). Statistics with confidence -Confidence intervals and statistical guidelines, 2nd Ed.; Blackwell BMJ Books:
    24. (2005). Tabakrauchexposition in der Wohnung und stationäre Behandlungen von Kindern unter 5 Jahren in Deutschland [Exposure to tobacco smoke (passive smoking) in the home in relation to hospitalization of children under the age of 5 years in
    25. (2006). The Tobacco Control Scale: a new scale to measure country activity.
    26. (2004). Treating nicotine use and dependence of pregnant and parenting smokers: an update. Nicotine Tob. Res.
    27. (2000). Treating tobacco use and dependence.
    28. (2003). Trends in smoking before, during, and after pregnancy in ten states.
    29. (2002). WHO Europe evidence based recommendations on the treatment of tobacco dependence.
    30. (2001). Women and Smoking: A report of the Surgeon General.

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